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_ '_ cit <br /> y t/ ofZaohY[hi\\sP8rmit AopU � ��i����C� �O <br /> Building Department <br /> Date Received <br /> �hone Contact for Permitting <br /> Owner's Name Owner Phone Number <br /> ri V, RY-4m I. : _ _ <br /> Fee Simple Titleholder Name Owner Phone NumberFee Simple Titleholder Address F <br /> ' <br /> LOT <br /> JOB ADDRESS <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR F7 ADD/ALT SIGN DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR COMM OTHER <br /> -TYPE OF CONSTRUCTION BLOCK FRAME STEEL <br /> DESCRIPTION OF WORK <br /> .BUILDING SIZE SQ FOOTAGE HEIGHT <br /> �—�BU�DV�� <br /> �—� VALUATION QFTOTAL COmsTuucrmw <br /> �--�ELECT�CAL AMP F--1 PROGRE8G�NERGY �--1 YY�<�.C. <br /> _�_- <br /> [--lpLUMBUNG <br /> � <br /> �--|�ECH�Nk�\ MECHANICAL <br /> �__- <br /> �—��AS F��| ROOFING �—l � SPECIALTY �---1 �THER <br /> ___ <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YEG NO <br /> BUILDER COMPANY <br /> SIGNATURE msa/aTsnEo [_y/_�_]' rEEounssx L_YLN_] <br /> Address License# <br /> sLecTR|u\4m COMPANY <br /> SIGNATURE msGmrsnEo _y`/ «�']' FsEounnsN I_YIN _\ <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE o neo/oTenso 'rssICunnsN <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE nsaeTsnEo rftEcunnENV <br /> Address <br /> OTHER COMPANY <br /> SIGNATURE a _y/ N_I Fsscunns^ <br /> ' <br /> ` <br /> Address License# <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(1O)working days after submittal date. Raquiradunaiha,CunstrucUonPbns"DhnnnvaterP\onovWGi|tFonoo\nota\|ed. <br /> Sanitary Facilities&1 dumpstec 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���for new�mnnbac§nn, <br /> Minimum ten(1O)wmdki ��working da <br /> te. Required ona|to.ConotrucU 8tnonp|ane. erP\anovl�UtFonca\notaUad. <br /> Sanitary Facilities&I dumpster.Site Work Permit for all new projects.All commercial requirements*must meet compliance <br /> SIGN PERMIT Attach(2)setsof Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construction. ' <br /> Fill out application completely. <br /> Owner&Contractor sign back o[application,notarized . <br /> It over*2sun.a Notice of Commencement iorequired. (Vo upgrades over$75UU) <br /> Agent(foxthecmnbootodorPovmrofAttoxno�(fbrthonwnmjwmu|dbeoomnnnovithnotahzod}otterfrnn\'pvner authorizing.� same <br /> OVER THE COUNTER PERMITTING (copy nf contract required) <br /> Remnfs if shingles Sewers Service Upgrades A/O Fences(P <br /> ~~~~'~x^ ~~~u` <br /> Driveways-Not over Counter if on public roadways..needsROVy <br /> . <br /> ' <br />