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` <br /> "='""-V"/» (��vof��ohvrhU\� F�e[Dl�/\oo\\o�UDn � pa�a1n�no*oz1 <br /> Building Department <br /> Date Received cc�m <br /> Phone Contact for Permitting ( I — <br /> Owner's Addressi Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS <br /> euBDm|a|oN |o# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED woyoomsm *oo�LT � � a\GN � l F � DEMOL|SM <br /> E�-' <br /> INSTALL F_] REPAIR <br /> PROPOSED USE [--1 oFR �—1 COMM [--� OTHER <br /> TYPE oFCONSTRUCTION F—�� BLOCK F—� FRAME �--1 STEEL <br /> DESCRIPTION OF WORK F i_�;w V--ged <br /> BUILDING SIZE SQ FOOTAGE 0- HEIGHT <br /> =BUILDING VALUATION OF TOTAL CONSTRUCTION <br /> =PLUMa|NG <br /> Po <br /> =MECHA0kCAL VALUATION OF MECHANICAL|NSTALLATON <br /> =GAG R��P|N� F—� SPECIALTY OTHER <br /> OTHER <br /> FINISHED FLOOR ELEVATIONS ib FLOOD ZONE AREA =YEG NO <br /> eUILoEm COMPANY <br /> SIGNATURE esa/oTsnso ` pssconnEN <br /> Address <br /> =_LECTR|C/AN COMPANY <br /> SIGNATURE nEaImTenso Y1 N I` FEEounmEN. -- <br /> xgmrem / <br /> 3LuM8ER COMPANY <br /> 3mN/g'uRE nso/STsnEo <br /> xdunmno 10M 4A License# <br /> wsoKAN1oAL COMPANY <br /> 3'|mN/grURE nea/STEnso <br /> Address <br /> )THER ���PANY <br /> ;|GNATUFE n�o/�snso �— <br /> � FEE CURREN <br /> Adummn License# <br /> x x x x 1. 1 u`u n n x x1yV <br /> ZEGODENTUA- Attach(2)Plot Plans;'(2)sets of Building Plans;'(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(1n)working days after submittal date, Required nnsi\a.CunotrumUon Plans,800nn:mtor Plans v/Slit Fence inst$\od. <br /> Sanitary Facilities G 1 dumpmter;Site Work Permit for aubdivisionn0arga projects _) <br /> /OMM6RCu\L Attach(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 onaita.Construction Plans,Stormwater P|mnsy/Silt Fence installed, <br /> Sanitary Fad|itiao81 dumpster.Site Work Permit for all new projects.All commercial requirements*must meet compliance <br /> UGNPERM\T Attach(2)sets nf Engineered Pl�na <br /> °**°PROPERTY'SURVEY required for all NEW construction. ' <br /> - - - - - - - - - - - - - - - <br /> Fill out application completely, <br /> ownnr&Contractor sign back of application,notarized <br /> n over$2so0,a Notice qf Commencement isrequired. yVC upgrades over$75OO> <br /> ^ Agent(for the contractor)or Power of Attorne�(for the owner)would be someone With notarized letter from owner authorizing same <br /> >VERTHE COUNTER PERMITTING (copy qil contract required) <br /> �roofs if shingles Sewers _ Sonic6_-Ul5grodem A/C Fomcem(F;oKSuwey/Footago) <br /> Driveways-Not over Counter ifon public modvnayn.naaduROW <br />