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� �� � � at�-�aa�oa2o Ci o#Ze h rhiUs Permif A tiCafion <br /> } ' Fax-8S3-7$p�0021_ <br /> f � � �su:din�oeper�meni,.pP <br /> � � f;"(r <br /> I " <br /> � Date Recalved ptpnQ Gariacttar Perm(ttin ��� �� —��� <br /> � Owners Name CiA L (.4/� 4�?+� Owner Phone Nurnber <br /> Q,,,.�u/��i7f ;��' - <br /> � OwneYsAddreas t" /QW�: M MT �B�u � +""'�wherPhanaNumba�� —_._._� <br /> .4o�kypr,,�c.s�� � <br /> Fea$impie THlehoider Name Qurner.Phone N r. <br /> pee 81mple Tltlehotder Address �FlAtak:vt '!�(O•L1 L'a jf�JY y(�+G� pOi/Y�'�/'. �oakj/�f'.!€�- ��(r 7 ��l� <br /> JqH AODRESS r(��• ,�7�.!V�r"��C? a n��+ .i�lVd ,�' �U ��ClTt 11 �� <br /> suaaN�ssaH ��t+� � PARCEIid� U�"�G��/'ODlO -03900� <br /> _ roararaEo�ora r�or�arrTaucraar�c� <br /> WORKPROpOSED NEWCDNSTR AOD/Al.t [� $IGN [� C] DEMOLI9H <br /> ' � INSTAIt 8 REPAiR <br /> PRBPOSEi1 USE [� SFR �, COMM � OTHER <br /> 7YPE'QF GQNSTRUCTtON Q BLOCK Q FRAtv1E � STEEL Q ! � _� O(� � <br /> DESCRIPTtON OF WORiS - Jririlv'►f+�!` aI OnC.J't:I-+� . � � `�Ia.�CG� � u 1' !Y1 NT <br /> ' �o�L <br /> 81jYiiMAG 5lZE � (��Ctl S�0 8GYFOOTAf3E��,� HEIGHt �SL�..}'����MU�i�'i 2� <br /> �BUIL.DING , $I�.� ,�a VALUATIqN OFTOTAL CONSTRUC7ION <br /> `7�Si�0�4n� �^l7�1��� � <br /> �ELECTRtCAL $ AMfl 9ERVIGE Q PROGRESS ENERGY [� W,R,E . ._�_�,___,.., <br /> ,r12C ^ 1,S.DOO <br /> �i bWMB1NO ($—�—� �'�- �—•----._ --- <br /> 1 � Q1on.tii —30,oot� - <br /> QMECMAN3CAl ($� � VALUA710N OF MECHAP7ICAL tNSTALtA'ROtJ ^'—� <br /> i _ �--__ ` �f���`� <br /> � Q6AS O F200FING Q 3PECIALTY� OTHER <br /> i f4NlSHF,R FlQOR EIEVATIONS r�� FLOOIS ZONE AREA QYEs^ NQ ' ��G � <br /> � L � <br /> � , <br /> ; , <br /> �u�La�R • � � i COMPANY Q�'14„ng, L.�Q�'��r-�—Q�_..�..`".J <br /> � 8lGNATURE ���� e �' aEc�src-s��a Y/N � �-��iu�r+ !!V .J <br /> Address Q� i �`�fp�3 Ucense# �{S Q`'�� <br /> i <br /> ELECTWCIAN CDNfPANY .D �'T 1 G—' � ' <br /> . Q� SIONATURE REGiSiEREo YJ N FEEGURflEn Y!N <br /> naa�g 2�l N N�'�3 .7 �. ti;,�RSsa rGl�oc+{3 5(,�� <br /> j PWMBER �: ' COMPANY ,-- t�i,��l"'��'� r DO�S Q�,h'Stp� . <br /> SiGNATURE r�EEctsrqxEo Y!N r�Ecu [u-a. Y!N <br /> G <br /> Addreas �_�„�Cl,�_ ! 3 �=Kt� . t'L 3�1t4�� i.ioense ti C�y�� <br /> MECHdNICAL � GOMPANY <br /> 81GNATURE REcss'rEREo � Y!N PEEWRRES� Y!N <br /> � Addre&a LlcenSe iF C { <br /> ? `SiGNA'fURE � � RE�� Y�ECURREn Y.1 N � <br /> • Addrsss • l.tce�se"#r � <br /> _ ' •11l1111lIt1-11 !!! l111I11l1llltt-f`IMIiiII / I-Ittt_it1 {Ytilil # ttii1i11 { l !! <br /> . RESSDEH't1AL Attach(2)Pbt Plans;(2)sets ot 6uDding Plans:(1)set of Enargy Fbrms;R-t'�W Permft for new constructlon,, <br /> Mtnfmurri teo('SQ)wosking days aRer submittaE data. Required onsite,Construction Pians,Stormwater Ptans w!Siit Fenca insta{Ied,. <br /> • SanRary Fatllliias&t dumpster,SSte Wark Pemsttiorsubdlvlslotisllarge proJects f <br /> � CQMMERCIAL Attach(�camAtets sets of Building Ptans plus�Life Sufafy Pege;(1)sel of Ener�y Farma.R-O-W Permft tor�ew consWction. <br /> Minimum ten(t0}wo�}cfng dsys after submtttel daie. Requlred onsite,Canstrucilon Ptens;Sturtnwaier Pians w/81t Pence instaiisd, <br /> ; Sanitary FadiHles&'f dumpster.Sita Wnrk Permd!tora!!r�ew proJecte..All tammercial requtrements muat meet compt(ance <br /> SiQN PERMIIT Aflach i2j seis of Engineered Pias�a. , - - <br /> ""PROPERTI'StiRVEY requlfed tot sil NEW constructbn. <br /> Directfons: ' <br /> ' Ffp out appiicatton asmptatoiy. <br /> ovrner&ContracWr sign beck oieppificetton,natarized <br /> If over S230q,a No6ee M Gammencamerrt ta requtrad. {d!C upgrudaaav�r5T5p4) <br /> " Agent(for me tirontractor)nr Potiver of Attnmey(for the owner)would be sam�ne with notarmed tetter from awner aufharizing same <br /> OVERTHECOUNTERPERMI7TiNG (copyoicanhad'�cjuire�y"�` <br /> Rsroofs If'ah(n�es Sewars SeMce Upgrades.AIG Farroes(PfoVSarvay/Footage) <br /> DMvewayallot over Counter if ort.pu6iic roadways..neods ROW <br />