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' <br /> ----�� ' ---' ���VoT��phV[kU|SP��O�/\o�\��8t�� Fo�8 3�8O�O2�o�u <br /> Building Department <br /> Date Received Phone Contact for Permitting <br /> Own er's Name Owner Phone Number <br /> Owner Phone Number <br /> Fee Simple Titleholder Name -sn own,er Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS E-5, q rp�,_Q `?",a C1\J e, -?j 0 3 3 LOT# 07f 2� <br /> SUBDIVISION F:s I i ije PARCEL ID# ()JC)6 6�%06 ()q�0 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTRR ADD/ALT SIGN DEMOLISH <br /> E5 INSTALL REPAIR <br /> PROPOSED USE = SFR COMM OTHER <br /> TYPE OF CONSTRUCTION F 7V' BLOCK FRAME STEEL <br /> DESCRIPTION OF WOR.K Fwew '51nrfle 1�wdm resijercc__ 5- Liecl L Ao <br /> \JV_ - '\J -7 <br /> BUILDING SIZE SQ FOOTAGE HEIGHT I <br /> �-�BU|U�N8 <br /> �--^ VALUATION OF TOTAL CONSTRUCTION <br /> F--lELECTR]�AL AMP �--1 PROGRESS �--1 YV.R.E.C. <br /> Zr 0 <br /> ���� � <br /> =pLUMo\No <br /> =MECHAN\CAL VALUATION OF MECHANICAL INSTALLATIONNG_Lb <br /> � « <br /> ��3' <br /> F—�G�G ROOFING F-� SPECIALTY OTHER <br /> JrHE� ~' ' <br /> -__' __- / <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �--�YES NO ' <br /> . �� � <br /> BUILDER COMPANY � <br /> SIGNATURE nso/sTsneo �.//_N_1 Fs11ounRe� y/N�_] <br /> mJumns Uoensa# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE . [�S�A CA neo/orsnso ~ FE�c�nus^ <br /> Address L|oanse# <br /> PLUMBER oo�PANY <br /> SIGNATURE nEo/eTsnso ' 'FEE CJRRtN YIN <br /> - <br /> Agumss <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED � <br /> *uumma Liconse# <br /> OTHER <br /> SIGNATURE �so/�r�nso <br /> L � N <br /> Address License# <br /> xxux � mxoxxxumuxmxxnxu � m 'Dxunx �� mm � oxxxxnmomxxxxmuxmVxxxxnxxVuuxnxn � m <br /> RESIDENTIAL Attach(4 Plot Plans;C4 sets uf Building Plans;(i)set of Energy Forms;R'O4W Permit for new construction, <br /> Minimum ten(1U)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&I dumpstar;Site Work Permit for subdivisions/large projects COMMERCIAL ftfach(2)complete sets nf Building Plans plus aLife Safety Page,(1)set of Energy Forms.R,O-W Permit for new 'construction. <br /> Minimum ten(1o)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach pV sets of Engineered p|'ano. <br /> °°°°PBOPERTY SURVEY required for all NEW construction. ' <br /> Fill out application completely. <br /> Owner&Contractor sign back nf application,notarized <br /> n over*oouo.a Notice vf Commencement isrequired. (/uC upgrades over$75u0) <br /> Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizingsame <br /> . OVER THE COUNTER PERMITTING (copy of contract required) <br /> ` Remms|fshingles Sewers Service Upgrades A/C Fonceo(P|oVauwey/Footoge) <br /> Driveways-Not over Counter ifnn public madomya'noedoROW <br /> ' <br /> � mm <br /> ` <br />