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Fo»B18��O�O�1 <br /> CdxCfZeohV[hil)sF`enO�Aop�ca�oD <br /> Building Department <br /> Date Received Phone Contact for Permitting 5to emuc�a i(W- ek orfico co m <br /> Owner Phone Number <br /> Fee Simple Titleholder Name <�n <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS LOT# C) <br /> auBownakaN PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED E5 wEwcnmsTn AoD/ALT F--� SIGN �--| �—� DEMOLISH <br /> INSTALL [_1 REPAIR <br /> PROPOSED USE SFR COMM �—1 OTHER <br /> TYPE OF - BLOCK F—� FRAME �--� STEEL \—| <br /> DESCRIPTION OF WORK �i5� <br /> BUILDING SIZE SQ FOOTAGE HEIGHT 1 7 <br /> F--�BU|LD|NG CONSTRUCTION <br /> =ELE{TRICAL AMP SERVICE �--� PROGREGSENERGY �—� YV.R.E.C. <br /> =PUJMB|NG <br /> JfA <br /> �r �� <br /> �—��ECH�N|��L VALUATION OF m <br /> �__ <br /> =8AS ROOFING �—l � SPECIALTY | | OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES, NO <br /> BUILDER COMPANY 1, Z. "V- lr�C I <br /> SIGNATURE REGISTERED <br /> | rEftcv^°e^ L_I /NLI <br /> Address License <br /> ELECTRICIAN COMPANY <br /> SIGNATURE nsa/snenso L�_L1�� FssounRsN LY2_NL� <br /> Address Liconae# <br /> PLUMBER CO�PANY <br /> SIGNATURE nEo/orseeo L`(/ N FEEcunngN L�2N I <br /> adu,aav License# <br /> MECHANICAL <br /> SIGNATURE E REGISTERED -(/'N�—] FEEcunRsx -[LL/NLJ <br /> Address Uoenve# <br /> OTHER COMPANY <br /> SIGNATURE *ea/eTsnso L�2_�_] rescunRsx L_L N_�� <br /> Address License# <br /> RESIDENTIAL Attach(2)Plot Plans;(D sets of Building Plans;(1)set of Energy Forms;n-OANPermit for new construction, <br /> Minimum ten(1O)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans wl Silt Fence installed, <br /> Sanitary Facilities&I dum pster;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 Forms.R-O-W Permit for new construction. <br /> Minimum ten(1O)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence Installed, <br /> Sanitary Peci|\tieo81 dompnter.SihaVYnrkPonnitforal|newpn4ects./A|oommeuio|requimmnntsmustmeetcompUance <br /> SIGN PERMIT Attach(o)sets of Engineered P|iano. <br /> °°"pROPEPTY SURVEY required for all NEW construction. ' <br /> Directions- <br /> FiU out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2ann,a Notice pf Commencement isrequired. (A/C upgrades over$75OV) <br /> � Agent(for the contractor)or Power of Attorne�(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Remofs\fshingles Sowers Service Upgrades A/C Fnncee(P|oVGumey/Fnotago) ' ` <br /> � <br /> Driveways-Not over Counter ifuo public roadvay».neednROW <br /> ^^ <br />