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` , es�-�e�zb �it�03 ZB��YJi'�tiIIS'F8tiTtt�A�QIiCattOi2- Fax-S43-789A421 <br /> ��:d:ng-�epar•nterr•- <br /> DatetZeceived � t U �Cicne:�a�act4�s4%Pecmit4iceg. �.. � �Z- aa� _ <br /> -�e--� _ -e'tre�� <br /> Owners Name (� � 1� l OwnerPhone Number i <br /> Owners Address � �t�. � Owner Phone Number <br /> Fee Simple Tifleholder Name Owner Phone Number <br />� =es'ZYG:crrrs}:i+i�r��i'�de2"9�- ''a - ---- �i <br /> JOB'ADDRESS 3W �C'�-Y\ YI "T ���• LOT� � <br /> S�BDMS�OTd �l PARG�LiD� <br /> (OBTAINED FROM PROPERiY TAX NOTICE) _ <br /> YYQR}C.PROPDSED rueW.tOMSTR � ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR Q COMM � OTHER <br /> 71fP�4F COIt15TRUf:flOPL�. 9���!� � co�nj� �� �cc� � - <br /> ,< <br /> DESCRIPTIONOFWORK 1 `�11.` <br /> BUILOIFtG SIZE • SQ FOOTAGE� HEIGHT �': <br /> QBUILDING S VALUATION OF TOTAL CONSTRUCTION <br /> Q ELECTRICAL 5 AMP SERVECE � PROGRESS ENERGY Q W.R.E:C. <br /> ��PLLYdBi};G ,tS . <br /> � �� <br /> QMECHANICAL .5 VALUATIOW OF AAECHANICAL iNSTALLA710N � g <br /> s <br /> � <br /> i �GAS Q ROOFING ,� SPECIALTY Q 07HER � <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY � <br /> • SiGNATUFtE a�cusrEaea '�i tZ �v �En- , Y i tQ <br /> :c / � /�, ,�p �/�-� ( <br /> Addrass ��—[. �l��� K-C . License# �C3L__.�la � 1 I <br /> ELECTRIC(AN COMP/dNY <br /> SIGNATURE REGISTERED Y-/ N FEECURREA Y7N <br />' Address Lfcense# � <br />, PLUMBER COMPANY <br /> SIGNATURE RE�IS7e� Y/ N FEE CURREP Y/N <br /> ' *? -3 :_�-::�,.-s -s <br /> w:.�trs.yc... . <br /> MECHANICAL COMPANY <br /> .SIGNA7ilRE REGIST.£RED ' Y.J.N ' FEECURREA NJ.t+I <br /> Address Lice�se# <br /> p�ER COGAPATlY <br /> SIGNA�URE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# • , <br /> �t �'�.�;J`�.7.' -�s:, . .r:�'1.� ::.. :'_'��. - � :�'::?':, -7 _. _ e p _ _ . .... .. . �' .._�i.a.3 �'�.�. <br /> RESIDENTIAL �Attach.(2).Rlot Rlans(2J.sets of 6uilding Plans;(tj set of Energy.JForms;R-O-W Permi�for new construction, Y <br /> �nimum ten(1Qj worlcing days affer su6mitta(date. RequiiedonstYs,Canstr�cf'eon P[aas,SfarmvraCer Plarss wlSQt Fence instal(eQ <br /> Sanftary Faci(ifles 8 t dumpster.Site Work Permit for suhdivisinnsllarge projects <br /> COINMERCCAL Attach(2)compl�Ce sets oE BuiCdFng Piarrs pfns a tife Sefefy Page;(f�)'sef oP;Energy Forms.R-0-W Permit for new construcCron. <br /> Mii�imum ten(1-0)working.days a�ter submitWl date. Requaed onsita,Constructio�Pkaas,Stamwatex Ptans w!Siit F.eFcce Installed <br /> Sanitary Faciiities&t dumpster.Site Woric Permit for ali new projects.Alf commercial requiremeMs must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> "•`PROPERTY SURVEY required far all NEW consWction. <br /> - -��._�s a <br /> Directions;• <br /> Fill out application wmpletely. <br /> •�rsa;�^cr,trcto;��gr3syck a'a➢P'li".=,''t�.rat;�a.�cd <br /> �=��� ='�i;'s_+�a:��e-%?�-X�'�xr�;��;s��:�.':�;�.-. ;s� .,;�is:a..��_<•«z��<<. <br /> ' " Agent(for'Qre wntraclot�or Power of Attottray(for'the onvner)wou{rl'be someone�h'th notarized istterirom ownet author`mng same <br /> 9l�ER THE COUt1TER P.E12Mt'CTING {copy of coi�trad.required) <br /> "Rero4f5`�f 5hingles 'Sewers 'Sarvitae Upg2des'AiC 'F2nCes'{PloVSvtvay/FaaWge') <br /> Driveways-Not over Counler if on public roadways.,needs ROW <br />