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<br /> Building Department
<br /> �� tT1A�:�rA,�
<br /> pate FteceivE:d Phone CantacC for Permitting �E3 ",Z(o l - 6 `
<br /> Own�e�vsNa 7e • ��,n�f{-► �.ARI�.e7T� I�� 1 � . ,
<br /> ' Owner Phone Number $��3- 4� ` ��p� �
<br /> Own��r's Ada1ress�'J`'►��j 3 3 r� ave.Z.eP�++'ty�,��t�C,�c,�35'� OwneP Phone Number � ,� �
<br /> Fee:aimple 1'itteho9der Name �._ �� Owner Fhone Number � �'�
<br /> �� —_ ��.� �
<br /> Fee:iimpie 1'itteho0der Address �
<br /> JOB�LDORESS �q C��.���_�#'��r'fs �� 3���t 2. __� �or� J�..._�.�
<br /> SUBIDiVlSION G �Z.EP�+�vh;t15 ��� PARC��1D# �2-�»'2t"pp�,0 'Ob+5Dp—�f'�«.t} �_.�
<br /> (OBTAINED FIZOM PROPERTY TAX NOTICE)
<br /> WOR:FS PROF'OSED NEW CL)NSTR ADDlA�7 � StGN [� � DEMOLISN
<br /> e {NSTALI. �_� REPAiR
<br /> PROIPOSED USE Q SFR �� COMM [� OTHER [ � {
<br /> TYPF:OF CONSTRtJCTt�N Q 840Ck; � FRAMC [.,,� STEEL [� C �� ;
<br /> _ - ----- _.__ s'�
<br /> DESt'.lRIP71Q�N QF WQRK .�/tif STAi! �'{5�4� �jNi � ' � � } + t
<br /> .... ��_..�.�r,}vL �'�a�rc�. + to'? b�' `f N9�► GnA�r��.int+f. Gh'7�, t ,
<br /> �aTe
<br /> BUIIi�ING SfZE C�� � �Q FQOTAC;E C� li�lGHT �� � ;
<br /> �x�� � i
<br /> [S�BUILDfNG � ,�5��.r,j.z� VAI.UATION C}1=TOTAL CONSTRUCTION �
<br /> 1
<br /> [��ELI:CTRli:AL � � AMI'SERVICE Q �'ROGREBS ENERC�Y Q W.R.E.C.
<br /> ['��PLUMBlNG �$ �
<br /> (�..._..,,,... :
<br /> [�MECHANlCAL $ VAl.UATION Qi'MECHANICAL lNS7ALL{�TION �/�[ j
<br /> �� �
<br /> � ;
<br /> L�GA5 ' Q FtOOFIYVG [� SPECIALTY � OTHER �
<br /> FINIShIED FLOOR E;I.EVATIONS � � FLOOq ZC1NE AREA �YES NO �
<br /> -H-t�ith�ti-titht-titttltttf itti-ttttithititfitii-lti�tii i-titfif�ithFf�i-Pf�ttti-l-Ff-Fi�t ,
<br /> BUILIpER � CC1MP'ANY ��.-o-c�res��~�ome Ce.ivT�e�ra, �.�. � �
<br /> SIGNA,TURE �� �J'T�'►ON G�RC1 REGISTEREp Y/ N FEE CURf2E� Y/N r �
<br /> �2. A 'yl � �
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<br /> �Aa�dress CPO �e9 7t �i �1�q 3 p(2,�ANc�c� rt. 3 2�7$ Llcense# �bG l�r.�$`�!7 �,� ;
<br /> ELEG;1'RICIAN � G{}MF�ANY �,�
<br /> SIGN.ATURE REGISTERED Y I N FEE CURRE� � Y/N
<br /> ��ddress C ��� �.Icense# � �
<br /> PLElN1E3ER C{7MPANY � ,
<br /> SIGN.A7URE REGISTERED Y/ N FEE CURRE� —[ Y/N
<br /> 1�«�dress �_ �� �Icense# � ' ��
<br /> MECN�4NICA1_ � COMPANY � �
<br /> SIGN,ATURE � REGISTERED Y/ N FEE CURRE� Y/N '
<br /> 14��3dress C,_,_. � �.icense# � ,�
<br /> OTHEiFt COMPANY � ^_�
<br /> SIGN�4TURE [�_ REGISTEREQ Y I N FEE CURRE� Y/N
<br /> ___._�.____t
<br /> A�idress C� � LEcense# � �
<br /> iiii-H-F�ti i+tttf��tii-C+ti�Fiiiii��-tt+ i�h+�hHiiiii�ii+NH-h ii-4i-tt9
<br /> RESit)IENTtAi. Attach(2)P(ot Plans;(2)sets of Building Plans;(1}set of Energy Forms;R-O•W Permit far new construction,
<br /> M�n(mum ten(10}working days after submittal.date. Required onsfite,Construction:Plans,Stormwafer Plans w/Silt Fence instalted,
<br /> Sanitary Facllft(es&1 dumpster;Site Work Permit for subdivisfans/large proJects
<br /> COMMERCIAl. Atkach{3)comple#e sets o#Building Plans plus a tlfe Safety Page;{1}set of Energy Forms.R-O-W Pecmit far new cbnstruction. _
<br /> — �--- --Minimum°terr(10)�working days after-submittaiydate.-Required onsite,Const�uctfon-Plans,Sto�mwaEe�P af ns`�iivJ Siit Fence nstalted, ,
<br /> Sanitary Facill8es&1 dumpster.Site Work Permlt for all now proJects.All commercial requirements must meet compflance
<br /> S1�N P'ERMt1' Attach{2}sets of Engineered Plans.
<br /> "***PFtOPERTY SURVEY requirod for all NEW construction.
<br /> �IZL�2W?�IIII 8
<br /> D'sreetlryns:
<br /> F'ill out a�iplicatican completely. ,
<br /> Ghaner&Cantracka�sign back of applicatEon,nntarized
<br /> lif�aver$:t500,a Nottaa of Commencement is requtred. {A!C upgrades aver$7500)
<br /> *" A�c�ent(fpr the contractor)or Power of Aktomey(for the owner)would be someone with notarized letter from awner authorizing same
<br /> OVER,THE Ct7UNTER P�:RMITTING (Front of Applicatian Oniy}
<br /> Reroofs,if shingles Sewers Service Upgr��des A/C Fences(PIot/Survey/Faotage)
<br /> Clriveways-Not aver Caunter if an public roadways..n�eds ROW
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