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-~ ..~ .~�. uttyDfZeOhV[hi\i8 Permit/\op\}cati Fo�813�8�0O2iOn <br /> Building Department <br /> Date Received Phone Contact for Permitting <br /> Owner's 14 -b R AM rx owner Phone Number ct <br /> ame <br /> Owner's Address -'re I e rn D9. 'DK 7annoa 3 3 3�L Owner Phone Number <br /> Fee Simple Titleholder Name :sn Owner Phone Number <br /> Fee Simple Titleholder Address <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTRR ADID/ALT SIGN DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSEDUSE SFR COMM OTHER <br /> TYPE OF CONSTRUCTION BLOCK FRAME STEEL <br /> DESCRIPTION OF WORK '14 E <br /> BUILDING SIZE SQ . <br /> i_]8U|LDING VALUATION OFTOTAL <br /> �-�EL��[RC�� ��PGG�MCE �--� pROG�E8oENERGY | \ YY.R-E{� <br /> �_� <br /> [---\PLU�B|�� "\ <br /> ---' <br /> �--l�ECM&Nk�AL ~`�� <br /> �--/ ""��"''~'`^' '~�~^^`'~�^`~^~-^'-�- ���u <br /> �—�GAo F-�' ROOFING | | SPECIALTY � ] OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA F--lYES NO <br /> ou|uzBm COMPANY <br /> SIGNATURE nso/rrsnEo LY/_N_l r[EtcumRE^ L_Y/ �_| <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE nso/sr�nso L_Y _N_ I rseounnex L_Y-/N _| <br /> Address JAblIA4 S 2 License# <br /> PLUMBER COMPANY <br /> S|GNATURE nso/arsnEo LY2_N_] 'psscunnsx L NL� <br /> Address License# <br /> MECHANICAL <br /> SIGNATURE REGISTERED ` ���.�_] FsEcunnex <br /> Address Licanoo# <br /> OTHER COMPANY NC_Tyr"w <br /> SIGNATURE nsa/orsneo [_y�_�_] Feecunnex L_LLNL_J-J <br /> ' <br /> A ddress License# <br /> mnuxxxmmxuo � mmxxxmmxxxu � mxxxmnxxxxxmmxxxuuxxuxxxuuuuwxuuxunnnuxxxnx <br /> RESIDENTIAL Attach;4 Plot Plans;(2)sets of Building Plans;(1)set nf Energy Forms;R-O4N Permit for new construction, <br /> Minimum ten(1V)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(2)oomp|nha sets of Building Plans plus a Life Safety Page;(1)set nfEnergy Forms.F-D4N 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 dumoeter�Site YYohbPermit for oUnew pn� �e� .All onmmenja|noquinyman�must me��compliance <br /> SIGN PERMIT A�adn(2)n��of Engineered P|aoo. <br /> ^°**PROPEFTY SURVEY required for all NEW construction. ' <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,nobahzod _ <br /> If over*2sou,a Notice qf Commencement isrequired. (A/C upgrades over*75OV) <br /> � Agent(for the contractor)or Power of Attorne�(for the owner)would be someone With notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy ofcontract required) <br /> Romofs if shingles Sewers Service Upgrades A/C Fances(P|oVSurvey/Footage) <br /> Driveways-Not over Counter if on public madways..neeUm ROW <br />