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�'`''""-u"z_« City of e,hYrhi\|G Permit Application Fax-8 3-780-0021 <br /> Building Department <br /> Phone Contact for Permitting <br /> Owner's Name hc-�z Inc., Owner Phone Number <br /> Owner'sAddressl (f 3S owner Phone Number <br /> Fee Simple Titleholder Nam. Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS <br /> auBoNiS|ON �# <br /> F7-c' ?-A;- V' 0110 (11hy)6 0�9() <br /> (OBTAINED FROM'PROPERTY TAX NOTICIE)' <br /> WORK PROPOSED mowcomsm F7 8oD8V]' �---1 S|GN F--1 �--1 DEMOLISH <br /> INSTALL �_] REPAIR <br /> PROPOSED USE F--1 SFR �—� COMM [---1 OTHER <br /> TYPE OFCONSTRUCTION [--�� BLOCK �—� FRAME �--� STEEL F--� <br /> DESCRIPTION OF WORK &nrp-- 2-AS eA ffi <br /> BUILDING SIZE SQ FOOTAGE al(I—HEIGHT <br /> =BU|LoiNG VALUATION OF TOTAL CONSTRUCTION <br /> =ELE[TR|CAL AMP SERVICE F---� PROGRESGENERGf F--1 YY.ptE.C. <br /> Mo <br /> =PLUMB|NG <br /> =MECHANIcAL VALUATION OF MECHANICAL|NSTALLATON / <br /> �--�G/�� [��l R�Q�|Nn �-� �p��k�LTY OTHER <br /> �--� <br /> FIMSHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE nsmISosnso ` pseounnEx <br /> Address Liconne# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE nso/aeREo ` FEE CUnnEx — �—�--- <br /> Ad4mso <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED <br /> 4uumnm Lioenne# <br /> MECHANICAL COMPANY <br /> SIGNATURE nea/orsRso �n <br /> Address <br /> OTHER COMPANY <br /> SIGNATURE �ss/e�snso <br /> �l_Y/ FEE CURREN <br /> Addmam Uoonoe# <br /> RESIDENTIAL Attach(4 Plot Plans;(2)sets uf Building Plans;(1)set of Energy Forms;R+]4w Permit for new construction, <br /> Minimum ten(1o)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Slit Fence installed, <br /> Sonivary Facilities&1 dumpnhac 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 Fo-rms.R-O-W Permit for new 'construction. <br /> Minimum ten(1n)working days after submittal date. Required onaite.Construction Plans,S1ormvat @ rP\anov�� FonceinataUed. <br /> Sanitary Fod|i�oa81dumpnto�Site Work Permit for all new po4ed�.All commwn�a|requinbmentamuet meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> **°°PRJPERTY SURVEY required for all NEW construction. ' <br /> Fio out application completely. <br /> Owner&Contractor sign back uf application,notarized `-- <br /> If over$3S00,a Notice of Commencement isrequired. (A/C upgrades over*750O) <br /> ~^ Agent(for the contractor)or Power nfAVomm�(for the owner)would ha someone with notarized letter from owner autburidn oo <br /> a ^ '`.'__'_ <br /> OVB{THECOUNTERPE0M[FrNG �mpycfoon�u�required) <br /> -' m� <br /> Romufs if shingles Sewers Service Upgrades AK} Fences(Plot/Survey/Footage) <br /> mhvoways-Notover Counter ifon public modvayaoaedoROW <br /> ' <br />