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Date Received <br /> Phone Contact for Permitting <br /> Owner Phone.Nu <br /> Owner's Name 77.......... mber <br /> OwneT's AddresoEll a Ow nor Phone Numb6r <br /> Fee 13,Imple Tlilehol�or Name Owner Phonii Number E <br /> � <br /> Peo.G|mpluTitlehnkd or Address <br /> JOB ADDRESS } <br /> oUBm|V(e|oW PARCEL\13# ] <br /> WORK PROPOSED El <br /> woNcoNynR| | AD[WALT [ ] 8|oN [ ] [ D��OL|�H <br /> | INSTALL �-� REPAIR <br /> ' <br /> PROPOGEoU13E ' [--1 SFR F—� comm F--� OTHER <br /> TYPE' OFcDN;STRUJ`'O0N F--1 BLOCK �—� FRAME F--� STEEL <br /> HEIGHT <br /> BUILDING SIZE SQ1:6� 10TAGE== <br /> BUILDING $ <br /> VALUATION 01:TOTAL.CONSTRUCTION <br /> [ 72LEOTFk|0,AL ANPGERVCE [--1 PRO8KI28SENGF.GY/ [--1 N\R.E.8. <br /> [-7PUJM8ING, . <br /> ~J <br /> F'7MECHANIGAL $ \x\LUATONOP MECHANICAL INSTALLATION' <br /> | <br /> F—�8AG [--1 ROOFING �� SPECIALTY F--�l OTHER <br /> qN|SHBO FLOOR E � kON8 =---:] <br /> �LODDIC*�AREA �--�yE8� �� <br /> EL <br /> :LECTRICIAN COMPANY <br /> Address License# <br /> LUlYI13ER COMPANY <br /> Address <br /> IECHANIC <br /> :At COMPANY E <br /> Address License# <br /> THEIR COMPANY|GNATURE neomnEREo ��.//_�_] pesCuens^ <br /> Address License# <br /> GS|DIENT|A\. Attach(0 Plot Plans; ( R-O4W Permit for mtru <br /> SanitaryMinimum ten(10)working days after submittal date. Required onsite,C onstruction Plans,Stormwater Plans w/Slit Fenco-Installed, <br /> ^ ° Facilities 1 Site Work'Permit for" ----- <br /> ������V\� �Vock(�)o*m |�o �m�y�u||U|ngP}onop|uoo Life Sm8otyPugo|p>set of Energy pu R-V-WPomn|t for new o$nutrnuVon. <br /> Minimum ten(1O)working days after submittal date, Required uno\to.Construction Plans,8h'nnwmher Plans v/Silt Pence Installed, <br /> SariltEiry Facilities—&id---h �'Site Work Permit for all now projects,All commercial requirements must moat-compliance <br /> / <br /> GNPERM|T Attach sets uf Engineered P/uoa. . <br /> ^=°PRDPERTY SURVEY required for all NEW construction. <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> III over$2500,it Notice of Commencement Is required. (A/C upgrades over!17500) <br /> Agent(for tho contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> /ERTHF COUNTER PK311M|7T|N0 (Front n/Application Only) <br /> /ruob6i1fohhng|eu Sewers Service Upgrades A/C Pen000(P|ut/8uwey/FnuteQe) <br /> ' <br /> o,vwwaj' Coum�s,��npvbU ..noedoROVV <br /> ' —, - ' <br /> . . <br /> ' <br /> '— ~ <br />