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•••••••» tray Of mpnym118 r9fM11 ApPl)0@t10ti rsz n7,Mr*srvutr <br /> ' BeTldlr>b Osparbrrsnt <br /> Date Resolved h <br /> Ownst4 Noma Owner Pftw number <br /> OWW$Add=l I&J4 14M JdM dit Owner Phone Number 3`79P 4(Poe� 1 <br /> fee stmPb Tlae)ahiw Ntrne Owner Fh*M Number <br /> Fw Glrrtpte T 1l"der Address <br /> foe ADDRESS C ------�`�7rePh R�►;r 1 �• LOT k <br /> suBorursllo�+ -,___1 PARCELtok <br /> IODTAI M FRAY MWUTTTA%NOTICE) <br /> WOPtKPROPOSED e timCoNva ADWALT •SIGN © '� DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED use [] SFR 0 COMM [ J OTHER <br /> TYPE OfCON$TRUC,TWN BLOCK Q FRAME dTEEL <br /> DESCRIPTION OF WORK F4IQ'Ifj to A5*40 <br /> BufLD00BTZE OOTAG! Nt.KiNT <br /> A <br /> VALUATION OF TOTAL CONSTRUCTION <br /> I-1ELECTRICAL is AMP SERVICE PROGRESS ENERGY M W.R.E.C. <br /> pPLUMSI - Z 153 <br /> CHANICAL S l VALUATION OF MECHANICAL Ie sus ATmON <br /> QGAS 0 ROOFING M SPECIALTY Q OTHER y <br /> FINISHED FLOOR ELEVATIONS r FLOOD ZONE AREAS [, YES NO <br /> f (!� H <br /> SI 1 COMPANY <br /> SIGNATURE amilrilD I YIN Fc!CURRen <br /> Address I <br /> ELECTRICIAN COMPANY <br /> SIGNATURE RaOteTEne* ( Y7f� pos CUna/a YIN <br /> Address Licenso k <br /> PLUMBER ( COMPANY <br /> SIGNATURE l RIOIEi6REp I YIN FEZ CUM, Y J •—�� <br /> Address , � e— /Lieenvo k I 1 <br /> MECHANICAL. e6A NY l 1"r f2e5C A 5"]s!-t,I.rogj <br /> SIGNATURE -� �" '0110117e0te4 I YIN Faet:UR a ' Y1It 1— <br /> Addl ( Z4ASSA ra 01 Fb 39�•r"r Licenser Gfj,G I��3t245- <br /> OTHER COMPANY 1 <br /> SIGNATURE (, 1 xeamRm — Y1 N,�sea cueRw I yfu " <br /> -•--•-1 <br /> Address License k <br /> REBIDlNTIAL Attach(d)Plot Plane:(Z)veto of addhrg Plmr,(1)sot11 Entrrgy Fermei R-0•W Pertrdr for rtew oonNnrotion, <br /> m mua ton(10)wokrig days after tnrbtnittsl date.Reteulnd omits,OonebUWan Plena,Slormwaler PTrns w/Sari Fence instetted, <br /> SsrsloryFoclildem,61 dunptrtor,Sita Werk PsrmN for eubdlvld*rWtkrge Pr*cb <br /> COMMERCIAL A0sd1(3)Complete sets of Building Plan pka a Uls 8afey page;(1)set of Energy Forms,R•O•W POW for new earewottdn. <br /> MMmwn ton(10)working days offer submlttel dets, RoWrod*Role.,Consbus0on Plans,Stormwelor Plan w/814 Fence Inola6ad. <br /> Sar ary PsollitUa 61 dump tor.$Its Wok ParmN for all now projects.Al commercial roWroments mull moorcmplitme <br /> SIGN PERMIT Attach(2)sets of Enginaored Plans. <br /> „"PROPERTY SURVEY mtltilred for as NEW corgWotton. <br /> Dl..vrtonss <br /> Ft11 out appWon eompistaly. <br /> Owner 5 Contractor stgn book of appuoallon,notarized <br /> IT over pf00.•Noilt»of Commoneomont is mqulmd. WC upgrades over I1300) <br /> •• Agent(for Ore canyaclor}er Power si AStorMY(for the owner)ts*utd ba oomectiswlth twtarlssd letter from owner authotlztng same <br /> OVER THE COUNTER PERWTITNO (Front of Appllc$00n Only) <br /> Rwm%9shingles Sewers ServicoUpgrade$AJC Forms(ProGBtvvey/Footege) <br /> Drlwvrsya•Not ever Counter V on pubito tosdwoys..nssds ROW <br />