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8138764327 10:14:43 04-23-2018 1/5 <br /> eta 7aaoam My of ZaphyMils PermitAppffcaUon <br /> Bulldog Department <br /> Date Recowed Phone Contact for Ponme <br /> ownses Name v Omer Phone Number r JP 715',1 <br /> OwneesAddrucaFT-2— Wee 3r—,�,-7 Oym,orPh-ona Number <br /> Fee Slarple TitteholdarNams I Owner Phone Number <br /> Fee Streple TiffebolderAddrass <br /> JOBAbDRESS 197-IY4 4wo4w dew- LOT# <br /> SUODMION Rn;;2 &tl'r.0*f3 1 PARCEL.Ml sq�xsw—'04?v <br /> J0WAlNWFMPnWVMTAXNUnCE) <br /> WORK PROPOSED R NWCDNM 8, A—D—/A—LT) SIGN M DEMOLISH INSTALL VAWR� <br /> PROPOSED USE SFR M COMM 0' OTHER I— <br /> TYPEOFCONSTRUCnON 0 BLOCK Q FRAME Q STEEL QI <br /> DESCRIPTION OF WORK Aeg L-_4 I&X 7 4 0 15'�7 f- <br /> BUILDING SIZE SQFQOTAJ= HEIGHT <br /> rTI- <br /> VALUA11ON OF TOTAL CONSTRUCTION <br /> AW S9WCF. Q PROGRESS ENERGY W.IMC. <br /> F—lpwlaws 1$ <br /> E3MECHANIGAL. J6 VALLIAMON GF MEC"rAL iNsrALLAiloN <br /> ROOFING SPECIALTY[= OTHER <br /> FINISHEDFLOOREWATIONS FLOOVZON9AR9A =YES No <br /> . ... . . ... .. . . .. .. ... ...... . .. . . . . ... . . . .. . .. . .. . . .. . <br /> BUILDER -;5; PDCDMPANY 734" <br /> SIGNATURE REGISTERED I YIN FEMOMM I YIN I <br /> Address Lrslq &'e'ex&2te <br /> ELECTRICIAN r COMPANY <br /> SIGNATURE I YIN FMOLMM I YIN <br /> Address U...# <br /> PLUMBER COMPANY I <br /> SIGNATURE. 11 111 ne0tTTEF4M I YIN FMCWM <br /> Addreq* Licem a <br /> MECf=CAL COMPANY <br /> SIGNATURE F REGISTERED I YIN Fmm4um I YIN <br /> Address Licensev <br /> OTHER COMPANY <br /> SIGNATURE 1 rzmmzvn I YIN FElicumum LILN J <br /> Address 7771 Ulcenwo <br /> RESIDENTIAL Attach(2)MlPlzas;M sob of Bull(Ong PEMW,(1)retatEnergy Forms;R-O-W Parmilfarnewcoastuadmi6 <br /> Mb mum ten(IO)vmddngdep alter aubndUdate.RequimdonsftoComtuc0co Plans,8tomraUrPknsyd6fltFmmlnstaW. <br /> Sanlary Fecllilles&I dumpater Sala Work ParnillorrubdIvialorallarge projects <br /> COMMERCIAL Attach M complete sets of Buildim Plans Plus a Lite Sdaly Page;(1)W of EnoWFarms.R-06WIPeroMfornewconstructinn. <br /> Mhbrium ten(iO)wclft days allaraubmiltal data.Req*edoiWie.Consumgon Plates,SWmnAWaPkmWSMFe=bmW4 <br /> Sm*WFadMu&ido*.der.MtoWmk Pam ftforEgnowpm*t&AgcoiT=rdalmqWmffwbmmtmaetwmpum= <br /> SIGN PERMIT Allach M sels of EngTnaemd Plane <br /> ""PROPERTY SURVEY m*ftd 6""PROPERTY .0 NEW conatrucil:s. <br /> ............ <br /> Fill out oppwon corriplWi. <br /> Omar&Contractor sign bark of opplIcafta,notartzed <br /> lrmmr$ZSD%*Notkoafccmmimcemantiomqutmd. (AIC upgrades over$760o) <br /> Agant(forthecontrattm)crPmwafAftmay(forfhoawne4=Lddbasomeonovdthnotwbtedletterfmmmmere4mWngoorne <br /> OVER THE COUNTFRPERMlTnNG (=pyofconbadraqulh4 <br /> Remoft If Aftles Sewars Sanilas Upradas NO Fencas(PIOMwey/Footage) <br /> Dilvewar—Not over Counter It on public madmazesda ROW <br />