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�»����2 <br /> — \��yot�ephV[h\\\S Permit Application � ov�v�/ <br /> � Building Department <br /> / <br /> Date Received Phone Contact for Permitting <br /> ow er's m Owner Phone <br /> Owner's Name Number <br /> 3S Owner Phone Number <br /> Owner's Address <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> auaoK/mxOm ��^uCELm# CASC <br /> (OBTAINEb FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED mawcomsTn F7 ADD0\LT F--� SIGN F--1 �—� DEMOLISH <br /> E�' INSTALL �_� REPAIR <br /> PROPOSED USE F--1 aFm �—� COMM F--� OTHER <br /> TYPE OF CONSTRUCTION F-2— BLOOK �—1 FRAME F---� GTEELBUILDING SIZE �--1 <br /> ________ _ <br /> =BU|Uz|NG VALUATION OF TOTAL CONSTRUCTION <br /> �--|ELE�TR\��L AMP [---1 PROGR��GENE�GY F—� YV.R.E.C. <br /> ��� <br /> =PLUMB|NG <br /> co <br /> �--|�ECH�Nk�� MECHANICAL��� <br /> =GA8 F-_� 'ROOFING- [—� � GPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS CJ Za FLOOD ZONE AREA [--lYEG NO <br /> au|UosR COMPANY <br /> SIGNATURE nso/oTsneo L�LL�L_]' pssc«Rns^ L_I/N_J <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE «so/orEnso yi_N_]- FstounnEx <br /> Address Uuonsn# <br /> PLUMBER coMpamY <br /> SIGNATURE Reo/srenso �_yi_�_1 �pssICuRnsN i'y`UN_J <br /> Address License <br /> MECHANICAL COMPANY <br /> SIGNATURE neo\brsnsu FEE cmnns^V <br /> Address <br /> OTHER COMP ANY lr(tck <br /> SIGNATURE REGISTERED FEEconRE^ <br /> ' <br /> Address Licenoa# <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 ona|ba.Construction P)mns,,Gtonnvater Plans v/8Ut Fence installed, <br /> Sanitary FaciiiMea81dumpytec Site YVnrkPermit for subdivioinnv8arUopn4acts _) . <br /> COMMERCIAL Atfach(2)complete sets of Building Plans plus a Life Safety Page;(1)set uf Energy F6ims.F-O�Y Permit for new 'cmnotrmobon. <br /> Minimum ten(1n)working days after submittal date. Required onsito.Construction Plans,Gtomnvws�r Plans wVgi|t Fence in�a{|od. <br /> Sanitary FaciUboo@1dumpuho�Site YVorkPermit for eUnew pn4e�s./A|ommmen�a|naqui�manta must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ****PROPERTY SURVEY required for all NEW onnsbuoUon. - <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over*25oo'o Notice of Commencement imrequired. (AIC upgrades over$75OO) <br /> ~° Agent(for the contractor)oc Power nfAUome�(for the owner)would bo someone with notarized letter hnmpymerauth <br /> _yhzi- ,same <br /> OVER THE COUNTER PE8MDTNG �opyofoon�a�required) <br /> Rnmofs if shingles Sewers Service Upgrades A/C 'Fences(P <br /> Driveways-Not over Counter ifon public modvays'needoROW <br />