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vsaJ v� a�vNriJ��u�w � v��u�at��.+�.+nvu��v�� ._.....� ..... ....�. <br /> Building Department <br />� ms�a <br /> Date fi�etvcsd ' phone Contact far Permltting g�3 Z�o�l -- CI'9(o� <br /> ]� , ,�� L7t�t b2P� <br />� Owne�'s Name �'1-th'�'��s��� �. OwneP Phone Number ���– 3'?'► - �,,�'�� J <br /> Own�a's Addiress��g 7�0�. ,jfu lG�wS .+ ._..._ Owner Phane htumtter � _.� <br /> Fee�tmple 1'itleho�der Name ., � flwnee Phone Nurnber � _� <br /> Fee 5lmple 1'i#teha�de�Address �� � <br /> .�o�ra�n�E�s �`���.1,�GAnr �iR. 2cPf�y�i�tls t�G�.S"�'2 I �o�e# I S� � <br /> sua�iv�s�o�v tl���laT,�. ��,,,.�� PARC�L iD# 02-'2..Co- 2.!-ao �� -000d� - O S8o � <br /> {OHTA1NED F120M PROPERTY TAX NOT(CEj <br /> WORM:PROP05ED NEW CpNSTR ADD/ALT � SIGN [� �� DEMOLISH <br /> e I�tSTAI_L �_� REPAIR <br /> PRO�OSED USE Q SFR �� COMM [� OTHER [� ��] <br /> TYPE:OF CONSTREIGTI�}N Q BI.00K � FRAM� [,,,� STEEI. [� � ...._�� <br /> DESi�IRiPT14�NOFiNORK :NSIt'�l� Cr.,����,'3-t' � tliN�L Ft'•+�GL° �tic"Tl. o�. tdltAlk�A7",�S � <br /> BUILD+ING SIZE r � .SQ FOOTAGE�� NElGNT � _ �! <br /> ���� �a <br /> [-�BU14.DWC� � VAI.UATiflN Of=TOTAL CONSTRUCTlQN <br /> D. ao� <br /> [,�ELI�C7RICAl. � i� AMI�BERVICE Q F'E20GRES5 ENERGY Q W.R.E�.C. <br /> [ �PLUMBING ��� � � � � � <br /> [_�MECHANICAL $ VAL.UATION Of=MEGHANICAL WSTALLATION � <br /> > � L <br /> [_�GAS Q ROOFING [� SPECIAI.TY �� OTHER !�L'� ' <br /> t <br /> FINiSI�(ED FLOOR ELEVATIONS �� �L,OOD ZC)NE AREA QYES NO <br /> iiitl-t�tti-ttt Fti-F�tf�f <br /> BuiLiaEst `—�� f�� caMF�at�Y Lo�e5 l�p�me Cr:��2s Ltc � <br /> SIGNA,TURE ` � ��` REGISTEREd N�� FEE CURRET Y/N <br /> ,0.�idress Po�c 7�19�3 o�laHo�_ �L 32�"2� � Llcense# �L�-!SGS�f�7 � ] <br /> ELEGl'RtC1AN T CG1Mf�ANY � <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� � Y/N <br /> I t��ddr@SS C �� LIC@RS8# � � <br /> Pl.UlylE3ER COMFANY � <br /> S1GN,ATURE � � REGISTERED Y/ N FEE CURRE� Y I N <br /> I���dress C� � �icense# � � � <br /> MECN�0.NICA!» COMPA3VY � <br /> SIGN�ATURE . REGISTERED Y I N F[E GURRE� Y/N <br /> ' A��dress � � �lcense# �` � <br /> I __.._ � <br /> I OTttEiFt � COMPANY � <br /> StGN�4TURE REGISTERED Y/ N FEE CURRE� Y I N <br /> a 1 <br /> A+�dress �Icensa# �— ,� <br /> -FFi�+�Ht�ii fi�tthH�H-F ttit�l+HifiF�fi�Yh�Ht+Hi-H�trttt9 <br /> RESlUIENTtAt. Attach{2)Plot Plans;{2)sets of Building Plans;(1}set of Energy Forms;R-O-W Permit for new eonsttvction, <br /> Minimum fen(10}working days after submittal dafe. Required onsite,Consfruct}an.Plans,Stormwater Plans w!Si1t Fence installed, <br /> ' Sanitary Facilfties&1 dumpster;8ite Work Permit for subdivisfons/large proJects <br /> COMMBRGIAL Attach(3}comp4ete sets of Buiiding Pians plus al.lfe Safety_Page;(1)set o€Energy F'arms.R-O-W Aermtt€orns�v chnstructton. <br /> --- Minimum ten{10}working�days afCer submlttai date, Required onsite,Construction Plans,Stormwater Pians w/Silt Fence 3nstaited, <br /> Sanftary Facflities&1 dumpster.�ite Work f'ermit for all now projects,All commercial requirements must meet compliance <br /> C SlGN P�ERMIi' Attach{2)sets of Englneered Plans. <br /> , "*"PF20PERTY SURVEY requlred for ail IVEW constructlon. <br /> 1T�ILRIIT7� �� g <br /> Direcfi+�ns: <br /> F�ill out aFiplication completely. <br /> Uwner&Contrackor sfgn back of applicatian,nc�tarized <br /> IV Eovec$;t500,a Nptice of Commencemenf is requtred. {AIC upgrades over$7500} <br /> "" F1c�ent(fov the cnntractor)or Power of Attorney(for the owner)wauld be someone with notarized letter from owner authorizing same <br /> OVER.'CHE Ct)UNT�R P�RMITTING {Frant of Appltcatlon Only} <br /> Rerooft,ff shingles Sewers Servfce.Upgr�des.AJC�= Fences(PIoUSurvey/Foatage) <br /> C►rtvewa��s-Not over�ounter if on public roadways..noeds�ROW� <br /> � . , <br />