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813-/HU-UUGU lJll,�/ UI LG�II I�l l l lnw � +...�����..rr�,...-......� _ <br /> , Bu�iding Department <br /> Date Received Phone Con#act for Perm3tting �; <br /> �; ;, <br /> Owner's Hacne Owner Phone Number �,,. _ '� � <br /> _ _ . .. • �+ <br /> Owner's Address Owner Phone Number��" �', <br /> Fee S�mple 7itleholder Name Owner Phone Num6er�— � . �,� <br /> Fee Simple Titleholder Address i . <br /> I �OT# .�� <br /> , JOB AD�RESS• , <br /> SUBDiVtSIQN � __� ;PARCE�:1D# : � . -, �, <br /> � �(OBTAINED FROM PROPERTY TAX NOTICE) <br /> WOEtFC PltOPt3SEU � tdEW GONSTR e ADD/ALT �I S1GIV __ �� MOVE Q DEMC}L1SN <br /> I �� �� ' � INSTALL. REPAIR <br /> PROPQSED USE Q SFR � GOMM Q OTf-!ER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL [� OTHER ' <br /> DESCRIP7'ION OF;WORK; � , <br /> BUIi.DING SiZE � � SQ FOOTAGfi:�l�,_� HEIGH'F � � _ ' <br /> Q �ll1LDlNG � '� VALt1AT1Uid OF TUTAL GOidSTRt1CTi�{V ' ' . . -• � " <br /> Q EI.ECTRiGAL � � AMP SERVICE Q PFtOGRESB ENERGY [� W.R.E.G. <br /> Q PC.ElMBING � � <br /> Q MECHANICAL � � VALUATION OF MECHANtCAL INSTALlATtON ' <br /> � GAS Q fitlOFilUG � SPEClALTY Q OTNER . <br /> FINISHED F1.00R ELEVATIONS � � FLOOD ZONE AREA QVES QNO ` <br /> 8_t!l�.DEi3_ _,_ -. �. . . <br /> - ... .-- - .-- _ _.__.____._ GOMPANY <br /> SIGNATURE REGISTERED Y J N , FEE CIJRRENT Y I N ' ' <br /> A1dd[eSS ' LiCBtiS@# �+ , . � <br /> EI.ECTRICtAN ,,/'�' GOMPANY. �=�x ' • <br /> � SIGNA7`URE REGISTERED Y/ N FEE CURRENT ''Y/N <br /> Address U Il . License#� 1�'' /��'�1�'/�n �� <br /> PLUMBER f / C{?MPANY ^-}�r5 ft�t�+rt.�ii '��� <br /> SIGNATURE �'�rl��iG� REGISTERED � Y/ N FEE CURRE Y/N <br /> Address vl 2� ' ��. s` i S� t I�tcense#� ��'�- I�'I�--7�1 J� <br /> MECHANICAL GOMPANY • <br /> SIGNATURE REGISTEREp Y/ N FEE CURRENT Y/N <br /> Address ' - License# �� � <br /> O'iHER :COMPAIUY ' �- � <br /> SICiIVATURE`� _ REGI5TER�p Y J N FEE CURRENT' Y J'N • <br /> Address 'license# �_:�.5;`, _ `-``-` .-a"�.� - <br /> REStDEN'ifAL Attach{2j Plot Plans;(2}sets of Building Plans;{1)set of Energy Forms;R-Q-W Pertnit far new construction, <br /> Minimum ten(10}working days after submittal date. Required onsi#e,Construction Ptens,Stormwater Plans w!Sitt Fence irisfalled; <br /> Sanitary Facilities&1 dumpster;Site Work Permlt for'subdlvisions/large proJects � <br /> GOMMERGIAL AEtach{3)se#s of8uiiding Pians;(4)set of Ene�gy�arms.R-Q-W.Permit for new construction , <br /> Minimam ten(10)working days after submiftal dafe. Required onsite,ConstrucNan Plans,Stormwater Plans.wi Sitf Fence instalied, <br /> SaNtary Facilities 8�1 dumpster.Site Work Permit for ali new projects.All aommercial requiremenks must meet compliance' � , <br /> SEGN PERMii' Attach{2)sets of Engineered Plans. , , . <br /> "'*PROPERi'Y SURVEY requtred for alt NEW consfruction. . <br /> I <br /> D9rectians: ' " <br /> Filt out appticatian comptetety. � � <br /> Owner&Contractor sign back of application,natarized <br /> If over$250Q a Notice of Gommencecnent is requ�red. (A/C upgrades over$5000j <br /> *` Agent(far the cantractar)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> 'OVER THE COUNTER PERMILTING (Front af Application t3�ly) <br /> F2eroofs Sewers Service Upgrades A/C Fences(PlotlSurveylFootage} <br /> priveways-Nat over Gaunfer if on pubttc roadways..needs ROW <br /> � <br />