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l <br /> ,,,iLy vi 4.epnyrninrermit OUc8IOO ru»u/o`/ou�u <br /> Building Department <br /> Date Received <br /> Owner's Name dw"n,oriPhone Number <br /> Owner's Address F Owner0hono Number <br /> Fee Simple Titleholder Nmmnnor Phone Numbe <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS LOT#' <br /> WORK PROPOSED NEW,CON.STR <br /> . AUDA\LT �~-�\ ` 8)6N �—� ' �[--1 DEMOLISH <br /> El INSTALL | | REPAIR <br /> PROPOSED USE SFR [-7 comm.. . ��-1 OTHER [-------- ------'-1 <br /> TYPE OF CONSTRUCTION BLOCK FRAME STEEL <br /> $ '413 VALUATION OF TOTAL CONSTRUCTION <br /> =MECHANICAL VALUATION OF MECHANICAL INSTALLATIO� <br /> GAS ROOF' ING SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA, =YES NO %---- , <br /> M-114$ C_ <br /> L:yc> 1;o t4 ` cdm n4a 1 s <br /> BUILDER OMPANY <br /> Address License# <br /> ELECTRICIAN COMPANY L <br /> SIGNATURE REGISTERED FEE OU <br /> Address F License# <br /> PLUMBER COMPANY <br /> SIGNAI E <br /> MECHANICAL COMPANY <br /> E _YLN_j <br /> License# <br /> Address <br /> OTHER COMPANY <br /> SIGNATURE E REGISTERED FEE CURREN <br /> Address License# <br /> RESIDENTIAL Attach(2)Plot Plarfs;(2)sets 6f Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction. <br /> Mlnlmum!ten(10)working days after submittal date, Required onslte,Construction Plans, Stormwater Plans W/SilliFence Installed, <br /> SanitarytFacilitles&I dumpster;Site Work Permit for subdlvlslons/large projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms, R-0-W Permit for new construction. <br /> Minimum ten(10)working days' after submIttal date, Required onsite,Construction Plans,Stormwater Plans w/SlItiFence Installed, <br /> Sanitary Facilities&I clumpster.Site Work Permit for all new projects.All commercial requirements must meet coryipliance <br /> SIGN PERMIT Attach(2)sets of,Englneered Plans, <br /> "**IIROPI-'-RTY SURVEY required for all NEW construction, <br /> Fill out application completely. <br /> Owner&Contractor sign back o[application,notudzsd <br /> \f over$%B0O.uNoUuenY Commencement|orequired, (AIC upgrades over*T5VV) <br /> ^ Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> DYERTHE COUNTER PERMITTING (Fmntof Application Only) <br /> lemofsUshingles Smxoro Service Upgrades A/O Fonnex(P|oVSumey/FouioUn) <br /> odvnwoym'No\over Counter ltonpUbUnmndwayo..nwwVoROW ' <br />