Laserfiche WebLink
Building Department <br /> Date Received Ro? - 25o(a-VIA 4 2 2-Q Phone Contact for Permitting ES13 ) r <br /> Owner's Name --IL LLL Owner Phone Number <br /> Owner's Address -4f0LnY-j'j r) f)13. S-F?- o5)(:)) Owner Phone Number <br /> Fee Simple Titleholder Name A Owner Phone Number <br /> Fee.Simple Titleholder Address <br /> JOB ADDRESS \J6\6e-r6rq,--3 Lzn-Q Ze-A4jPW,\kSF) -?3!5qal LOT# <br /> SUBDIVISION Fft`iy-�r- PARCEL lD#I OLI-9 Lo- C91 -0030- ococo-00 cc) <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTRR ADD/ALT SIGN DEMOLISH <br /> B INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM F—vq OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL <br /> DESCRIPTION OF WORK x 66 uj-,Un iS'x <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> "r"rqr1r"r <br /> E:2BUILDING 1$ 30� VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ C), AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS Q ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . ... . . . . . . . . . .. . . . . . . . . . . . . . . <br /> -- <br /> BUILDER 7 COMPANY IWOAP,�- Y-\ VCCV-T1k;,76S O�-4ADT-I&L Xn <br /> SIGNATURE ,( REGISTERED Y/ N FEE CURREN <br /> Address 137351 -S-R. awil5ti 535+a License.# <br /> 1 <br /> ELECTRICIAN OMPANY 4 REGISTERED YI- N FEE CURREN <br /> V -rnp[p-k�,A I C- <br /> SIGNATURE pp 4948 <br /> Address License# 0 N 3 8 <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN L_Y_LN <br /> Address License <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LILN <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License <br />