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-Total Fee: $ 0 'C SC-) Date Received: �Q y(ps? <br /> Entered By: I Permit#: r / _2z <br /> ( i-- 7 7-7 / <br /> CITY OF �RONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please print all information) <br /> THE APPLICANT IS: (circle one) 60EVWWI�NERR CONTRACTOR <br /> JOB SITE ADDRESS: /751 %o n L0,yj'&t1 ('o"v f- ZIP: SS 3 fo L/ <br /> NAME OF OWNER: re-avi k f .SWSczvt KD L,t.!-hsL. PHONE: (home) gSz'q?2'f <br /> (work) <br /> MAILING ADDRESS: y7 S l -To n ko vi ttj C f CITY: ora-n t) ZIP: L <br /> CONTRACTOR: Fravt L ky t&kg s/ ) PHONE: q5-Z—q'7 2 -Nr9 G <br /> CONTACT PERSON: 5 c� w►t, S a.b D V MOBILE/PAGER: (//,)-- ?-a-i-o ?3 <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detail): Yo". <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ 2 5-0D <br /> I hereby apply for a building permit and I acknowledge that the information above is complete and <br /> accurate; that the work will be in conformance with the ordinances and codes of the City and with <br /> the State Building Code; that I understand this is not a permit and work is not to start without a <br /> permit; and that the work will be in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: C DATE: <br /> NOTE! Parade of Homes events require separate permi� approval by Police Department and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br />