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Bu(iding Deparkment " ; ,- -- <br /> ; !/Y7��1 t c�, . <br /> Date Rec�ived � "-�-- ,� Phane.Contact far,Permittin � O�3 �i , � . ,�� <br /> � � ; <br /> Qwner's{Vame � Oiwner Phone Numbe� �'�'�� �� <br /> owner's�tddress��7�j�'�—��J`� J% �---�!��� _� Oiuvner Phone Numbe� . <br /> , ��� <br /> Fee S1m�le Tftteholder Name �� �wner Phone Numbe� <br /> � i <br /> Fee Sim�vle Titlehotder Address �� ; � , <br /> � <br /> J{?8 AD[PRES8 'T(� ��C? � ti ; l.Ol'# ', � <br /> � , <br /> 5USDIYIalON ` ' ,�i ����� PARCEf.IDI� ��- ' r�/�-'(.�!V�Q-�'�Q� Q� <br /> ` (dBTAtNED FROM PROPERTY TAX N�TfGE) <br /> WORK P120POSED e NEW CON5TR 8 ADDlALT �] � SIGN Q � Q bEMOUSH <br /> INST�ALI. REPAIR <br /> PROPOSED 118E [� SFR. [] COMM �] OTHER i <br /> TYPE OF COMSTR!!G7'EON Q 8l.tOt�K Q FF2AME � STEEL Q � <br /> � <br /> ��scRr�T�o�a�wo�x �� Q�,. (�1 j�2 D�1 G��t � S� �4%'SJ l M � �tt <br /> BtliLD}Ni3 SlZE � � SQ FOOTAt3E�� i FIElGHT � � � l��'�� <br /> � <br /> ��BUILDING $ 1���, �� VALUA714N OF TOTAL GONSTRUCT30N � <br /> i j <br /> L__�_]ELl=C"CRICA4 �� AMP SERVICE � Q PROGf�ESS ENERGY [,� W.R.E.C. <br /> � ( <br /> �PLUMBING r�� I � �� <br /> �- � � �� <br /> �,JMECHANICAI. �� VALUATION OF MECHAN�CAL INSTALLATION� ,ai� � <br /> C�GAS [� ROC�FINC3 Q SPECIALTY C';�] I OTHER ' <br /> � � <br /> FfNtSHEi)FLOOR ELEVATIONS C�� FLOOD 20NE AREA' QYES NO <br /> � G {��2't' '�_ <br /> BUILDEi� " } t���COMPANY L bc,r-eS l�dM'L.�G$N•T'e.f��` L.t:. <br /> SiGNATtIRE ` REGISTERED i Y J N FE�CURRE� �Y% <br /> Addtess C:� �Gl ti C� '�!�✓ Q�'``�A ttitr.,�cy �.. 3:`x-�'7�" Lfoeits�# ���. j .�{� ��-! J I <br /> � <br /> � <br /> � ' <br /> �[.ECTRiC1AFt GOMAANY <br /> SIGNATIIRE REGISTERED � Y J N FE CURRE� Y I N <br /> Address �� � � � L1Cefls�# ��� � <br /> I � <br /> PLUMSEl2 COMPA3�lY i <br /> SIGNATIIRE REGIStERED � Y J N FE CURREt� Y/N <br /> I <br /> Address � `� i licens�# �� � <br /> i <br /> MECliANtCAL. COMPANY � <br /> SIGNATIlRE REGIStERED i Y/ N FE I CURRE� Y J N <br /> AddCeSS � � � LlcenSe# � <br /> � <br /> C3TFlER COMPANY I I � <br /> SIGNATt/RE REGiSTEREp i Y I (V FE�CURREA Y/N <br /> Address �— � I , Llesns�# � � . <br /> i � <br /> iiiiii-FH ! i - <br /> RESEDEN71Al. Attach{2}P1ot pfans,{2)sets:of Bulidtng Plans;(1)set of Energy Fo�s;R-O-W Permit for fiew constructlon, <br /> _ Mtnimum ten(10)working days after submittal date. Requ3red onslte,�Constrtsctlan Flans,5forrrtwater Pians wJ Silt Fence Insta3led, <br /> - ' � ' -�-—-Sanitary:FacOltles=&-1 dumpster;-5ite-WorOc-Perrrtik-for subdfvisfonsAarge projects_ __ � - _. � _ _ <br /> COMME42C1Ai, Attach(3}campfete sets of Suitding P1ans plus a Life BaFety_Page;(4 j set of Energy Formsa R-O-W Petmtt for new canstructlon. <br /> Mfnimum fen(10}working iiays after submittal date. Requ3red onsite;Canstruction Plans,Stormwater Plans wl S1it Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new proJects.All commercial requirements must meet compllance � <br /> SIGN PERMIT Attaah{2}sets of Englneerad Flans. , � <br /> ""°PROPERTY SURVEY rec�uired for ali NEW cqnstrucdon. ' � <br /> Dtrectibns: , � , <br /> Ffll caut appllcation completely. , I ' <br /> Owner&Contractor slgn back of appllcat4o�i,notarized � <br /> if over 32500,a No#!ce af Commencemen�t is requfred. {A!G upgrades ove�57500) ; ' <br /> "" Agent(for the contractor)or Power of Attarriey(for the owner)wauld be someone wlth notarized letter fror�owner authorizing same <br /> � <br /> NE COUNTER PERMITTING {Front af Application Oniy} I ` <br /> es Sewers 5ervice Upgrades A/C Fences(Plot/Survey/Footage) � <br /> , <br /> lover Counter if on public rosadways..needs RQW � <br /> ! <br /> / <br /> � <br />