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v�a) v� .�v�+��)�����w � v������. .p,�..��vu��v�� . _.._._ ..... ...._, <br /> Building Department <br /> _ /�'36n1'rC_:/� <br /> Dat�FteceivEtd �- Phone Contact for Permitting �7 3 Z 6�j -- �i`� 6�' <br /> �tii]ILm � �� <br /> Owne�'s Name A 2 Z OwneP Phone Number �1 3 - 355- 3�{�{� <br /> Owneu�'s Addlress��S Kay rnA2�e ���� OwneP Phone Number C __.] <br /> Fee:iimple 1'itleho8der Name _� Owner Phone Number C _r� <br /> Fee:iimple 1'itleho9der Address � _,] <br /> JOB�aDDRESS �S�S KAy rnAR��V� �1Iz /li l�5 �L 3 3Sy/ � LOT# ! ��2' .] <br /> SUBbIVISIOIV ���.rq l-�bRiLO�S� PARC�LID# 3�-Z.$-�l-0/SO -dDBOp - 3/�O r.] <br /> (OBTAINED FItOM I�ROPERTY TAX NOTICE) <br /> WOI�N:PROF'OSE� NEW CClNSTR ADD/ALT � SIGN [� CI DEMOLISH <br /> INSTAI_L I� REPAIR <br /> PROIPOSED USE Q SFR �� COMM [-� OTHER [ __:� <br /> TYPE9 OF CONSTRIJCTIPJN Q BLOCK � FRAMG Q STEEL �� C __;� <br /> DESI',IRIPTI�N OF 1NORK �(�L�_ � 6��L (iI,N�T Sr 2��Si 7.� �� ygoY.� � <br /> BUIL�ING SIZE � :5Q FOOTAGE C—� HEIGHT [ I <br /> �� <br /> [_ BUILDINC $ 'v.��,�s VAL.UATION 01=TOTAL CONSTRUCTION <br /> � <br /> [_�ELI=CTRICAL $ � AMI'SERVICE � PROGRESS ENERCiY � W.R.E.C. <br /> [_�PLUMBING $ � <br /> r� �/ <br /> [_�MECHANICAL $ � VAL.UATION Oi'MECHANICAL INSTALLATION � <br /> � <br /> [_�GAS ' Q ROOFING [� SPECIALTY [� OTHER <br /> FINISf-IED FLOOR ELEVATIONS � FLOOD Z E AREA� �YES NO <br /> itti-I-F�9tttttt � tt�tFtttttii-hHtHtlt�fiNt�liiitH-FH-H�i <br /> BUILIDER ���y � � pp CAMPANY LOW2 S �-Fp�p.� �,e,�'�'t�R.s (r(�� ] <br /> SIGNA,TURE ,'��'����/w//� ^�' //1 C./"L— REGISTERED -Y/ N FEE CURRE� Y�/N <br /> _� <br /> �4�ddress Po (3cx Z'S!`Y�3 a21�c�a r� 32s�] License# ««S�gyi� .� <br /> ELEGI'RICIAN '� COMWANY ., <br /> SIGN.ATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> �ddress � � License# C � <br /> PLUNIl3ER I COMPANY � <br /> SIGN,ATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> /��idress License# C `, <br /> MECH�4NICAI_ COMPANY _� <br /> SIGN,ATURE _. REGISTERED Y/ N FEE CURRE� Y/N <br /> /liidress � � License# C ] <br /> OTHEiFt COMPANY � , I <br /> SIGN�4TURE REGISTERED Y/ N FEE CURRE� Y/N ' <br /> /1�idress r License# C , <br /> ii-Fiiif�ti �H-fii-h+iiii-h+ft+F 111+�hFhhF 9 <br /> RESIDIENTIAI. Attach(2)Plot Plans;(2)sets of Bullding Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction.Plans,Stormwater Plans w/Silt Fence Installed, <br /> Sanitary Faclilties&1 dumpster;Site Work Permit for subdivlstons/large projects ' <br /> ---COMtAERCIAL-�Attach-{3)-complete sets of Building.Flans-plus a Life Safety�age;(1-)set of Energy Forms.R-O-W-Permit-for-new constructfon._ _ _ <br /> Mtnimum ten(10)workfng days after submittal date, Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work F'erm(t for all now projects.All commercial requirements must meet compliance <br /> SIGN P'ERMI7' Attach(2)sets of Engineered Plans. <br /> MMFIPROPERTY SURVEY required for all NEW construction. <br /> �I�Sp�IIII] �H <br /> Direct:t��ns: <br /> F�ill out application completely. , <br /> C)�Nner&Contractor sign back of application,notarized <br /> IU�over$:!500,a Notice of Commencement is required. (A!C upgrades over a7500) <br /> "' �4c�ent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER.THE CAUNTER P�:RMITTING (Front of Application Only) <br /> Reroofe�if shingles Sewers , Service Upgrades_A/C. _ Fences(PIoUSurvey/Footage) <br /> [Irivewa��s-Not over Counter if on pubiic roadways..noeds�ROW - . <br />