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....J vs i.vp.��J��u��v � v�i��i�t ��,s�ruvuasw� •�..•.,•• ,«« ....�. <br /> Building Department <br /> l"►�i9i'�}'1�GA <br /> p�Fte� ,cttrrmeivE:d �"„__!C�� PhoneConta�ctfarPermitting �'d7 Z6�"'t -- �9�'S , <br /> Owner'sName �AKip,��{ ���r1F}M OwnerPhoneNumber ��3- �1�79 - /098 � <br /> Own�ep's Adalress���%�� � � ��'�Yh�11S ��� � Owner Phane Numk�er � _,� <br /> Fee:�tmple 1'ittehaOde�Name C„_,_, �� Owner Phone I�umher � � <br /> Fee.'slmple 3'i#leho�der Address �� _,� <br /> JOB 1�DDRE�S �$�2l � Rv2 �2Ph�2 ht/Y !S 1�4 3 3 5Y� '^� �oT# �+ �- �2 .� <br /> SUBIDIViStOIU G�,� G� �k.�''�►�(ty�'til�SY� PARC�LID# �/-�►�^.���G�Otd_�DS�i"f�Q' D�/�i .� <br /> (OBTAiNED Fi20M i�ROPERTY TAX NOTtCEj <br /> WORN:PROF�OSED e NEW CC)NSTR�-� ADD/ALT � SIGN [� CJ DEMOLlSH <br /> INSTAI_l. REPAIR <br /> PROIPOSED USE �] 8FR � COMM � OTHEF2 �, .] <br /> TYPE:OF CONSTFttJCT[�N Q B�OCN: � FRAM� � STEE� [,� � ��,� <br /> o�st,ialP�r��rv o�tnro��c .i nt.5'T�tt 1�a�' �`��j;NyG F-e.nlc� t.s�i 77i 2 ��rTes �s.� <br /> BUILfDiNG SIZE ��i � :5Q FOOTAGE�� ii�lGHT � �� ��i <br /> �x a <br /> [_ BUII.DiNC� � VALUATION QF TdTAL CONSTRUCTION <br /> $ �12 . �..Q1 <br /> [��ELI=GTRI�AL ($ � � AMI�SERV{GE 0 F'ROGRESS ENER�4Y CJ W.R.F:.C. <br /> � <br /> [_�PLIJMBINO � � <br /> [r� VAL.UATION OF=MECHANlCAL INSTALL.ATION �� �i�� <br /> MECHANICAL $ I,,�. � <br /> _.., ._,— .�i <br /> [��GAS Q ROOFI�IG [� BPECIALTY � OTHER � �'�� <br /> FiNISFIED FLOO}2 ELEVATtONS �r� FLdOD ZC1NE AREA DYES NO � <br /> i-ti-ttHl�tti-t#t f tt-ti-Ftitf-N-HtH�i-iitt•tt! tttti-Ff-tffil-l-ti-ttFt-t•FF�ti�f�i <br /> ��t'e2 p „y G no r� � <br /> BUlL�?ER _ �-yy� Ct}NIR'ANY �-QW�S �'�OrrtG Ge��S GLG <br /> SIGNA,TURE �3YZ.��f, /�G�� REGISTERED �-YI� FEE CURRET Y/1V <br /> ,��idress � � � �Icense# �� lSG�S'Yt� � <br /> ELEG1'RlCIAN � COMF�AHY � <br /> StGN.ATURE � REGISTERED Y/ N FEE CURRE� Y/N <br /> ; ���ddress C-- �� License# � � � <br /> PLRlMl3ER CC?IUIPANY � <br /> S1GN,ATURE � REGISTERED / N FCE CURRE� Y/N <br /> /���dress � �___� ' lEcense# � ' � <br /> MECt��4NICA!_ COMPANY � � <br /> S1GN�►TURE REGISTEREp Y/ I�I FCE CURRE� Y/N <br /> ' Ai�dress CT � l.lcense# � "� <br /> OTHEi6t COMPANY � <br /> StGN,4TURE � � REGISTEREp Y J N FEE CURREA�[ Y!N <br /> l�rldress C� ��� �fcense# �— � <br /> i-H-FHt�ii tft++f+f�ti-F i-ttt�i-F � <br /> RESI!)lENTIAt. Attach(2)Plot Plans;{2)sets of Bullding Plans;(1)set.of�nergy Forms;R-O-W Perrnit for new construation, <br /> Minimum ten(1Q)wbrk3ng days affer submiftal date. RequEred ansite,Consfruction,Plans,Starmwa#er Plans w/Si(t Fence Instatled, <br /> Sanitary Facilftles&1 dumpster;Sfte Work Permit for subdivisians/larga proJects ' <br /> COMMERCIAL Attach{3}compiete sets af Buiiding Plans pius a l(fe Safety_Page;_{_'1j_seLaf_Energy-Forms.R-�-+1V P�r:r►it-€or-nevr cc�nstruction.- <br /> _ -- —Minimum ten(10}�civorking days after submittal date. Required ansite,Construction Plans,Stormwater Pians w/Siit Fence tnstailed, <br /> Sanitary Facilities&1 dumpster.8ite Work Permit for all now proJects,All commercial requirements must meet compliance <br /> StGN P�ERM!"t' At#ach{2}se#s of Englneered Plttns. <br /> , "**"PFtOPERTY SURVEY requir�d for ail NEW construction. <br /> �II�ri7� �H <br /> � DErecti�ms: <br /> F�ill out application completely. <br /> Q�vner&Conkrac#or sign back of application,nntarized <br /> 1��over$:!500,a Nattce af Commencetttent is required. {A!C upgrades aver 57540) <br /> "" F�c�ent(fov the c�ntractor)or Powe�of Attomey(for the owner)would be someone with notarixed let#er from owner authorizing same <br /> OVER'CHE Ct�UNT�R P�RMITTING {Front of App(Icatian{}niy} <br /> ReroofC If shingles Sewers Service Upg�ades�AJC Fences(PIoUSurvey/Footage) <br /> t�rivewayrs-Not aver Counter if.an public roadwa,ys..n�edsROW <br />