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• -�' CITY OF -0RONO - BUILDING PERMIT APPLIGATION <br /> Total Fee : $ � / d � ��� _ ._. __ Date Received: �����5� <br /> -:'� -� <br /> Entered By: ,���' <br /> APR 3 199� Date Approved: _ <br /> � <br /> ( . <br /> _ . _. _ _� Permit#: ����l.S <br /> AI,L INFORMATION MIIST BE SIIBMITTED IN FITLL BEFORE PLAN RSVIE`W WILL BE �TARTED <br /> (See Check-off List Enclosed ) <br /> THE APPLICANT IS: (circle one)----��._---------------------------------------- <br /> R or CONTRACTOR <br /> JOB SSTE ADDRSSS: J7�T � ��7P� Y�y .�Ue . C��� I}�v ZIP: s��3� � <br /> T <br /> (work) <br /> � L ) <br /> NAME OF OWNER: ��C�v��r � d� �/7 P�sC�h PHONE: (home )� 7�`���� <br /> MAILING AnDx�ss: � ��,� C�7,��i-r� �v� cz�: /�'Iou��� f'l�l , zzP:S��3� � <br /> CONTRACTOR: S� �T PHONE: <br /> MAILING ADDRESS : CITY: ZIP: <br /> TYPE OF WQ New Addition� Accessory Structure Move <br /> Demo_� Remode�/Alteration Renovate Land Alteration <br /> PROPOSED WORR (describe in detail) : 2,y- X /�� �w 0 _S 7 or y L�d�� I /�/� <br /> �c�wn = l�"U�r��i a�-�'a- ,�_b,�� �aG i� , t� � ��lv in�i rr� � a ll S f'�h�4;�-<� �'on s�rU�f,cvy <br /> STORIES: /� SQ. FEET OF EACH FLOOR: �"w'�� S 7 oY' l� S <br /> NO. OF BEDROOMS: I CARAGE STAI.LS: ATT. � DET.� <br /> ESTIMATED CONSTRUCTION VALIIATION (egcluding land) : $ �� �� _ <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 /> n � , _�z _95-- <br /> APPLICANT'S SIGNAT�RE: �5, - DATE:�� _ <br />