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01{03/2076 23;50 8136317426 �ESTCOAST #3020 P.401/443 <br /> ; <br /> ^' e��-7s�oozo City of ZQphy�hills Permit AppliCdtion ��-���z'�21 <br /> Butldin�De'Pecvnent <br /> Dacc Reccivcd � �/ Prion6 Gantao:ror.Permltd � �j'1 - �`�� <br /> .TT7T'1'T"i'T f 1 i� 1 <br /> om,ors rwme ''�'a.���Q Y' M SM i h owner ahone Nwnte. �t�—��o�� ��O <br /> pWtIC�SIWOreBs �7«� {�+ � ' QNmcrPhoneNumbcr <br /> Fe651mplrTetletwiQarName � Ow11etP11a1roNumDat <br /> FEe SimpiB Tctleh018ArAddress <br /> JOSAOORE59 �7 � ��� �1 $ G � �Jr�O� LOTiF �.7 <br /> Sueonns�or► Z�P�3�� ti�,�►� Qnac�m� 1'�r��u'dl-003d•DO�eO'4a's� <br /> (OB7AIN�FROAt GROVFRT/T/{�((,1pTfCE) ' <br /> WORK PRDFOSED � cvEw cOw^rFt 8 AOD/AlT Q StGN Q [� DEMOU5N <br /> 1NSTAtI R�PAfR <br /> PROAO$ED 1!$E [� SFR � CQMM �� 01'hiER --�� <br /> TYPEOFCpN$TSttjCTlQr► Q BLOCK Q fRAME E! <br /> o�scrarrrar�oFwawt f W;n Qw� S;?,� �ws `� �t9�-Ft�A-1 {vQ � <br /> BUlLO1NG S� �� SC FQOTAGE� MEI6FIT <br /> 6UILQING $ 3'��� . VAIUASION QF T(JTAL CONSTRUCIIGN <br /> [�EtECTR�CA� AA4P SERVICE • � PROGRESS ENERGY Q W.R.E.C. <br /> Q��w�seiroc S .,.. � � �0 B�Z <br /> �AAEC1ifWICAL 3 �� VAl.WiTIpkOF MECHANICA!INSTALLA710hf <br /> []GlLS Q ROOFWG Q �£CIAITY Q OTH6R <br /> f1t11$HED FEpQR Et.EVATYON$ FLOOD Z,ONE AREA �YES NO <br /> BUII.D�R I/��J 7 'lC1?I�1pANY 'W . C�7C''f� < <s '�" tG.J`�'i' <br /> S�GNA7'Uf� `(� � REG'IS7ERED Y 1 f£E CUfA�D Y/ <br /> Add�ass ���1f0� �r.,t� fe e -'� 37 �V4 Lie�nsa� ��'S�� <br />� E�EGYRIGiAh COMPANY I <br />� S�CNATIIRE REctstEREL Y!N sEe IX�, Y!N �� <br /> AAtlr�e Liwfa�� <br /> PLUMBER COMPANY <br /> SIGNATURE Rf.C+$TQRF.0 Y N F�E,CuRREn Y/A1 �" <br /> iWdress licsttse S <br /> MECMAS�CAI- GOMPArfY <br /> SICi�G4'R1RE REGlBTP_FtED Y 1 t1 FE£CURRFA /N <br /> �� <br /> Address Lkmse�� { I <br /> bTHER -�� G6PAPANY . f � I <br /> 5l6NA'fURE _ ; REWStEFEp Y/Td cEECU� Y/1Q <br /> Add�ca �T^--- • ... �� � lioerl�II <br /> 11111ttlltllfllt11111fi1lIT1111111�111i11lllilllllli ! ! 11 { lllllllfill I <br /> RFSt4E�Pnal. 6utacn tz?Piot P�ans;cz>aete af 9uteusg a�ans;{t�set ot 6nereY Fom,�a.�-w r�ror naw ca�uava�a+. <br /> e+Bnkrwen cen(so)won�in9 says arter;cs,bmiaa4 dace. Rew�*cd m�sqc,C.onsduaian Plans.Stommvater Piens vn sst Fence installed. <br /> SaNte�ly Fyxuities&1 dumpster;Ske Wonc Pema�ta mmC�reionanat9e projects <br /> COMMFRGlJU. ataoh(2}wmpkte sets ot Bu�np Plans P�us a Lifs Safsb Pafle:(1}s¢i of Er�Y Forsns.R-O-fM Pertnit for nr,ww conatn,e5on. <br /> nur;,,+um+e�,(�o>wain,y days aher suom�tai aete. Req�ea ansxe,Gm^ouucuasi Plerrs�swnr.a�ster P1ens wt sae Fence ins�allep. <br /> S�+ry Fav�+a S�au:t�ster.Slte wonc Pemn�tar aanew project2.AH�requuements mu�mert camPUan�s <br /> S1GN PFJutiT Attddl(215635 Ot Etguleea6G P�nB. <br /> ^"PROPERTY SURVEY requiretl for�NEW w�stvwan. <br /> IXrvctions: ' <br /> Pm oui applwetwn mrr�pl6ley. <br /> �+�t9�tl�COi�t�BCtOf bili�bBCk Ot 9CGfiC9tl0A�f�W�nS[e.W <br /> n`ovar S�S00,i NOilpb OT COpq�16t169MBrlt i3�qui�ed. {NC upgradcz ovcr 57500) <br /> " AgeAt{tor U�e Con�aS:SOPy or Power oi nttomey�Yor IhC v1Mer)uauld bk�sameone wRh na�rized ktter hom owner au7rormrp ssme <br /> pvER 77�E CqUNiER QERMI'T77NG (ca fiy ot canved tequi�e0) <br /> RGf00fS if Spiil$1� 9C1vC�S SGI�ViOB Upgrdd0o AfC Fe�tces�PbUSucVc'y/Footege) <br /> RrivvwaYs-t3ot over Counter d an P�'�roaCvsys..neetls ROW . <br /> I <br />