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Building Department *7 <br /> Date Received ( `I 2 �� 13 r o 7 - �i 1..p� Phone Contact for Permitting p }-� <br /> Owner's Name }"�c-- •�-C Owner Phone Number JL <br /> Owner's Address ' 1�' IQ 1,1 i1i-�• c� ab® Owner Phone Number <br /> Fee Simple Titleholder Name N A Owner Phone Number <br /> Fee Simple Titleholder Address l <br /> JOB ADDRESS Cy ASS �tJl N-� L��� Ys2�+��5, LOT# <br /> SUBDIVISION S CCS�C �v PARCEL ID# Oq-9Lo' al -dd3o- coom-00 cc) <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED R <br /> NEW CONSTR e ADD/ALT = SIGN = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR 0 COMM OTHER <br /> TYPE OF CONSTRUCTION = BLOCK 0 FRAME = STEEL = <br /> DESCRIPTION OF WORK cz>ncv�,e- 86 x 56 (oJ ► �'x /d .5 W I-yn e I c . <br /> BUILDING SIZE SO FOOTAGE HEIGHT <br /> r1r9 WIT <br /> BUILDING $3 VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL Is Q O AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING = SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO <br /> BUILDER !✓ U` COMPANY <br /> SIGNATURE V REGISTERED Y/ N FEE CURREN YIN <br /> Address 373 cJ 1 S-Q-SI4 Ze pk 91>L1(s FL 3 94 A License# I Ca,1903 90 <br /> ELECTRICIAN ��� COMPANY E le C'+P-i L <br /> SIGNATURE RR REGISTERED Y/ N FEE CURREN Y/N <br /> Address ��•DO y37 �a G 33 S2(4 License# 1 3 0 d /3 B 3 <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br />