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oats Recolvad pltanr Contact for Permitting (OR- d4% <br /> axrystzaznztts xcmmmo atom <br /> owner s Namcr S 4 Owner P one umber �!�► <br /> Owner's Addroso , Aiip��e Oi► s t2 � Owner P one umber <br /> Poe filmpt8 Titleholder Namsr� Owner P one umber C `,} <br /> Fee IHmp)o Tittaholdar Address _ <br /> JOB ADDRESS 33i �E�. P�+Y s'lltt f 3 LOT# (t.Z <br /> SUB0IViSiON L�Zj� A 4 PARCEL IDY '"Zjr" 1 Oa 'd3S00-00L0 <br /> (06r, <br /> 08T lib OMPROPERTYTAKNOTICa) <br /> WORK PROP03110 NEW CON$i'R _. AODiALT G3 SION E I DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE ® SFR 0 COMM a OTHE <br /> TYPE OF CONSTRUCTION [a] BLOCK C FRAME E:3 STEE _ 3 <br /> I oEsr,RIPnGN oP WORK W iAVOy✓ tnN�`!Y_ _St PL j 6L a.—S.T <br /> i 13UILDIND SIZE „ SG!POOTAOEC HEIG 7. <br /> Q2iS1:F{TS773AxL99=1XIc iiAJ� �CgTAIimYFi:[4SilSG'iztri8'siZ'J�7 <br /> ($ Hil€LDtNU � � VALUATION OF TOTAL CONSTRU T€ONi <br /> i <br /> [,-IEL 60-THICAL I AMP SERVICE C] 1 PIkOC3RESS ENERGY C,} W.R.E.C. <br /> [y-IPLUMBING , t <br /> O <br /> [; MECHANICAL (S VALUATION OF MECHANICAL iNST t,LA ON <br /> GAS 71 ROOFING SPECIALTY = OTHE <br /> WISHED FLOOR ELEVATIONS FLOOD ZONE AREA Y NO <br /> �... .� <br /> •tttitttittiitllit► i}}tMti•Ftti^Ftttf• hHt i-Tiiiii'Ffiii'i•Hi'fiMtiifiii•FFft 1't 'Mftltt�"t'ttMtf+ltrtEil.lHtifl+M1•H•H111 <br /> UILOER COMPANY { I-L . <br /> � <br /> lGNATURiE N la RE61aiaREO Y FEECURM Y <br /> Address ,f G ab $I�q �J,jANdc7L�Z 7 We ae1F GG,e�s'o8Y17 —�l <br /> _EGTRICEAN E. <br /> COMPANY t -. 1 <br /> GNATURCr R901076ABO I Y! 11 FeeCURRah t <br /> Lic: uo <br /> UMBER COMPANY <br /> 3NATURE: _ RaOtBTtuiBO - Y!N J 4FHOCURREh _XIN �r <br /> Address Lice l so# <br /> .CHANICAL - COMPANY <br /> )NATURE �,- ReOISTERED I N r ea CURREn 1 N <br /> Address <br /> HER COMPANY <br /> MATURE* �_� REOIBTERED Y I 8E CURREA _�.� <br /> Addreso ��_...r._._.-. w.. _�......._r) Lice as# I_� --D <br /> I }tMttlttif4ttFtltittfltitl FtlttMitt Flttiii ttt+ti Mt4 FtlittNH{tom t M...Ftt+tift+tttttiiii#ttttthtti€tits+ <br /> 311NENTIAt. Aundt(2)plot Plans:(2)sets of Building Plane;0)set of Energy Forme;R•O•W P ut f r new construction, <br /> Minimum tan(10)working days otter eubmltial date. Required ons€UI,Construction Plan,Stormweter Plans wl S911'enee Installed, <br /> 4en0cvy Facill0ea 81 dumpater;Site Work Perm)I for subdlvlslonsABrge pra)eCle <br /> vAERCiAL Atuich(3)complete Bets of Building Plans piwi a Life Safety Page;(1)Bet of Ener!)j F•ormu.R•O•W Permit for newabnsuuclion. <br /> Minimum ton(10)working days after ottbmittal date. Required onaito,Constru0tioa.Plans Stormweter Plans w/Slit Pence Detailed, <br /> Sanitary Facilities A!dumpster.Site Work Permit for all now projects.All commer el roq irementS must meet ZOM Aance <br /> N peRMl1• Attach(2)sel8 of Efgflneared Plans. <br /> '•'•PROPERTY SURVEY roqulrod for all NEW construction. <br /> nxaan7msztx)mss xxmslxamifatm7sr� at �sr <br /> c€tans: <br /> ,ta out alptimilon cromplately. <br /> Owner A Contmolor sign beck of application,notarized <br /> to ever$2500,a Notice of Commencement In required. (AiC uperadoe over 47800) <br /> Agent(far the contractor)or Power of Attorney(for the owner)would be sameone with notarized let ar fro n owner suthorizin0 game <br /> R THE COUNTER PERMITTING (Front of Application Only) <br /> oil-if shingles Sowers Service Upgrades NC Fences(PlouSurvey/Footage) I <br /> nrivoweys•4lot over Counter It on public roodways..nuods ROW <br />