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��1���� <br /> []tVDfZeohVrhi\\g Permit Application <br /> Building Department,�Date Re8elved Phone Contact for Permitting <br /> wrier's Name <br /> Owner's Address TIP I C M .7ahvioa 33�j 3�L Owner Phone Number <br /> Fee Simple Titleholder NE me Ak— Owner Phone Number <br /> Fee Simple Title holder Address F <br /> JOB ADDRESS LeedMclvx, T_ <br /> SUBDIVISION PA�o���# <br /> . . (OBTAINED FROM PROPERTY_ TAX NOTICE) <br /> 5 <br /> WORK PROPOSED nswcomsm Ano�LT �--1 SIGN F—� �—� DEMOLISH INSTALL �_] REPAIR <br /> PROPOSED USE T--� . SFR F—� COMM �--1 OTHER <br /> TYPE OF CONSTRUCTION ' BU]Q{ F—� FRAME �---1 GTEEL F—1 <br /> DESCRIPTION OF WORK <br /> A . . ., ZI. . . . . . . . . . . . . . . . . <br /> �—�BU|U��N� <br /> �—� \�LUAT|ONOFTOTAL�ON8TRUCT|ON <br /> [--�ELEC��iCALC)bb AMP �--i PRVGRE3SENER{�� F—1 YKR.E/� <br /> __-- � <br /> =PLVM8ING <br /> 9t�. <br /> �ECHAN|�AL \�AL\N8TALLATON « ��r <br /> —_ _ �� �� <br /> �—�G/VS ���� ��ORN� �—| SPECIALTY F---1 DTHER ~ <br /> __. <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - <br /> BVVoER COMPANY <br /> SIGNATURE neo/orsnso LY2_N_ psftcunes^ LY/lN_] <br /> Address Uuenoo# <br /> ELECTRICIAN COMPANY . <br /> SIGNATURE `(!N I Fssounney L�Y_/ I <br /> Address License# <br /> PLUMBER C06ANY <br /> SIGNATURE I c <br /> REGISTERED [��] '�Ecun�x H��] <br /> Address License# <br /> MECHANICAL <br /> SIGNATURE REGISTERED " ��ll�_\ pssounnEx —[^`�/�_j <br /> Address ) Licenoe# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED FEsuunRE^ ' <br /> Addresa q Nal Fa License# <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O4N Permit for new construction, <br /> Minimum ten(1O)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans wl Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Atfach(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 onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Faci|itioo&1dumpoter,Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets ofEngineered Plans. <br /> °°°°PRQPEPTY SURVEY required for all NEW construction. ' <br /> ' <br /> Fill out application completely. <br /> Ovnor&Contractor sign back nfapp|icatiun.notarized <br /> If over$25uo"a Notice of Commencement/arequired. (/VC upgrades over*75oU) <br /> � Agent(for the contractor)ur Power nfAUoma�(fhrtheo*ner)wouNbeaomeooewithnntohzad!eUerfromovmerau8hurizinOnamo <br /> OVER THE COUNTER PERMITTING (copy of contract nequ|rad) <br /> m RSewersifnhing|an Sewers Service Upgrades A/C Femcem<P|nUGuwoyFontage> <br /> ' <br /> Driveways-Not over Counter ifon public modvaya..neodoROW <br /> ' <br /> ^^ . <br /> ' <br />