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Date Recelvedl'+ _ lttaone Contact for permitting �- -�'1 (ate <br /> a=xtstsxtxn±m= :I.i} i cfsaixrzxxx m7:t�zt�2}sxxt cctac ao y�xan rci� axxa a�air(xa= XT <br /> Owner's Name !. Ownei Pt one lumber <br /> OwnA+r's AddressILL 1-3 � �_G ��7r'l15 f�l 3Jd Zf('j- •Owner P one �lumber <br /> Fee Simple Titleholder Game - , _ _ Owner P one `lumber <br /> -eeSimplel'ItlehotdorAddress <br /> t. p ��(��..._. <br /> JOB ADE RE?St3 (: ,7'�. �2 _�. __. f1i y15 �L. 1 '._� � LOT#. <br /> :,UBIDIVISION c PARCELID# <br /> (OpTAI nD F4 OM PROPERTY TAX NOTICE) <br /> MORf+C PRP.)FtCISE31)( 1. fi NEW CC)NS7'R ADD/ALT C _ SIGN I_; C�I DEMOLISH <br /> Cl INSTALL. � REPAIR <br /> }RaIPos1=I)USEi. C� sFR i:;.�I Comm C:� oHE <br /> 'YPE:OF ("'ONSTRUCTICIN BLOCK I . _I FRAMI= C_ � S1'EEt <br /> )ESCIRIPTION OF WORFt, —L L. `7'C�, 21. <br /> mIL[DIN(i, SiZIc !y__; t5(�t-OOTAGE== HE',IG T <br /> r:x�:c�c�rxaxx�s.�tx.is��axa;ut�tzl�_x.�G7atz��x��'a��a�s�:zxxs�c�txtzaz�ra=t ;r�c���I��a��I�crt�tzrxr.�uzz�zi�za <br /> VALUATION 01=TOTAL.CONSTRU TION <br /> [,7E:LI=0TFtI;:1AL. $ �o AMP SERVICE [_ P OGRESS ENl_RGY C] W.R.E:.C, <br /> [ 7NI CIiANIGAL f$ —`i VALUATION of:MECHANICAL INSTALt.A ION <br /> ]CAS i i [� ROOFING _ SPECIALTY oTHE k t <br /> [..� i fI .I' <br /> mSFIED FLOOR ELEVATIONS ^� ._.__ FLOOD ZONE AREA �aYEtS NO <br /> ti t r�ti t t t-rtt ttti-ttttfhti tijttl~Ft t ti tit t+t•t-t I ttht W+;tii+ t :Ll ti H-H-t t lttitti P-H. -H ti-Ht�t"ti-Htti ti ti ttt,H-l-t�l t+ti hf f ti i <br /> JILIOER COMPANY [II we �� !r1{, ��}t"e.3 <br /> GNATUR _(,.F�'J,����rTff1G?!�t REGISTERED Y/ FFiE CURREA .Y 1 N <br /> ,Addre::ts }>t?!7� �1 1 �'S L�f:tAN��to �< "�a `7�( Lic n::e# <br /> COMPANY <br /> 3NATURI:: _. _! _�. _ _ REGISTERED �CY I N FEE Cl1RRL•f` <br /> Addrwis _..�! Llc nsa# <br /> UMBER I ! COMPANY __ <br /> iNATURE.. _ , _ __._.._ REGISTERED Y/ ;N r� FI`zE CURREN ~I .Y/,N � <br /> Address L _ ._ __ Lice se# <br /> C.ttANfCI•il. COMPANY <br /> NATURE: f I _ r REGISTERED ( Y/ N T FL•G CURREN Y/ <br /> L_ <br /> Address C Lice se#1' <br /> *T1 COMPANY _ <br /> NATURE REGISTERED Y/i N_)rcE <br /> _ <br /> r _ Lice so# l <br /> ti!!till 4it++t}t titi i t i tff E fthFt Ft ttti+i t i i fi-tff-t-H+t++H+H+H+Hd t 1- f-ti+�t-t H+f-f+i+t-H+f f + }Pii t t H tt•t-F4+1+ftt t+ti+t+f ftH itti-att4 <br /> ;IUIENTfAt_ Attac)r(2.)PI t Plans;(2)sets of Building Plans;(1)set of Energy Forms;F2-O W PE milt f r new construction, <br /> Minimum ten(10}working days after submittal date. Required onsite,Constructlan Plans Stormwater Plans w/Slit Fence Installed, <br /> Sanitary Fact ities&1 dumpster,Site Work Permit for subdivisions/large projects <br /> 41-AERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energ I For s.R-O-W Permit for new cbnstructlott. <br /> Minlmum ten 1(10)working days after submittal date. Required onsite,Construction fans Stormwater Plans w/Slit fence Installed, <br /> Sanitary Faci itles&I durnpster.Site Work Permit for all new projects.All commere al req Irements must:meet compliance <br /> -d PERMIT AttaO(2)sate of!engineered Plans. <br /> it-*F)FtOPEnR 'Y SURVEY required for all NEW construction, <br /> �2:�::aL722ixfa:L}S1tIZ)q�I:Cl�:CI7:t3277CLYI}a:i�I't�YaCf�:I3�CIItt1�i�Y.I�T�RTSI�t�. �t:} CLIIZG7�a:�{:CLI�1:L1�7T]<III�Y.LLB <br /> �t:ltans: <br /> Fill out application rompletelty. <br /> Owner&Contractor'slgn back of application,notarized <br /> I!` over$2500,a Notice of dommencement Is required. (A/C upgrades over t$71500) <br /> Agent(for the contratctor)or Power of Attorney(for the owner)would be someone with notarized to or fro n owner authorizing same <br /> R THE COUNTI:At PhiRINITTING (Front of Application Only) <br /> )is;if shintlles t.lowers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> II <br /> Clriveways-Not over CounterjIf on public roadways..needs ROW <br /> 111 <br /> I <br />