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Jan, 15,.2020 10:07AM No, 0659 P. 1 <br /> 8t9.7eo tiaRO City of 7_ephyrhiDs Permit AppGcatiGn FG"13-784-0021 <br /> Swung Ddpadmenl <br /> OwneftNama I ►'Gwr 1 d t,•1 i�5 d I Owner Phone Number I Y6 3'�Si� <br /> OWaeI"e Address w I t 4 jC Owner Phone Number <br /> Foe Simple 11ITeho(derNune ( ~� Owwftoff Number I <br /> Fe*Simple TltleholderAddnOe <br /> J09A010RESS 1 ✓;8 0 .7 �J' I'7s LOTO <br /> SUMMON 1,444. v,' j PARcel.FDA ^Oo67a-avwa— et' G}& <br /> t0$TMM FROM MOPt MTAX NMEI <br /> WORKPROPOSED N£WoDN5rR AMtALT Q am Q � DEMOLISH <br /> ElRVSTAO 8 REPAIR <br /> PROPOSED Use © SFR [,] COMM OTHER <br /> TYPE OF CONSTRUCTION p BLOCK p FRAME p STEEL C] <br /> PESCPJP71ON OFWOR K Q 0 <br /> )BUILDING SIZE SQFOOTAGE HEIGHT <br /> VAU ATIONOFTOTALCONSTRUCTION <br /> DELEOTKCAL s AMP SERVICE PROGRESS ENERGY © W.RE.C. <br /> QPLUMSING $ <br /> [ZjMscHAIucAL Is vArvAiroNOFrdecwANJcw.»rsrAu,AnoN ]v <br /> =W M ROOFING SPECIALTY Q OTHER �( <br /> FINISHED FLOOR ELEVATIONS FLM13 ZONE AREA [--IYE$ NO <br /> �♦♦ J Y J J I .. Y V \ I 1 \ I• . I Y f V Y <br /> ���•Y�lTIT�/Tr <br /> Bl)IlDER ,.Y� l4A'l=Ye <br /> SIGNATURE r 9MMEM I YIN _tEreuRta I YJN <br /> Addrese 2er k 444 1 <br /> ELECTRICM7 COMPANY <br /> SIGNATURE MI&TOM YIN FkTWRREA /N <br /> Address Lloenae i <br /> PLUMBER COMPANY <br /> SIGNATURE REW6t1 YIN PEECtftl-A LYJN <br /> Address Clem... <br /> MECHANICAL COMPANY <br /> SIMTURE Rwalfem YJN j FEflOORREt. JN <br /> Addits Uwas# <br /> OTHER COMPANY <br /> SIGNATURE REOIETFJtEO YJN FmcuRAEA <br /> Addroae Licenses <br /> tltrrtltrrlrriit >lirr�� rrialrirrrirr ;i�� i � rrri � rr� lrrrrlit �t• rrir' r' >! Irrr <br /> R>:&IPENnAL Attart<(2)Prat P,ef►!(2)r Br B Mgq Plana;(1)eel cf Energy forme;R-O-W Pem,n ror newconetm an, <br /> gr mrm tW(10)worlddg days alW submi W date.Requited on50.Conslnxlon Plans,StmR,ur9ter PInI►s WJ SII Fence lrlsteled, <br /> Senitaryfeolydae 81 dumps(er,Site Wodc Permit forsubdhdslonsAmge pm)acts <br /> COMMERCIAL AttsM(2)completeaGlaotBulfdingPlsnepprsBlPe3efelyPage;(1)aBlafEnergprFonTlaROWPetmllfornewoonstnort <br /> Mhtnum ten(10)woridng days allosubtrAW dote.Required onsite\Coo*vi;Uon Pkme,StoMWAier Plans vd Sill Fetwe insdetted, <br /> Sanite,y Fed10ea&1 dumpeter.Si(o Wv*Permit for BU newpro)ects.Ali wmmardei regrdremenlB must meat Complmrce I <br /> SIGN PERMIT ftch(2)sets of En*eered PtaBs. <br /> '"ROPEMY SURVEY required for all NEW wn*uo(ion. <br /> J.v ► L J Imo- - ..Y_f. .-Y .I <br /> b1r.1 ti e; <br /> Fin out,app8oB0on completely. <br /> OwvrE Conlractor son back arappNeatlan,nolMad <br /> If over$2500,a Notice clCommencement Is required. IWC upgrades ovor¢7i00} <br /> Agent(tonne oentracmr)ar PoworAttomey(fortee owner)wwdd be wmeane vAh notedzed lelterfrem oamerau,fmrizing Same <br /> OVERTHECOUNTERPERksTrING (copyorrcnlreolroqulred) <br /> Rer6a U efdnglea Sewers 89rAce Up=6s NO Fertws(Plo4mrveyffi0 tape) <br /> DAvew&WNol over Crider If on public roadw4 .needs ROW <br />