Laserfiche WebLink
Fa»818�8V�O%1 <br /> [1ty of ills Permit Application <br /> Building DepartmentDate Received Phone Contact for Perpitting <br /> Owner's Name <br /> Owner's Address Fj_ifzo�, ieA rCMX 7� 3S Owner Phone Numb er <br /> Fee Simple Titleholder Name 1 �30w"V_ Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS LOT# <br /> aUuDm0(oN im# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED mpwoomsTx F7 ADDIA]` �---1 S\GN F--\ [--1 DEMOLISH <br /> [�) INSTALL �_� REPAIRPROPOSED USE SFR COMM OTHER <br /> TYPE OF CONSTRUCTION BLOCK FRAME STEEL <br /> BUILDING SIZE -_.FOOTAGE . <br /> =BUILDING rz— VALUATION OF TOTAL CONSTRUCTION <br /> [--� PROGRESS | | YYR�C <br /> �--lEL��TR\��L �*PG�F�10E �__� �-_� . . . . <br /> ���` <br /> [--lpLUMB\NG <br /> =MECHAN|CAL VALUATION OF MECHANICAL INSTALLATION <br /> =mA8 r��� ROOFIN' �-� � GPEC|ALTYF---1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YEG NO <br /> au|LoBR COMPANY nc <br /> SIGNATURE REGISTERED LY-Ll� FEE:u««E^ L-Y/N_� <br /> ^uu,aas uoanoo# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE Rso/mrEReo L�2_l�� pssounnex L_Y/NL� <br /> Address u * <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED [Y N FEE 13UnnE^ LYINLI <br /> . <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE nsa/orsnso ` [_`�[�_� F�EounREN» L_I/N_� <br /> Address Ucense# <br /> OTHER COMPANY <br /> SIGNATURE nso/orsneo L��_�_� psEounnEx LY2NL�] <br /> Address Uonnnv# <br /> RESIDENTIAL Attach(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. Required nnn\0e.Construction P|ons,,Sbonnvater Plans w/Slit Fence installed, <br /> Sanitary Faci\itims&1dumpstoc Site Work Permit for subdivisions/large projects _} <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Perrrit for new construction. <br /> Minimum ten(1o)working days after submittal date. Required onnite,Construction Plans,Stormwater p\anov/q\\t Fence Installed, <br /> Sanitary Facilities&I dumpster.Site Work Permit for all new projects.All commercial requirbment5 must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ==PROpERTY SURVEY required for ail NEW construction. ' <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2aoo'a Notice of Commencement iorequired. (VC Upgrades over$750O) <br /> m Agent(for the contractor)or Power ofAMumm�(for the owner)would ho someone with notarized letter fe�M owner n� h authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Romufs if shingles 8cwers Service Upgrades A/C Fences(P <br /> Driveways-Not over Counter ifon public modways'naedaROVY <br /> . <br /> ' <br />