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- '--- LxlyCT /epriV[hU|e Permit Application Fox-8 3-780-0U21 <br /> Building Department <br /> BUILDING SIZE SQ FOOTAG,EjE&59kf�_HEIGHT 1 Phone Contact for Permitting <br /> Owner's Name �nr owner Phone Number E-o - <br /> Owner's Address 3�_ Owner Phone Number <br /> -Fee Simple Titleholder Name sn Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOBADDRESS LOT# Ek# <br /> _J <br /> SUBDIVISION PARCEL In# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONST ADD/ALT SIGN DEMOLISH <br /> INSTALL RE REPAIR <br /> PROPOSED USE SFR COMM OTHER <br /> TYPE OF CONSTRUCTION BLOCK FRAME STEEL <br /> DESCRIPTION OF WORK <br /> rawN <br /> ' <br /> =BUILDING VALUATION OF TOTAL CONSTRUCTION <br /> �-�EL�[�g\C�L AMP �-� PROGRE8SENERGY �-� w�R-E/� <br /> ___ <br /> �--�PLU�B|NG 1~- <br /> �-� <br /> C)7 <br /> �--|�EcM&Nk�� MECHANICAL <br /> �-� ,"�""''"'`"' ','��""`' ' ujmi^- <br /> �-�GAG �-�� ROOFING F-� � SPECIALTY OTHER <br /> �--� <br /> ���� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY fr� <br /> SIGNATURE REGISTERED LY/ N FEI'--ounREx LILN _J <br /> Address Iz License# <br /> ELECTRICIAN Co�PANY <br /> SIGNATURE REGISTERED [Y/ N ] ' FEEoUnnEN [l7 NL| <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE nee/mrsnso [_`h,x 'FEEounnItx [ Yi/N ] \IJ <br /> Address License# <br /> MECHANICAL <br /> SIGNATURE [{N_ FEEounnsx -[,`Y/N�1 <br /> Address Ucnnnn# <br /> OTHER COMPANY <br /> SIGNATURE ncoanemso [_yi_� � psscunRsx *[_Y/NP <br /> »ddrass Uooneo# <br /> x m x x x u n m x x x x w u x u x n m o n x x`m u n o u m-x V x u u n I u x x n u I n o x x I m u x I u m x u x I I x o x n V I x x x <br /> RESIDENTIAL Attach(2)Plot Plans;U4 sets of Building Plans;(1)set of Energy Forms;R-O4N Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans, Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1dumpstar;Site Work Permit for aubdkjo|ons8onQeprojects <br /> COMMERCIAL /Vfach(2)complete sets of Building Plans plus o Life Safety Page;(1)set of Energy Forms.F+O4w Permit for new cmnotrnctiun. <br /> Minimum ten(1O)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpatnc Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plena. <br /> °°"PROPERTY SURVEY required for all NEW construction. ' <br /> Fill out anpUcationcompletely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2sVo.a Notice cf Commencement iarequired. (A/C upgrades over$7500) <br /> ~^ <br /> Agent(for the contractor)or Power of Attorne�(for the owner)would be someone with notarized letterfrom owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Remofsifshingles Sewers Service Upgrades A/C Fanmm(P|oUGumey/Fnotage) '. <br /> Driveways-Not over Counter ifon public madvayo..needsROW <br /> `^ ^ <br /> ` <br /> ` ' <br />