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OUvApplication Fax-83-780-0021 <br /> Building Department <br /> Date Receiv Phone Contact for Permitting <br /> Owner's Name nc- Owner Phone Number QLm (_4 <br /> -Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> I (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR F7 ADD/ALT SIGN DEMOLISH <br /> Ef INSTALL F—] REPAIR <br /> PROPOSED USE SFR COMM OTHER F_ <br /> TYPE OF CONSTRUCTION BLOCK FRAME STEEL = — <br /> BUILDING SIZE SQFOOTAGE1Nc` HEIGHT <br /> �--lBU�DNG VALUATION OFTOTAL <br /> F—� G���E�E�� �� W.R.E.C. <br /> [--lELEC��CAL AMP SERVICE PRO . <br /> [--�PLU�B|NG <br /> �—_� <br /> �^ _ <br /> [--lMECHAN|cAL MECHANICAL INSTALLATION <br /> =GAS ��l ' 'ROOFING SPECIALTY | | OTHER <br /> FINISHED FLOOR ELEVATIONS ct FLOOD ZONE AREA F--lYES NO <br /> BUILDER COMPANY <br /> ELECTRICIAN COMPANY P.jrc-Me <br /> "LUMBER COMPANY I <br /> wECn*°^.*` ~~~'~^' <br /> Buw/TuRE �om�snso ` L���_� pseounnE^ ° L_Y/N_J . <br /> _ <br /> Address uounne <br /> TcnER cuMp*mr <br /> !\oNAJUKE REa/arswso L�LLNL_! ,Ecuvn:c* L� /�L� <br /> Address License# <br /> ZES|DENTI/&' Attach(2) sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(1V)working days after submittal date. Required omsite.Construction Plans,Stonnvater Plans v/Slit Fence installed, <br /> SaoibaryFa�/iUaa81dumpnter;Site VYudkPermit for oubdi�s\on�|onJapn4e�o _� <br /> z]MMERChuL AM�oh(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(1O)working days after submittal date. Required nneite.Conntruutinn Plans,S(onnwater Plans yW Slit Fence installed, <br /> Sanitary Facilities&1dumpstor,S\(eVVorkPennitfnra|\newpn4ects.A||nommencio|noquirbmontomustmeetcnmp|ianma <br /> UGNPERM|T Attach(2)sets of Engineered Plans, <br /> °°^°PROPEFTY SURVEY required for all NEW construction. ' <br /> Fill out opp|icatin9completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2aoo'a Notice cf Commencement isrequired. (AIC upgrades over$75VV) <br /> ^ Agent(for the contractor)or Power of Attorne�(for the owner)would be someone With notarized letter from owner authorizing same.. <br /> /VER THE COUNTER PERMITTING (copy ofcontract required) <br /> lemofs if shingles 8moem Service Upgrades A/C Fences ' <br /> Driveways-Not over Counter ifon public modvaye.noedoROW <br /> ' <br />