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Fa�813�8V�O21 <br /> uItyDf \\ PermitAopUca�OD <br /> ' <br /> Date Received Phone Contact for Permitting <br /> Owner's Name nc- Owner Phone Number <br /> Owner'sAddress� ISMmpa,ft-343�—Own.r Phone Number <br /> owner Phone Number F <br /> Fee Simple Titleholder Name <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS -Z, T# <br /> ' <br /> auBowmxOm 'u# <br /> WORK PROPOSED wswcowsTn F7 ADDIAJZ' �--� SiGN �—� �--1 DEMOLISH <br /> INSTALL L_\ REPAIR <br /> PROPOSED USE �—� aFR �—lComm [--� OTHER <br /> TYPE VFCONSTRUCTION BLOCK F--� FRAME [---| STEELBUILDING SIZE SQ FOOTAGE HEIGHT <br /> DESCRIPTION OF WORK 49na-, <br /> ' <br /> =RU\LoING VALUATION OF TOTAL CONSTRUCTION <br /> F--lELE[�R\C/� �NPGERVi�� [--� PROGRESS �--� VY.R.E.C. <br /> ���� <br /> =pLUMB|NG $ <br /> F--lMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> [--lGNS ROOFING F—l � SPECIALTY �---\ OTHER / <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YEG NO <br /> - - - - - - - - - - - - - - - - - - - - - - - <br /> BV|LoER COMPANY <br /> SIGNATUREREGISTERED �O�]' FEE cURn N [��] <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> 8|G0AJDBE nso}orenEo ` FEEoonnsN — YIN I <br /> Address <br /> PLUMBER COMPANY <br /> SlG0/Q�JgE o nso/aTsnEo Y N I 'pesICuRnEx TIN <br /> Address Livonaa# <br /> MECHANICAL COMPANY <br /> SIGNATURE (0.7 <br /> REGISTERED <br /> Address <br /> OTHER COMPANY <br /> SIGNATURE nsG|oTsnso psscumRe^ <br /> ILCA ddress License# <br /> RESIDENTIAL Attach(2)Plot Plans;(2)onts of Building Plans;(1)set of Energy Forms;R,O-m/Permit for new construction, <br /> Minimum ten UO>working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence Installed, <br /> Sanitary Facilities&1 dumpatan Site Work Permit for subdivisions/large projects ) <br /> COMMERCIAL A��ch<2>complete s�sof Building Plans plus aUfeGa��Page;(1)n��of Energy Pv��_a.R,0-�/�u�8 for new cono���on. <br /> K�|nimumten(1O)wnd0ng days o��rsubmida|d�o. Raq�redonsde.Connhuo8o P} Stormwater Plans v/gilt Fence installed, <br /> Sanitary Facilities&1 dumpohor.Site Work Permit for all new projects.All commercial mquirhments�must meet compliance <br /> SIGN PERMIT Attach(2)sets uf Engineered Mks. <br /> °°**PROPERTY SURVEY required for all NEW construction. ' <br /> Fill out application completely. <br /> Owner&Contractor sign huoh of application,notarized <br /> If over$25o0,a Notice o,Commencement}srequired. (AC upgrades over$75VO) <br /> Agent(for the contractor)or Power ofAttorney(for the owner)would bo someone with notarized letter from owner authurizin same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Ramofsifshingles Sewers Service Upgrades A/C Fonueo(P|o#Guwey/FootaQo) <br /> Driveways-Not over Counter ifon pubUomodwmyo..neudn ROW <br /> / <br />