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` '��""'�"' ��ryorcepnyrnuis rermitHppucatian rax•t�i,f•rovuu.:i <br /> Bullding Depertmenl <br /> MON�CA <br /> Uete Recelved �Pha e Contac!for Permltlin gl 3 26 9 r�� ' <br /> � ���� <br /> Owner'a Name 'Yho (^�odR�5 N$'7- Owner Phona Number �Y-Sr�f-zy�ti <br /> Owner'e Addreae CJ'��/3 S /gT� ST �� Owner Phone Num6er � � <br /> i <br /> Fee Slmpla Tltleholdor Neme Owner Phone Number C�—T^i� <br /> Fee Slmple Tltleholdut Addre�� � _� � <br /> JOB ADORE98 [�'y 3 S �p� ST ZeQh(L`�Ai/�S F� �j 3��/;�� �OT M C__�� <br /> �_.J <br /> 9U8DIV.ISION �i� D� ZCP�,Fr�til�S PARCELIoq ll'z6' ��"���0-1�1500- a'ZO1 '_�� <br /> (09TAINEO I'ROM PRQPERTY TAX NOTIGE) <br /> WORKPROP09ED � NEWCONSTRB , AODIALT � SIGN �� 'Q DEMOLISH <br /> INSTAI.I REPAIR <br /> PROPOSED U9E � SFR Q COMM • C� OTI�ER [ �__� <br /> TYPE OP CON9TRUCTION �] BLOCK Q FRAME L] 9TEEl [� [`�--^'-� <br /> DE9CRIVTION OF WORK ��l.t 0.L ��AN c�t 0 u7 0-� (�rL ' Z• 5`TOn1 /y5P_QR f-IeFlTPc�m l' _l <br /> BVILDINO SIZE ���� 8q F40TAOE�_ HEIOHI' �� <br /> �A <br /> QBVILOINO VALUATION 0�TOTAL CONSTRUCTION <br /> QEL�CTRICAL S �� AMP SERVICE �] PROORE8S ENEROY Q W,R.E.0 <br /> QPLUMBINp , $ ����!'� <br /> !�' <br /> . MECHANICAL S / 2Q 0� pO VALUATION OF MECHANICAL INSTALIATION �` <br /> (o <br /> �OAS �] ROOFIN� Q 3PECIALTY Q OTHEft • <br /> 3 <br /> FINISHED F100R ELEVATIUtJS FLOOD ZONE AREA, �]YES NO <br /> tt11tt1tttttttttMttHi'Hit1 thFFtfhNiHtHtttFtHtFft1t1111#4MfN�HfiitHttM#H <br /> BUILDER � COMPANY � � J <br /> SIONA7URE RBOISTERED Y l�� FEE CURREA Y/N � <br /> Addrees � (.Icansa N ��_�_� <br /> ELECTRICIAN � COMPANY � ] <br /> SIONATURE RE018TERE0 Y/ N]� FEE CURREF Y/N -- <br /> Addraes C � 4lcense# ^_� <br /> PLUM9ER COMPANY II�. <br /> 810NATURE C� REGISTEREp Y I N FEE CURREA Y/N � � <br /> Atldna� � � 4lcense# C _� <br /> MECHANICAL � � COMPANY ' IL �`�S�G(,1 E, ST� �� ,S c.�� ] <br /> $IGNqTURE REOIBi8RE0 Y!'N 7 PeB c0a en Y/N <br /> Addreae ��'Z� �'11�5'S/�/zo f31u✓Ti�v.��a. Fc '33��ti Uceneek IGAC 1$1'33�a5 � <br /> 910NATURH C COMPANY �� FEE CUA1tEn�N__�— � <br /> REOISTEREO <br /> Acidreea C� � I Llcenae# I_ � <br /> hltH iiii-FIMt1t�H 4 F�++Mi1i11i+ttti+Hi�ttMi <br /> RESID&NTIAL Aftaoh(2)Plot Plane;(2)aete of Bulldln9 Plene;(1)ee!of Energy Porma;R-0•W Permit tor naw conatructlon, <br /> Mlnlmum len(10)worfdnp deys efler aubmlttal tlate. Raqulretl onalte,Constructlon Pians,Stormwatar Plens w/S1I1 Fence instaued, <br /> Senllery•Facllilles&1 dumpster;Slle Work Permlt for subdlvlslonsllarge proJecta <br /> COMMERCIAL Allecb(3)rAmplete seta of Building Plans plus e Llfe Salety Pege;(1)sel ol Energy i°orms.R-p•W Pertnll for new con�tructlon. <br /> Minimum len(70)working deya eRer aubmittal date, Requtred onalte,Conslrucllon Plans,Stormwater Plans wl SIIt Fence Installed. <br /> Sa0118ry FaclilUea 8 1 dUmpsler.SNe Work Pertnll lor all naw proJeete.All commerclol requlremants must meef wmpllanco <br /> 81�N PERMIT Atlach(2)aete ol Enginearad Plane. <br /> •"'NROPI:RTY SUAVEY requlred for all NEW conaWctlon. <br /> Q7�71SxS1 <br /> Direclionr <br /> F(I{oul eppticellon eomplalely. <br /> Owner 8 Conlrectur slgn back of applioatlon,nolarized <br /> II over 52600,e Nollo�o}Commencoment le requlrad, (AIC upgrade�ovar S7S00) <br /> •' Agenl(for lhe conlrector)or PowBr of Attomey(far Iha ownar)would ba someone wlth notarized Ietter from owner eulhorizing sama <br /> OVER THE COUNTER PBRMITTINO (Front ot AppllcaUon Only) <br /> Reroofs If shingles Sewars Service Upgrades P✓C f°ences(PIoV9urveylFoolege) <br /> �rlvewaya•Nol over Counter If on pu411C roedways..naeda ROW ' <br /> I <br />