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��1���2 <br /> ��� /�h�U\sP8���D\ic�oO �� <br /> Building DepartmentDatv Received Phone Contact for Permitting 1( <br /> BUILDINGowner's Name Ow ier Phone Nur <br /> ir <br /> owner's Address Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone N,umber <br /> Fee Simple Titleholder Address <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT SIGN DEMOLISH <br /> INSTALL E REPAIR <br /> PROPOSEDUSE SFR COMM OTHER <br /> TYPE OF CONSTRUCTION BLOCK FRAME STEEL <br /> ' ZE SQ FOOTAGEHEIGHT <br /> BUILDING VALUATION DFTOTAL <br /> 16q, coo i <br /> �--�ELE{�l�CAL AMP �--\ PROGREOSENERGY �-� w(R�/C. <br /> �__. <br /> =PLUMBUNG <br /> �-�MECHANICAL <br /> VALUATION OF MECHANICAL INSTALLATION," <br /> =GAS F-�� ROOF|�� F-| � SPECIALTY | | OTHER --- <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BV|LoER 0 COMPANY 13 V\C <br /> SIGNATURE REGISTERED *FCURREI LY/N_J <br /> Address Ucenoe# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE L-Y/_N_ I FsecunnEN LY-7 N I <br /> Address License# <br /> IS- <br /> PLUMBER COMPANY <br /> SIGNATURE nsa/oTERso LY/_N_ 'pssounnel\ L_�2 NL� <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED --(/'N _] Fssounnsx -J��2�L� . <br /> Address D Ummve# <br /> OTHER COMPANY kJC_D)MJA PM61�-f-,Cq' <br /> SIGNATURE nso/snsRso LY/ | pesuonms^ <br /> Address License# <br /> 11111111111111111 ouumIo III mwn xm [ xx III uxxuux III <br /> xxonx <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(1u)working days after submittal date. Required nnoite.Construction Plans,Stormvater Plans v/Silt Fence installed, <br /> Sanitary Facilities&I dumpster;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus eLife Safety Page;(1)set of Energy Forms.R,O4N Permit for new construction. <br /> Minimum ten(1V)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans wl Silt Fence Installed, <br /> Sanitary Facilities&I clumoster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> °~~PROPEFTY SURVEY required for all NEW construction. ' <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,nnxurizad <br /> If over*2soo'a Notice of Commencement isrequired. kVC upgrades over*75VV> <br /> � <br /> Agent(foxthaonnbactor)o/PmverofAUoma�(foxtheovner)wou|dbesomonnmwithnotahzod|etta from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy ofcontract required) <br /> Romofs\fshingles 8evem Service Upgrades A/C Feuooa(PbKSumey/Fodaga) <br /> Driveways-Not over Counter ifon public madwayn'needaROW � <br /> �^ <br /> ` ' <br />