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F������ <br /> _ _-- city of \\|S Permit Application <br /> Building Department <br /> Date Received <br /> Phone Contact foit Permitting <br /> SUBDIVISIONOwn.er's Name !Tnowner Phone Number 9(0 <br /> 0c, Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS NS7 <br /> ue <br /> T (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED mEwcomsTn A�D6ALT F--� SIGN �—� [--1 DEMOLISH <br /> ff |NSTALL �_1 REPAIR <br /> PROPOSED USE �--� GFR F—� COMM [----| VTHER <br /> TYPE OFCONSTRUCTION E-2— BLOCK F—� FRAME �--� STEEL �—� <br /> DESCRIPTION OF WORK Ca- <br /> BUILDING SIZE SQ FOOTAGE�z"'M—HEIGHT <br /> =BU|LDiNG \V\LU/T7ONOF TOTAL CONGTRUC�ON <br /> F--��LECT�|��L AMP �--1 pRDGREG8ENERGY F--1 VY.R.EC. <br /> ___ <br /> [—lPLUMO|N8 ` <br /> =MECH8NI*CAL $ oue) VALUATION OF MECHANICAL INSTALLATION <br /> F--l�/�� [�r7 ROOFING OTHER[—� � SPECIALTY��� <br /> FINISHED FLOOR ELEVATIONS zi FLOOD ZONE/�EA �--lY�S N� <br /> - - - - - - - - - - - - - - - - - - - - - - - <br /> eu|LoER COMPANY <br /> SIGNATURE nse/nrsneo ` �e�conn�x <br /> E:a co,;9 C)�*o 2 <br /> Address License# <br /> sLeoTm1c|umF COMPANY <br /> SIGNATURE neo/aTEmso ` pe cunne^ — <br /> Address <br /> PLUMBER COMPANY <br /> SIGNATURE neo/areneo � <br /> . <br /> DO <br /> Address Uoonoo# <br /> MECHANICAL COMPANY <br /> SIGNATURE mes/srsneo � �- <br /> Address <br /> OTHER COMPANY <br /> SIGNATURE ne�/ars��o ��� � <br /> 4udness Ucenme# <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 aubmittaldate. Required onsite,Construction Plans Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1dumpster;Site Work Permit for subdivisions/large projects _) <br /> COMMERCIAL A��oh��nomp{�ao�sof Building Plans plus oUf S�e�Page;(1)set ofEne�yF��s.R'��Y�a�i�fornew��nn�uc8nn. <br /> Minimum ten(1O)working days after submittal date. Required onm|he.Construction Plans,Shormwa�r Plans v/Silt Fence Installed, <br /> Sanitary Fad|�es&1dump� � Wor <br /> k re <br /> quirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> *'PROPERTY SURVEY required for all NEW construction. - <br /> Directions- <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2sOn'a Notice vf Commencement inrequired. (A/C upgrades over*75OO) <br /> � Agent(for the contractor)nr Power of/ttomo�(for the owner)would bo someone with notarized letter from qx�e�r.4t4thwzi?' som§-...... <br /> OVER THE PERMITTING �opyvfoonbautneq�md) <br /> Remo�� ' on Sewers Service Upgrades A/C FonceaUqobfSumey/Footage ,`�'�� �- �`'" <br /> Drivewayp-Not over Counter ifon public roadways-needs ROW <br /> � \ <br /> � \ ' <br />