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Q <br /> CITY O' RONO - BUILDING PERMIT APF '.ATION <br /> Total Fee: $ 2 Date Received: <br /> Al <br /> Date Approved: <br /> Permit#:) Project#: <br /> Building Permit Application Requirements : <br /> 1. Building permit application - to be filled out completely and signed <br /> 2. 2 sets of construction plans to include the following: <br /> a) Floor plans; <br /> b) Footing and foundation plan; <br /> c) Elevations (of all sides ) ; <br /> d) Wall sections and cross sections; <br /> e) Details - stairs and any special connections. <br /> 3. Certificate of survey with location of existing and proposed <br /> structures including hardcover calculations and grading and drainage <br /> plans as required. <br /> 4. Energy calculations - form provided. <br /> 5. Septic report and design if required. <br /> ABOVE INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED <br /> -------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER or CONTRACTOR <br /> JOB SITE ADDRESS: Y779 Aloe 1, KAwaf- 4e��s ZIP: SS�6�j/ ? <br /> (work) "/- 7o8S <br /> NAME OF OWNER: 494 LNC. PHONE: (home) -r-Yi- o6c..bt <br /> MAILING ADDRESS: 3600 RJR LUS CITY: WI4x2r}�A ZIP: dz-3P/ <br /> CONTRACTOR: �,�yt9� AS A-Aou,6: PHONE: y7/ FS <br /> MAILING ADDRESS: cY,4Mj6 & AAOdb CITY: ZIP: — <br /> ARCHITECT: ,��¢1'�tJ�+, - Dynfa.s�.c .�o/1�FS PHONE: — <br /> MAILING ADDRESS: -YAM4 H 30 U6 CITY: ZIP: - <br /> TYPE OF WORK: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED USE (describe in detail) : <br /> SPi r <br /> STORIES: C"' y SQ. FEET OF EACH FLOOR:ML• 1- 4, <br /> NO. OF BEER : 3 GARAGE STALLS: ATT. ( DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ s� `�2--zl . <br /> I hereby apply for a building permit and I acknowledge that the information <br /> above is complete and accurate; that the work will be in conformance with the <br /> ordinances and codes of the City and with the State Building Code; that I <br /> understand this is not a permit and work is not to start without a permit; and <br /> that the work will be in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: s y DATE: /O <br /> (Please fill out the reverse side of this form) <br />