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�,�-,o,�:,,,,�� , c;ity ot�epnyrhiiis Permit Application FaX-a�sasa-oaa� <br /> Bullding Depa�tmant <br /> ,te Reaalved ontaot far R�rmittin �� ��t� - �a�� <br /> Phona C <br />' vner's Name ��i�Gl �� �� �--+U�� ��� Owner Phone Number �. I 4����� <br /> i <br /> I rner's Address �[a� ���"f��.-�" �' 1vti�lb,�~�,. �r5�'�... Owner Phone Number , <br /> G � � I <br /> e Simple Titlghaider Name Owner Phone Number <br /> I <br /> e Simple Tltlehalder Address ( <br /> , �B ADDRESS 1 LOT# � <br /> � <br /> �Bb1VISIQN �— � PARC�L lD# � �'�`� "'O fJ`d-• �Z,.l t�0 - �b 4'� � <br /> (OBTAINED FROM PROAERTY TAX NdTiCE) <br /> �RK pROPOSEO e NEW CONSTR 8 ADU/ALT � SIGN CJ Q DEMOLISH <br /> � INSTALL REPAiR � <br /> :OPQSEQ USE [� SPFt [,� COMM C� OTHER <br /> PE OF CONSTRUCTION [� BLQCK Q FRAME � STEEL Q <br /> ( ;SCRIPTION OF WORK f-��1C���'10 � �'i X �-r <br /> / � +���, <br /> IILDING SIZE � lP X �[� � SQ FOO7AGE � � HEIGHT ��� <br /> �BUILDING •� ����Q� VALUATION OF T�TAI.CONSTRUCTlON ' <br /> ,__._.� <br /> QEIECTRiCAI. (�p� AMP SERVtCE [� PROGRESS ENERGY [� W.R.E.C. <br /> �. <br /> QPLUMBlNG (9i� <br /> L ..`�/� f�� U <br /> QMECNANI{:RL $ YA�UATlON QF M CHANlCAL INS7AltATiON l <br /> QGAS Q ROOFING Q SPECIALTY � CITHER <br /> ttSHED FLOOR EIEVATI�NS (��� FLQOD ZONE AREA QYES NO <br /> � <br /> L <br /> I, ILDBR CBMP� �' � <br /> iNATURE � REGISTERED Y/ N FEE CURRE� Y/N <br /> �`��_� <br /> ; Address �(cense# <br /> � <br /> ECTRtC1AN COMP <br /> iN/�TURE REGISTEREb Y/ N FEE CURRE� Y/N <br /> Address Ucense# r � <br /> JNlBER COMPAN <br /> �NATURE REGi5TEi2E Y/ Pi FEE CURRE� Y/N <br /> Address License# r� � <br /> CHANICAL GOMPANI� <br /> NATURE REGISTERED Y/ N FEE CURREr Y 1 N <br /> Address � � I.icense# � � <br /> �ER C�MP <br /> NAYURE REGlSTERED Y/ N FEE GURRER Y 1 N <br /> Addr�ss License# � • + ��� <br /> i1DENT1Al Aitach(2}Piot Plans;(2j sets of Hui�ding Plans;(1)set of Energy Farms;R-O-W Permik for new construc8on, , <br /> Mintmum ten(10)working days after submittal date. Requtred onsite,ConstrucUon Plans,Stormwater Plans w/Silt Fenas fnstalled, <br /> Sanitary Facli�ties&1 dumpster,Slte Work Permit far subdivislonsRarge proJects <br /> AMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1 j set of Ener�y FoRns.R-O-W Pe�rrrit for new consirucUan. <br /> Minimum ten(10)working days after submittal date. Required onsite,Canstruc8on Plans,Storcnwater Plans w/Silt Fence instailsd, <br /> Sanitary Faciiities&1 dumpster.Site Wark Permtt for ail new proJecks.All commetcfaf requlrements must meet compltance <br /> N PERMIT Attach(2)sets of Engineered Plans. <br /> `""PROPERTY SURVEY requUed for al!NEW consWctlon._ <br /> ctions: <br /> Ftll out appllcatfon complekely. <br /> Owner 8 Contractor sign back of appi(cation,nata�ized <br /> If aver�2500,a Nottco of Commencement is requtred. (AiC apgrades oveIr 57500} <br /> Agent(tor the cantractor)or Power of Attomey(for the owner.}wouid be samedne wAth notarized letter from owner authoNzing,saRle.�.,,,.._,...��..<..,-f-�-�.�.r <br /> ;R THE COUNTER PERMITTINGi � (Front of Applicatlon`Onky)� : 'i N . �- ' <br /> �afs If shingles Sewers .Servlce Upgrades A!G . Fences(PIoU,Su eylFoatage) " ' � ' , , <br /> Driveways-Not over Gounter if on public roadways..needs_RQW> - " ` ' ` „ __v„ . ... ,• f 1 <br /> _.._: _ ^ ., .,.- ---� � -• - <br />