Laserfiche WebLink
. t, <br /> � Total Fee: $ ;� �; , �l�� Date Received: c� <br /> �� ��! <br /> Entered By: � � Pernut#:j����j��- <br /> � <br /> �"� , � � �_.� j i � ,. <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 /> --------------------------------------------------------=---- <br /> , _._.��------------------------------------------------ <br /> THE APPLICANT IS: (circle on� OWNER CONTRACTOR <br /> ,�,.__....-. <br /> JOB SITE ADDRESS: �3`-� G} � S � ZIP: <br /> NAME OF OWNER: �� �j�����-C� PHONE: (home)��Cv3 (�Gj��$D G <br /> q (work) � 1 f�"3� '-1`i`z—�31 � <br /> MAILING ADDRESS: SS�J(,% G�P�c�-Sc:�ti1 CITY: ��.cL,p�E �����IP: 553 S 7 <br /> ����� �� 1�- <br /> � �� �� " �� ' .�� <br /> CONTRACTOR: ���,:; � ���� � PHONE: �I���> <br /> CONTACT PERSON: �� -,+ �t-F=- MOBILE/PAGER: <br /> MAILING ADDRESS: `��i''�-�IT`���`�Y�--� ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT � NGINEER: ��, o �►'���-�._ PHONE:�� 1��3�..1 —���--3�. <br /> MAILING ADDRESS: L{g(�; L,�v�1 �a-1 l�a�1�I�'�Y�; ZIP: <br /> NAME: ��rz �z_�-�1 � S c�Iti l Z REGISTRATION# <br /> ' ��� TLL �r�� v e I�c».-�-� <br /> YYl�\s � y�r� ss�t o 1 <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK (describe in detai�: <br /> STORIES: ._...''� SQ. FEET OF EACH FLOOR: �:�-� � /, Di S� � �.%l Y <br /> NO. OF BEDROOMS:�� GARAGE STALLS: ATT. ��'% DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ J 7_�^�''�". � <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 t oved plan. <br /> APPLICANT'S SIGNATUK�:-_ ._--_____.� , ; � DATE: r , <br /> NOTE! Parade of Homes events require separate pq_�rmit approval by Police Department and <br /> City Council 60 days prior to the event. Non pern�tted events will not be allowed. <br /> 9 <br />