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Total Fee: $ ,� �`�• (,�� Date Received:� <br /> Entered By: Permit#: <br /> CITY OF r RONO - BUILDING P RNIIT APPLICATION <br /> All information must be submitted in full b fore plan review will be started. <br /> (please print all info ation) <br /> ------------------------------------------------------------------ -------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER R CONTRACTOR <br /> R�. <br /> JOB SITE ADDRESS: ,S' ,S' C`� ���ZIP: <br /> NAME OF OWNER G . S,S PHONE: (home) ��Sp- .3�%�,�' <br /> (work) <br /> MAILING ADDRESS: 3.� " CITY: ���l� ZIP: <br /> CONTRACTOR: P�c_ ,�' G��G PHONE: �f-7� ll�S� <br /> CONTACT PERSON:_,��s" �c.�z�.�c-,� BILE/PAGER: ���-- '{�3 _� <br /> MAILING ADDRESS: ��4tr !.�/�`l � ITY: �St��c�P�P: �j`!,l• <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME; REGISTRATION# <br /> TYPE OF WORK: N�w � Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detai�: �G <br /> STORIES: SQ. FEET OF EACH OOR: <br /> NO. OF BEDROOMS: GARAGE ST LS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (e luding land): $ ,V,Ci��, �� <br /> I hereby apply for a building permit and I acknowledg that the information above is complete and <br /> accurate; that the work will be in conformance with th ordinances and codes of the City and with <br /> the State Building Code; that I understand this is not permit and work is not to start without a <br /> permit; and that the work will be in accordance with he approved plan. <br /> APPLICANT'S SIGNATURE: `"�' � DATE: � � <br /> NOTE! Parade of Homes events require separate permit approval by Police Department and <br /> City Council 60 days prior to the event. Non pernzi ed events will not be allowed. <br /> 5 <br />