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i <br /> �swsTnn nn�n CRY of?eNhyi(^.1!(S Permit vp(iCaUon FaY a12 nn <br /> @ding D3paitment <br /> ` OW ReCeiv9tl Phase Contoc&;'oo•P2tmlttiac2. _"at cg <br /> Ownefs Name Owner Phm Number }� <br /> Ownefe Addr9oo Owner Phano Number t <br /> Fer•Simple Titleholder Name I Owner Pimrte Number <br /> FaaSimplo Thlal)alderAddmo <br /> aOBADDRESs 3 LOTO <br /> mueW VISION c j PARCEL.t0A <br /> (OSTAfNWD MGM PROPFRWTAX110 O&I <br /> WORKPROPOSED NEWCONSTft® ADDIALT = SIGN [] [� OEMOUSI! <br /> INSTALL REPAIR <br /> PROPOSEOUSE: Q SFR a COMM = OTHER <br /> TYPE OF CONSTRUCTION IM BLOC[( FRAME STEEL 11 <br /> DESCRIPTION OF WORK <br /> SUILDING•SME � E BQ FOOTAflE ' HEIGMT. <br /> =BULL DING is VALUATION OF TOTAL CONSTRUCTION <br /> r-1ELeOrRwAL S AMPSERWICE PROGRHSl3EINERGY W.R.E.C. <br /> [�PWMBING (S � t�?.AU <br /> =MECHANICAL VALUATION OF MECHANICAL INSTALLATION <br /> =W �M_ ROWNG SPECIALTY[= OTHM <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA nYES NO <br /> BUILDER COMPANY <br /> SIONATUF43 i pEW8 pE0 FEECLRM <br /> Address Licsnsat� 1 <br /> ELECTRICIAN COMPANY —� <br /> SIGNATURE <br /> FE[;OGRIFft T <br /> Address LlaanaeM <br /> PLUMBER COMPANY <br /> SIGNATURE �1 REa19TERE0 i- WEIREn I Y I <br /> mdraae, f Llcettae N e' er <br /> MECHANICAL �, cornAANv <br /> SfONATURL R-eG16TERF.A Y N FE8 CURASh------------------ <br /> Y Id <br /> License C <br /> OTHER COMPANY <br /> SIGNATURE R601WEREO I YIN FEE CURREN ! <br /> Address Llcenaefi �� <br /> ttttttttttlttttttRRtettttitttttttttttltitttttt11t11tltllltiltttltlt f'LSIDEMML Atlenh(2)P►N Plans:(P).wR of F%tjudhn Pta!t8'(1)Set OM"eW Forms:R-+]Vt!P2rmltt2r Hato constfurttnn <br /> ►tlnimum ten(10)tvmVng days after submitl0I date.Required onsi e;t onstrucuan plans,Stamt+ater Plans tv/Sot Faroe Instneed. <br /> COMMERCIAL Aettedt(2)completo sets of Suoding pips pis p ILtferSB%I+Pag(1))aet of Ens <br /> a for new mstmegan. <br /> lMrdmum ten(10)wwking days after submittal data. Required ancito,Concbvcaon Plane,Swim WarrPlans w/Sin Fence installed, <br /> 8anitety F6cIlUi9S b.1 dumpstOr fi(t0 V+IdtttPBrtnit(6rall tiaw pro dttd,A1S Comssterr�A1 iegUrshsnent3 must raw Campusava <br /> SIGN PERMIT Attach(2)sots at knpinmeo Plane. <br /> PRDPERTY SURVEY fMgWW for ell NEW caminjottat. <br /> DtrecNona: <br /> Fltl out application completely. <br /> Owner&Contractor sin teeth of application,natadacd <br /> if ovar$2500,s Notico 0f COmman"Mgrtt is roquirod. (AlC upgrades avor$?M) <br /> Ac;=(for the crm".-ctcr)or Pc jar L".0 Mt:M,;v.,utC;oc—,-14 riot mtM-1 c,::a ar`:am mlr=zi, <br /> OVER THE COUNTER FA WITTING (copy or contract required) <br /> Rtemofs if shingles SWMM Sendte Upgrades A/C Fdnces(PIOUSurveylFootege) <br /> DrAraway,-P!at•ovafCaunlaEtFort•publiarezdways:.neod9 RDW- <br />