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8138764327 09:48:22 03-08-2018 1/12 <br /> Data Rmlved Phone Contedflorps"nItth;0 <br /> CEO i 9 7 <br /> F <br /> Owner's Name L OwearPhanalumbar � 18-Qoo <br /> O=*esAddfw=j"n6(,q Alagj Owner Phone Number <br /> Fee SImpla Titleholder Name Omer Pw_Q Nutuber <br /> Foe GImpla,ThicholderAddress <br /> JOBAD13ROS <br /> SIISDMSION PARCELIDD <br /> WORXPROPOSED NEwtousmE ADDIALT SIGN DEMOM <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR M COMM Q aniER I Ai-ow—z Zv—.r <br /> TYPSOFCCIIISTRUCTION Q BLOCK E3 FRAME Q STEEL <br /> oEscrornoN OF WORK —L-A,,l <br /> BUILDINGSIEP HEIGHT <br /> 9Z V9IlXnONOF=ALCONSTRUO7llON <br /> MELECTRICAL, s AMP 89RM CEi Q PROGRESS ENERGY W.R.E.C. <br /> MPWMBIN13 Is *1 � 2-� <br /> f--lMECKwQAL It VALUATION OF MECHAMaAL INSTAUAMON <br /> ROOFING SPWtAl.7Yr--1 OMER <br /> FINISHED FLOOR ELEVA11ONS FLOODZONEAREA MYES NO <br /> ...... ... ..... .. ..... ..... . .. .... ...... ... . ... .... .... . <br /> SUILDER <br /> SIGNATURE REDISTEM I YIN FMCURM <br /> Address C,,',C.'LS k.-W/ 11.8 PT51 <br /> ELECTRICIAN COMPANY I <br /> SIGNATURE F7 i FMINST900 I YIN FEECUMM <br /> Address <br /> PLUMBER COMPANY <br /> SIGNATURE nEaunzw I YIN I FIM culm L—Y N <br /> Addre" U.# <br /> MECHMICAL CPANY <br /> SIGNATURE � RE6 <br /> L <br /> Mdrow <br /> DINER { COMPANY <br /> SIGNATURE I KestsranmI YIN FMOMM <br /> Address F- UCffn9s#r <br /> RESIDENTIAL Abc:h(2)PIotPIwqMwIsoIBwlft PtaM(I)sdurEnatEiyFomlNR43.WPemafernaw=Ldudfm, <br /> COMMERCIAL Attach(2)=Vlata sets of8ulWc Plans plus a Life Safety Pago,(1)ad ofSmV Forma.R-4W Pennitrarnew condmclion, <br /> SIGN PERMIT Aftch M Beta of Engineered Phum <br /> ""PROPERTYSURVLYm*WforeUNEWembucOort. <br /> itt4 <br /> cit" ... ... ..... <br /> ott <br /> FHIou!appffwlJonc=**. <br /> 9 ovar$W00,a Notice ofCommencementla requfro& (AlCupgradozover$7600) <br /> OVMTHECOUHMPERMMCI coopyofconhodreq*4 <br /> Retoors if"afes saware Sefta LWmA-AM Fences <br /> Ddvewaksc-NatovorCmvftfon piftroadwaysneeds RON <br />