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Building Department % <br /> Y'r'b rt 6 Gfl f <br /> Date Rec�it�s <br /> Phone Gontac#Lor Pertnittin g��' �l -- �g�+�� <br /> � Y � , j ,. <br /> awner's Nama o v�►� Ow�er Phone Numb r 'g�l-�b$'��j?b <br /> Owne�'s Add ess 3 7`�'�� e.� �2.. f2� Owner Phone Numb r �..,...,�� <br /> _ , �. <br /> ._._.,,,. � _.,._,__ � <br /> Fee Simple T tlsholder Name � �i {?wner Phane Numb r � 1� �� <br /> Fes S!m !e Tlltleholder Addresa. 1 <br /> R �' <br /> JOB ADDRES8 �ttZ','"� ,' S 2 2ePhe h;t�s �'(: 3 3S y2 [.o�r# �(�t <br /> SUBDIVI310N wAY�►A� w��a mo ' Non� PARGEL(D# r 4 -26 � Z! - p 16d-C�a oov -p�f 9 v <br /> SKb (OBTAINED FROM P OPI°RTY TqX NQTIEE) <br /> WORK PROP�3Ep e NE CONSTR� ADD/ALT C�� SIGN [� ,'�] DEMOLISN <br /> INS ALL FtEPA1R <br /> PROPOSER SE Q SFR {� COMM �� OTHER ' � <br /> TYPE�F CO Si'RUCTtON Q Bi.O K Q FRAME � STEEL [� ; <br /> DESCRIPTIfi? QF WORK Equ1� L ��+k�+g�Qur a� A/c 3,57"a,J f y 5e R PAclt'A�t c�,nli T <br /> BUIL.DIN(i SIZ � SQ FOQTAt3E�_� H�IGNT <br /> [�]BUi DING $ VALtlATlON OF TQTAL CONSTRUCTiON - <br /> [�E1.E TRICAL $ AIV1P SERVICE [,� PROO E5S ENERGY �,] W,R.E.G. <br /> ���.� �►N� $ , �z�4 <br /> (��( <br /> �_�C ANiCAL $ r�DO� Q VALUA710N pF MECMANICAL INSTALI.ATlO � j <br /> �7 f ,���� <br /> � �� <br /> Ot3AS [� R00 iNG [� SPECIALTY C� OTHER ��D� 3 g�� <br /> F�N I S H E p F 1.0 R E�E V A T I O N S F L O O a Z O N�A R E A Q Y E S �p � t,��j}-'b O 3� �'�����/? <br /> I ��i�7 <br /> BUlLDER CqNIPANY � <br /> 51GNATURE R�cisre�Eo Y! N �� CURRE� Y!N <br /> Address �� Llcens # � � <br /> :LECTRf ClAN COMAANY <br /> 31GNATURE REGl3T�RE0 Y/ N x FE GUftRER � Y/N <br /> Address �� I.Icens # ��_ I <br /> 'I.UMBER COMPANY <br /> �I(3NATURE ' REC3ISTEREQ Y/ N Fe GURREt� Y!N <br /> Addreas }�� 4lcens # I, i� <br /> i �j �?�� �l r� <br /> lECHANlGAi. � � `"CO PAN� tz 7� �G' S�.t�t S� �.- U-!t, S cs <br /> IGNATURE ��" � REOIS1EREp ' Y/ N FE CUFtRER Y!N <br /> Address f �Z t�}S+.S(�.!�. j31 u f-�,c1.,Mp��a. FG '�3�+�� Llcens # ���. )�j.��'�c+S� I <br /> rTHER COMPANY <br /> IC3NATURE REOISI'EREp ' Y/ N FE CURREA Y/N <br /> Address ( Ucense# �� � <br /> E3lDEN1'IA4. Attact�{2)Ptot Plans;,{2}sets o Bv}lding Plans;(1 j set of�nergy Forms;R-O•W Permlt for ew CortsUuctfon, <br /> Mlnimum ten(10)wo�king days fter submlttal date. Requlred onslte,;Constructlon Plans,S ormwater Plans w/Slit Fence Instailed, <br /> Sanitary:FaGl(tles 8�1,dump�ter Site Wark Permlt for subdlvlsionsllarge projects <br /> . QMME�ClAI. . Atkach{3}comple.te sets_of_E3.uil Iqg_P�an�pius-s_L(te:Saf�ty,P_age;(1)-s�f of�nergy-�e�rtss.-!?-U-i�t-Per►:nit�or newc�rsttucttor: - <br /> �� Minlmum ten�(10)working d�ys fter submltta!date. Requlred anslte,:Con�truotlon Plans,S om�water Plans w/Sllt Fence instaNed, <br /> Sanitary Facllitles&1,dumpster Site Work Permit for all naw proJects.All commerclal requl m�nts must meet'compllance <br /> 'GN PERMIT Attach(2)sets of Engineared PI ns. <br /> ""PRQP�t2TY 3UFtVEY requt d�Ol 8II N�W COtiStILIGIfOtt. <br /> rections: <br /> Fill aut appl catlon campletely. <br /> Oumet&C ntractor slgn back of appllcatlon,n tarized <br /> If aver 5�5�0,a Notice ai Commencement i required. (A/C upgrades ovar$7500) <br /> Agent(for thIe contractor)or Power o,f Attomey for the owner).would be someone with notarized letter from o�nmer autharizfng same <br /> /ER THE COUNTER PERMITT'ING -"' (Front o Appllcatlon:Only) <br /> :raofs If shingi�s Sewers Servica Upgr des AJC ,`„ Fences(PiotlSurveyiFootage} <br /> Drlveways Not over Counter If on public ro�d._.ys.,needs F20.W <br />