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Building Department <br /> DateRecelved PhoneCoetac#Yar-Permlttla ''- <br /> { Owner's Name ✓o n Owner Phone Numb r�ao2 <br /> Ovinees Address. Owner Phona Number'. <br /> Fee SimphI!Titiehotdar'Name'( Owner•Phone Number' <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS. clip 157— LOT III!' <br /> SUBRlV1SlON � PARCfLdD# <br /> .(OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR' ADDIALT SIGN- "'Q DEMOLISH <br /> ... INSTALL 8>. --REPAIR <br /> PROPOSE,DUSE ''•. SFR Q COMM OTHER <br /> TYPE'OFCONSTldiCTiON Q 'BLOCK Q 'FRAME. 0 `STEEL; Q. <br /> DESCRIPTION'OF WORK' r -- y' / y�X d S?t all C <br /> f <br /> BUILDiWG`SiZE. �'SCL.FOOTAGE HEIGHT.: <br /> BUtLQiNG $ ./ VALUATION OF TOTAL CONSTRUCTION . <br /> E LECTRICAL $ AMP.SERVICE 0'. PROGRESS ENERGY 0 W.R.E.C. <br /> �� q <br /> =MECHANICAL - VALUATION OF MECHANICAL INSTALLATION$ (tU <br /> QrCaAS Q, ROOFING:- 0 SPECIALTY..= OTHER. <br /> FINISHED!FL00R ELEVATIONS �� FLOOD ZONE AREA QYES NO <br /> �. <br /> SIGNATURE REGISTERED Y/N <br /> r <br /> BUILDER. �""-�_,� COMPANY <br /> FEEZURRFa�YIN,- <br /> Address •'Ucense;# ' <br /> COMPANY: .: ' <br /> SIGNATURE REGISTERED I Y/ N 'FEE=RREn'. <br /> Address'' - - :License#.I <br /> . , 'COMPANY'r.,' <br /> SIGNATURE' "-'( REGISTERED Y1 N: s FEECURREi.. Y/•N <br /> Address License#'. <br /> SIGNATURE REGISTERED Yt.N 1.i FEE,CURREP <br /> Addiesst>'- Llcerise. <br /> r;aTHERt';,, 77 <br /> COMPANY- <br /> -?$IGNATUREx.{.: - .4. REGISTERED ( Y/N FEE CURRE�" Y/NLj <br /> . <br /> Addressa,.. <br /> ::RES(DENTIAIa;z Anti! }`FIeCP_,laris:(27 sets of.BUlidliig laiis (1)sat`'of Erie" 'F`orrns RiO� F!eYoz10N, i c6nstriiotjon;, <br /> ,... <br /> ;;. • e.,. ':;; Twr uMiTfimutq-gteQP10Q?Y4 ting day0fle).Sp` hiltial date:sRegQired?onsite^Consti>�IcUoit Plans;Stotrtiwazer,:Pl ns ti7f Silt Fence lnstalted'," <br /> t`.:. Santtary,FadesdumpstaN: itg;StGrkPsrgtltfor�Sutyd�v(stTlsRa�98P?9I# s;..;'-`;; i:.' <br /> COIIA ERCIAL Attar+�2).complete sets of Bui181 'g'P�ans plus a'Life Safety`Page;(1)sat of Energy Forms.R O W Permit for new construction. <br /> Mlnlmurn (10),working days after submittal date. Required onsite,Conswctlon Plans,Stomzwater Plans w/Sllt Fence Installed,-. <br /> Hill III fill W—I.if <br /> Sanlffiry-Faetiltles.&:i dumpstar.SIte,Wollc Permitf6r al}neivpTO)ecis.Air cammerelai requtramen#s,must meet compliance <br /> PERidt1T 'Xttaac�ite;,ofirggjiesrad -1.rase:;:;r:;;;.;:.,:.. :-.,•:-, <br /> ****PROPERTY SURVEY requlred.for,all NEW construction— <br /> ---------------- <br /> Fi&!:ut appItcetion.compietely. <br /> `Owner ffi Contraatgn'sign:back of application,notarised <br /> lf"over;52500;a Noilea;of,Commsncement Is required. (A/C upgrades over$7500) <br /> ..Agent'(fat'thIF66htrahWr)Tor Rowerol'Attomey(for'the'awnw)would'tie someone with notarizedletter fmm owner authorizing same <br /> G,V,,ER>TJiECOUAITER„PERhIIT1)NCi...=.:.(copyofcontractrequlred) ; <br /> eGgcfs tf's6ingtes Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> :Driveways-Not over Counter Ifon p0blic`r`oadways needs"RON! <br />