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i <br /> i <br /> � <br /> [�ELECTRICAL $ AMP SERVICE �] PROGRESS ENERG�f� �, W,R.E.C. ; <br /> t ,�'�,y�?y�t g � <br /> PLUMBING $ 'Ji� � 1_/;-� . y ( r�,/,,, <br /> � ,_�1 � / r j��i=�-p�c�� � <br /> P 4� <br /> QMECHANICAI_ 5 VAI,UATIONOFMECHANICALINSTAI,LATIpt� ( /1V�j'��/ �I,„ .�`�vl, <br /> 'f� � ' � % ��r' �` <br /> r. �:�W, <br /> QGAS O ROOFING Q SPECIALTY Q OTHER L�, `��ti � �lf''��� ,�,�q�yr <br /> FINISHED FLOOR ELEVAT10N5 FLOOD ZONE=A{iEA YE NO ���' � � � r ""� <br /> Q � ��� � ' -p S �'[,�� <br /> 1 t `�� ��'�..,r� ��, '�,��"l,+�.-1j <br /> . �' T' S� i <br /> BUILDER � COMPANY I�� I j � `���'t r7��� <br /> SIGNATURE ��- � REoiSreREo Y/n! Ffle cutu�r. LY �V��i `� ��{J <br /> Addrees License� . �.f'��� ��f,�.rC`" <br /> p �}��� <br /> ELfCTRICIAN ! Q F, y �� l" Q��� �•-"��%� � <br /> �,.� 5���'+�� �a R Y/N FEe cuttREn Y J N � �`• <br /> � Address , ucense� d <br /> � pLUrABER GOMPA(YY � i <br /> SIGMATURE REGISiERED YJ N FEEctxt�En Y!N' <br /> Addrars • lJcepse# ; <br /> � I <br /> MECHANICAL COMPAtdY <br /> SIGNA'fURE REGIGTERED Y/N FEE cURREn Y 1 N <br /> Addrees �(cense� � <br /> OTIiER COMPANY <br /> SIGtdA7URE � Reo�atEREp Y/N PEE cVap� Y/N <br /> - i <br /> Addtass License„ � <br /> IIIIIBIIli11118ii01t1l1'15i1914@lLltili1191lillttlit111l16011ti161 / 1 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of euilding Plaru;(1)set of Energy Forms;R-O-W PemR for new construction, <br /> Minimum ten(10)yorking days after submittal date.Required onsite,Construction Plans,Stormwater Plans w/Sik Fence instalied, i <br /> Senitary Facilities&1 dumpster;Site Won€Pemit forsubdivisions/large projects <br /> COMMERCIAL <br /> Attach(2)complete sets of Building Plans plus a Life Safety-Page;(i)set of Energy Forms.R-Q-W Permitfor new rnnstruction. ._ <br /> $IGN PERMIT Minimum ten(10)working days after submittal date. Required onsRe,Constructian Plans,Stormwater Plans w/Silt Fence ; <br /> installed, .Sanitary Facil"rcies&1 dumpster.SRe Work Permtt for all new projects.AI commercial requiremenu must meet ', <br /> compliance Atach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for afl NEW cons[rudion. <br /> Directions:' � <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> i <br /> If over$25D0,a Notice of Commencement fs required.(NC upgrades aver$7500) � <br /> � Agent(forthe contractor)or Power ofAttomey(forthe cane�)vould be someone wfth notarized letterfrom ov.mer authorizing same � <br /> OVER THE COUNTER PERMITTING (copy of contract required) i <br /> Reroofs if shingles Sewers Service Upgrades AIC Fenres(PIotJSurveyJFootage) � <br /> Driveways-Not over Courrter if on public roadways..ne€ds ROW <br /> � <br /> I <br /> I I <br /> I <br /> I <br />