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, , „Tfltai �'ee: � Daie R.ecei�ved: __ <br /> Entered By: Permit#: <br /> CXT'i' OF �RONO - BiJILDIN� P�R.�V�IT A�'1'LICATI�N <br /> �information must be submitted in f'ull before plan review will be started. <br /> ��� � ��,�; (please prirzr ull infornzation} <br /> �� , <br /> 'I'H� APPLTCAN�' IS: {circle one) O�1?�i�R OR QNT1tACTOR <br /> J0� S�TE AD�}1.2ES5: � `�r� I ,T �tI �' '`� 2IP: --� <br /> . ''' .t , ome � � �'7 `��rJ� <br /> �v�� a� o�vr��a�: ������.�G� Pxo;��: c� } ( <br /> (�vork) _� <br /> IT��I�r�AI�Afi�.SS: �� ��� �. �ITXt 1��..Z���-- ---- <br /> � �. T '�(�`.� ��-'� (�� <br /> co��.�cTo�: " �� `�`�:��- Pxo��: <br /> co��ACT�E�so� : �� rn�o��Er�A���: <br /> - `� t-�-�.�,�. ��: �,,�- <br /> 1�IA�ft.ING A17DR.ESS: _� � _.___,..CI'.I'Y: ,`� ��� <br /> STATk. Y.IC�NSE: # ���,�!f'� <br /> .A.RCHITECT/ENG��R: � .�._ .__ _1'flfO�tE: <br /> I��LAIL�rG��,..DD1t�SS:_.______ CI'I'Y: ZIP': <br /> N.��1�� .�------------�...� �=-REGTS'�RATIO►i��- - —� <br /> TYPE Q�' '�V�Rli: Ne�v Addi�ion Accessory Structure <br /> Move �_�Remodel/A.ltezation �_ L.and Alteration _ <br /> � <br /> PltO QSED ti�4�(describe in detai�:�^, ' � �,� � , ' ' `� <br /> �� � _.----------- ___ .v_.._—- --- <br /> SJ,<JS\LL'S. S'�. J.'J:��rl L7P���1.�1'J..���.l.it: �...-_J..�..-._. <br /> NO. OF BEDROO�ZS: � �AR4GE S'�'A.T..LS: ATT. _ D�T.__ _ <br /> EST�IATED CO�YSTRUCTI{3N VALTJATYON (excludi.ng landj: � � � <br /> I hereby apply for a building pernut and T ac�o.w�.edge that the informati4n above is complete and <br /> accurate; that ihe work �vill be in conf'�rmance with the ordinances and cades of th� City azid with <br /> che Stat� Buitding Code; that T understand this is nat a pernut and work is not to start without a <br /> permit; and that th� work will be in acc �dance � the approved plan. <br /> � _ <br /> .-- <br /> �'PLICA..1\"T'S SIGNAT . � .I�ATE: _ I� L �'� <br /> ( , <br /> 1�'OTE! P r� hTomes events reqr�ire s�e�arate permit appraval by Palice 17epczrtment and <br /> City Councrl GO days prior to the event. Non permitted events wilr not be allowed. <br /> - -� --�--��----�---- --� --�---�� - ---� -- -��---�----��---�--�................�--��--��-- --�--- .... ...... - <br />