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1 hone <br /> for Po rmitilng -toe 1101 1;;CrxM !6=1 rrr . <br /> 1= rim <br /> 33 <br /> Owner's Name Owner P one lumber <br /> ,n r I <br /> OwneL,l 71 1 , <br /> s Addreso Ownerr <br /> P one lumber <br /> Fee Simple Tltlehold�er Name C.,�-� ,^_--�-� �� Owner P one lumber <br /> Fee 131imple Titleholder Address <br /> .......... <br /> C_'_�-.�.:�i- _ -�----� <br /> JOB ADDRESS <br /> �.��L�;_r"Aed5 j0cM► ZePA)WAL/5 0;:/, 3 LOV# _L�-�___. <br /> SUBDIVISION PARCEL ID# <br /> (OBTAI 1:0 rIkOM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT SIGN DEMOLISH <br /> H INSTALL REPAIR <br /> PROPOSED U13E SFR Comm oTHE TYPE:OF CONSTRIXrION BLOCK FRAME STEE <br /> IDESCIRIPTIoN Or WORK <br /> BIJILDIN(:, SIZE [.-_ SQ 3:001-AGE HEIG 71 <br /> [5�113UILDINC,I ��© ��-� VALUATION OF TOTAL,CONSTRU TION <br /> � <br /> AMID SERVICE F1 OGRESS I-ENER03Y <br /> ['7ELIECTRIC%AL. W.R.E.C, <br /> [_7PLUMBING <br /> 7MECHANIOAL VALUATION OFMECHANICAL INS'T <br /> LLA [ON <br /> ROOFING SPECIALTY OTHE <br /> NISHED FLOOR EAZVATIONS FLOOD ZONE AREA YENS NO <br /> ................ <br /> IILIDER COMPANY C � 1- bfrtC' T2R �'� ___.� <br /> FHE CURR <br /> U V -— 1, EK <br /> �,NAT RR ree.(ZZ--I REGISTERED <br /> UTTFT I I <br /> Addreos <br /> _LAr1§Lca Ii:L 2117 S1 <br /> LIc nse#— .— <br /> :CTRICIAN COMP IANY ; E T <br /> _ <br /> NATURE: REGISTERED Y1 FEE FURRrh <br /> Lic nsj'e# <br /> Addrests <br /> COMPANY <br /> N113ER <br /> IZ EN <br /> 4ATUR.: IREt, <br /> 1: REGISTERED .�N <br /> F <br /> Lice se It <br /> jWdress <br /> COMPANY <br /> HANICAL REGISTERED F <br /> ATURE: <br /> License 9 <br /> ikildress <br /> COMPANY <br /> Tt REGISTERED '==N �-�U R�E� <br /> N <br /> L L <br /> T Se F L U F:�Te <br /> kTURE: <br /> Lice so# <br /> %ddres,% +H+H+HtH-H+tff 4 <br /> H+++Ff4+H+i-I4+l-H <br /> W new construction, <br /> uIlding Plans,(1)set of Energy Forms;R-o.=rnii`lt Ifil' <br /> iiENTIAI. Attach(2)Plot Plans;(2)sets of B Itio PI <br /> ,ubmItt,al date, Required onslto,Construction Plans Stormwater Plans w/Slit I:ence Installed. <br /> 't'. <br /> M1111murn ten(10)working days.after o <br /> Sanitary Facilities&I dumpster;Site Work Permit for subdIvIslonsilarge projects <br /> 5 a,Life safety Page;('I)set of Enerl)�,. Forms.R-O-W permit for new c0structlo'), <br /> IERCIAL Altact,(3)complete sets-of 801dir,9-Plar, FiliII3 I ater Mons wl Slit I-ence installed, <br /> days tifter oubmIttal date, Required onsit(i,Constructioll Plans StolMv <br /> I- it for all new projects.All commorc at req Irements rTIust meet;.ompllar�co <br /> SaniUiry Facilities&I dumpster. Site Work Perm <br /> ',ERMIT j\ttaoh(2)sets of 1--rigineored Plans. <br /> --r)ROPERTY SURVEY required for all NEW construction, <br /> I out application completely. <br /> vner 81 Contractor .ilgn back of application,notarized <br /> aver$,!501),Il�lOtICOOtCOmmencoinstitisrequir,od, (A/C upgrades over$7 1,500) authorizing same <br /> q �a <br /> ant(for the contractor)or Power of Attorney(for the owner)would be someone with notarized �t or fro n owner <br /> HE COUNTER 11f.,:111MITTING (Front of Application Only) <br /> if Shingles*, Sewers service Upgrades A/C Fences(Playsurvey/F-ootage) <br /> veways.hiot over Counter If or)public roadways_noeds ROW <br />