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_ ---' uilyCT/-8phvrhU\s Permit � ���oD(\�� �O � ra*u1u-/uw-.0v^` <br /> Building Department <br /> . . <br /> Date Received Phone Contact for Permitting <br /> Owner's AddressF_ii -t-r-I C r o M hc 1_71MDA 9- Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> ~ <br /> SUBDIVISION PARCELVz# <br /> (OBTAINEDF''-PROPERTYTAX NOTICE) <br /> WORK PROPOSED wewcomsrn ADD�l� F---1 S|GN [--1 F-� DEMOLISH <br /> | | INSTALL �_\ REPAIR <br /> PROPOSED USE �-� ' oFR F-� COMM F--1 OTHER <br /> TYPE OF CONSTRUCTION BLOCK �-1 FRAME �---7 GTEEL F--1 <br /> F--� <br /> �_�BU|LDINGr coo I <br /> VALUATION OF TOTAL CONSTRUCTION <br /> �--) GOENE��Y �-� VYR'E <br /> r--�ELE[TR|[AL AMP SERVICE P���RE . .0. <br /> =PLUMB|NG <br /> e�~ <br /> �-�K�ECMAN|��L MECHANICAL <br /> ^_�^ VALUATION �� �� v . <br /> [--�GAG [-Y ROOFING F-l � SPECIALTY | | OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED psscunRE^ LY2 N_J <br /> Address Uvnnao# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE nea/ursnEo LY/_N_] pssoonnsx L_l��L� <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE � C) - <br /> ne�/��so ���J 'r�uunn� L�N � w <br /> Address License# <br /> MECHANICAL <br /> SIGNATURE E REGISTEREDv ��yll« \ pEsounnsx -ff'\YlN _J . <br /> Address � License# <br /> —7 <br /> OTHER <br /> SIGNATURE neo/srssso [`1/_k ] Fcsounnsx ['y/lN_�� <br /> Address 3 Ng,1 3111, License# <br /> n u x u x u x m n u x u x x n u x m m x x x u `m x x x x x�u x x x x x u n x x n u u x x u K m x u x K m w x x u m m x u n u m o x x x <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(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans wl Slit Fence installed, <br /> Sanitary Facilities&I dumpster;Site Work Permit for subdivisions/large projects <br /> oQ0\KKERC\AL Atfach C2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new 'construction. <br /> Minimum ten(1O)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Slit Fence installed, <br /> Sanitary Facilities&I dumoster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ~~°PROPEFr[Y SURVEY required for all NEW construction. ' <br /> Fill out application completely. <br /> Owner&Contractor sign back nf application,notarized � <br /> If over*usVV'o Notice nf Commencement isrequired. (AIC!upgrades over*750V) <br /> � <br /> Agent(for the contractor)or Power ofAttnno�(fordhoovnwr)vmu|dbaonmoonmoithnntahzad|etterhomommorauthuhdnQmame <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Ramofs\fshingles 8mwara Service Upgrades /VO Foncon(P|ohSuwey/Fnotage) <br /> Driveways-Not over Counter ifon public madvaya'noedeROW <br /> � ` <br />