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� <br /> � � � � �: <br /> $ / l <br /> s� , <br /> •'I'otal Fee: �-� � � -� � `-�� <br /> �/ L'���� � Date Received: C� <br /> Entered By: � Permit#: -��' -�;!� ; <br /> , _�; .r_, _ i� �. .� ,,,!;' <br /> CITY OF �RONO - BUILDIN�PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please print all information) � � <br /> ---------------------------------------------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> � <br /> JOB SITE ADDRESS: �L�� � �y'�� �Y C�� ��ZIP: ���'.7� <br /> � <br /> NAME OF OWNER:�i�f- ;�,� �\ �.1, PHONE: (home) ��Z-"'�� -z��� <br /> (wor ) <br /> MAILING ADDRESS: CITY:���!�L-�-- ZIP: <br /> <� ( � , � <br /> CONTRACTOR: ---`�C�l� � �` ��- PHONE: ���'��]`�1�� <br /> CONTACTPERSON: S�, Lt�NC� S OBILE/PAGER: �p��-- 3� ��;� � <br /> MAILING ADDRESS: $�Z�C�1y�ri-� r,V� CITY::�f �� ja�,-� ZIP: S� <br /> STATE LICENSE: # �'.�3�.�� <br /> ,%� � <br /> ARCHITECT/ENGINEER: '��it,�t'. -�,�?�� PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAN�E: __ _ __ - REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> _ , ('e r' �i,lr�-c'�_ ; <br /> PROPO D WORK (desc be in detai : - ('{'r, � � � � � :.{� �i' �..Q / <br /> �( � . � - !� �� --� <br /> � ;�� .�..- � � ;. -, � _ <br /> , �. <br /> j h <br /> STORIES: S�FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: � GARAGE STALLS: ATT. DET. <br /> N 'L <br /> � 1 G-��=i l>"J . <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ , �Z�- <br /> I hereby apply for a building permit nd I acknowledge that the information above is complete and <br /> accurate; that the work will be in co ormance with the ordinances and codes of the City and with <br /> the State Building Code; that I und stand t "s is not a permit and work is not to start without a <br /> permit: and that the work witl be in accord�ice with the approved plan. <br /> ,� <br /> r , :";;� � � <br /> APPLICANT'S SIGNATURE:: DATE: <br /> NOTE! Parade of Homes events require separate permit approval by Police Department and <br /> City Couneil 60 days prior to the event. Non permitted events will not be allowed. <br /> 5 <br />