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Building Department ------------- <br /> Date Received 3 — <br /> Phonecotact forPemitting . <br /> W9�1 <br /> Owners Name I_e� S Owner Phone Number <br /> Owners Address„ IJV v Ave- f1 '��S I Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder AdddrCe�ss Q <br /> JOBADDRESSY -335TD, LO;T# 77 <br /> :0 <br /> SUBDIVISION' IRC <br /> ,ID# - <br /> ' - (OBTAINED FROM PROPERTY TAX NOTICE) <br /> VIZOR-------- OSED. NEW CONSTR ADD/ALT SIGN 0 MOVE 0 DEMOLISH <br /> e : :INSTALL e REPAIR I <br /> PROPOSED USE '' Q SFR. 0 COMM Q OTHER <br /> TYPE OF CONSTRUCTIONQ BLO 0 _ FRAME 0 STEEL Q / OTHER <br /> DESCRIPTIO,fV,OF;W,ORK r <br /> a l OvQ e QC� . i I �.�J 1 ow-s I�. .I�Tb`a, <br /> BUILDING SIZE,. F HEIGHT. <br /> .." BUILDING._ $ ,VALUATIONgFTOTALCONSTRUCTION <br /> Q ELECTRICAL $ AMP SERVICE PROGRESS ENERGY 0' W.R C. ' <br /> Q PLUMBING $ <br /> Q MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> Q GAS 0 ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS' FLOOD ZONE AREA AYES QNO:: <br /> BUILDER, _ COMPANY Man .. C)f}S 04',6�1 J Y1C: <br /> SIGNATURE CA REGISTERED" Y :N FEE CURRENTr' Y/ <br /> Address 3�0 13 SV-5 <h .��S License# CGC 517�77 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURRENT LZ/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N .FEE CURRENT <br /> Address License# <br /> MECHANICAL COMPANY' <br /> SIGNATURE 'REGISTERED I Y/ N FEE CURRENT Y/N <br /> Address License# <br /> ,OTHER? ',cOMF?ANY <br /> SIGNATURE:; _ REGISTERED Y/ N FEE CURRENT Y/N <br /> License#' L - <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, ' <br /> Minimum ten 00),working days after submittal date. Required onsite,Construction Plans,Stoririwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&'1 dumost4'.Site Work Permit for suhdivis)ons/larae orolects . <br />