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_-_� __—_r__�________ __.._.___rr••---�•• <br /> ---- <br /> Building Department <br /> Oahe Received �7 <br /> /3Ill 4 O`7 <br /> Owners Name EaMPOL <br /> 7 <br /> -r,2pr2/1R y Owner Phone Number <br /> Owners Address L) /'L• Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee SimpleriitleholderAddress — <br /> r <br /> JOB ADDRESS �y—�� LOT# <br /> SUBDIVISION !r vcAmb0 po9V C . PARCEL Itw Z' S--21-U1 0 0- O l O DO• Q 0(a d <br /> �'-- (OBTAINED FROM PROPERTYTA%NOTICE <br /> WORK PROPOSED a NEW CONMR ADDIALT = SIGN = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK 0 FRAME = STEEL = <br /> DESCIUPTION OF WORK ILMSERLIAEMAI OF AQ0Qr-HQ()AJ(Z7,b <br /> BUILDING SIZE SO FOOTAGE HEIGHT 3 y S' <br /> BUILDING Is <br /> fe 2 'ff VALUATION OF p <br /> ELECTRICAL $ 0 AMP S FROG ERGY 0 W.R.E.C. <br /> `. = -Ive <br /> PLUMBING <br /> n q_ <br /> =MECHANICAL MEGHANICAL 1 <br /> =GAS = ROOFING 0 S CIALTY ER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO L' <br /> BUILDER COMPANY WE-Zr <br /> SIGNATURE REGISTERED Y/ N I FEECURREA Y!N <br /> Address ® License# G3 <br /> ELECTRICIAN COMPANY l <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN LILN <br /> AddressSLIM W- aP-A(AJffLicense#52 136007Y 0 <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEECURREn Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEECURl <br /> Address License# <br /> DER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEECURREA LILN <br /> Address License# <br /> 1111111111111111111111111111111111111111111111111111111111111111111 ` <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortes;R-O-W 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&1 du mpster,Site Work Permit for subdivisionsllarge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortes.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Storrnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster_Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> —PROPERTY SURVEY required for all NEW construction. <br /> Drreetions. <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500) <br /> Agent(for the contractor)or Power of Attorney(for the owner)would-be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Reroafs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if an public roadways..needs ROW <br />