Laserfiche WebLink
I <br /> Osssr nn n City OQ Z--phyrhi)?s PeriTIR Aprfit aft, FaY ate-3s<e ttn�c <br /> eddmg capaliment <br /> w' >�Reoalvod " ^ t <br /> ` Phone CCatAc##cr•PerrssLt#nci ;? .j)..�.� _'�iaSt� <br /> OLunits Nam C)wnsr Phone Number <br /> OtvneYoAddreas OwneTPhonoNumiser t <br /> FatsimpteTitlehatderNams <br /> Fee 6111111110 Titleholder Milmos -- - <br /> JOB ADDRESS �^ LOTO <br /> t3i78olYIGtpN PARCL%tC* <br /> t0fi'fApVSD>RQMPROPERNfA1tNOQP04) <br /> WORKPROPOSLD NEWCONSTRI J AODIALT Q SIGN CIEMOUSH <br /> 11 INSTALL. REPAIR <br /> PROPOSED USS Q SFR Q Comm Q OTHER <br /> TYPE OF CONSTRUCTION BLOCK FFWAE Q STEEL <br /> DESCRIPTION OF WORK <br /> 9FlIt:0lt3C#StEE` '8i;t P0{9YAtT HEIGHT' <br /> 9UILDIN6 <br /> r VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL tt8 AiAP SERVICE PROGRESS ENERGY © W.R.S.C, <br /> QMECHAwica -is VALUATION OF MECHANICAL INSTALLATION <br /> =<M (Q ROWING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR EL.EVATiONS �� FLOOO ZONE AREA AYES NO <br /> BUILDER <br /> COMPANY <br /> SIONATUF45 � � aeGlslEat a F tam L.V j—j <br /> ELECTRICIAN ( COMPANY <br /> SIGNATURE ( !? di3T2REC F—Zj- �FCcg <br /> Address M .' �...t Cteenses � -1 <br /> PLUMBER •••-•,ff COMPANY <br /> SIGNATURE Ri=aLSTspeo Feetxumifi, 1 i <br /> Addau LL¢anae N A yyS el 0 I <br /> MECHANICAL COMPANY <br /> S(ONATURB ^++r'--�---- rt2GLSTEREC Y" ! F13i:CItR4Ot+ YIN <br /> Address Uciulsstr• �' <br /> on" COMPANY <br /> SIGNATURE RE0161t;RM I YIN FL-10 h / <br /> Address Ucen3elf � � <br /> [instilltitiliilKlitttitiilitilttillit!ltii ! !lttiiKiitill,tit/KKii1K <br /> RESNiEN7YttL AlleM(2)P(N Pilana;r?h aata I Raudtn+_r Pt�artg'(1)It I E I S IForms:I I I PerrnStforI V it snsrrI 1 1' <br /> {ziinimum tan(10)werkinp days after outminei date. Required onsit%Consfnfction Plans,StormWatar Plans Wt Silt Fence itistati0d, <br /> Sanilary Facilities a 1 dumpster.Site Wank Permit for cuitdivis cnoRarge projecto <br /> COMMERCIAL Attach(2)oompieto tress of Bonding Piano plus a Ltie Sidety Pace;(1)am of Energy Farr",I'0•W.Permit for new eonaWeven. <br /> Minimum ton(10),working days after submittal dato, Required onctto,Conotrudtion Plans,IStomiwaterPterts wl out Fenco inctesed, <br /> SardtarlFkAMIA8i'1'd4mpstor.Stu Wd6lP&mirW;ffi-gewprolo td.AAcorttmert>!ditequlftmo1%mustmeatcompliance <br /> SIGN PERMIT Att ch(2)sets of Entilnewed Plane. <br /> ""PROPERTY SUFi WM4ulfEtf Wall NEW coitstrtte t, <br /> Dire=61 <br /> Fill out application completely. <br /> Owner a Contrwor sign tams of applicailon,notertaed <br /> if ev+r p6o0,s Nrrttoo of C ommattwmertt to required, (AIC unnilos over$7600) <br /> OVER rrm COUNTM PERraITTING (copy or contract requited) <br /> Remdfo if shinglas $"as Servlai Upgrades AM Fences(Ploysumey/Footage) <br /> Cir#vauay�PutoaaFCourrk i6om biiorosdvasys:.naadsROW- <br />