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<br />Building Department
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<br />Owner's Name
<br />
<br />\-:Y 1
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<br />Owner'sAddress I/wLf5 GreeV' S'op~ Or ,
<br />Fee Simple Titleholder NamJ
<br />
<br />
<br />
<br />Date Received
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<br />Fee Simple Titleholder Address I
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<br />I ~153(P Gin f\v~
<br />I GrQfl d Hoy;'20\I)~ I
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<br />JOB ADDRESS
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<br />SUBDIVISION
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<br />WORK PROPOSED
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<br />~
<br />
<br />ADD/All
<br />REPAIR
<br />COMM
<br />FRAME
<br />
<br />DEMOLISH
<br />
<br />NEW CONSTR D
<br />INSTALL D
<br />PROPOSED USE ~ SFR 0
<br />TYPE OF CONSTRUCTION 0 BLOCK 0
<br />
<br />DESCRIPTION OF WORK I YnoQ\\e 'oO'f'r'\Q <je'\-- -l,'-t>
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<br />
<br />D BUILDING 1$~jOOO.60 I
<br />
<br />D ELECTRICAL 1$ [;00. c 01
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<br />D PLUMBING 1$ 5tf). 00 I
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<br />D MECHANICAL 1$ 1000. (!) () I VALUATION OF MECHANICAL INSTALLATION
<br />
<br />D GAS D ROOFING 0 SPECIALTY 0 OTHER
<br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO
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<br />
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<br />Address 1~~H'30 ~-{-\e..if+dCA LVl License # I I
<br />~~~~'i.':NltJ~n~ ~ ;~~= W:f~N "";UR",", I <!IN I
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<br />
<br />Address I License # I I
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<br />:~~::~':.E IW~ . - ~,:r;:R~~ I ru+;;&~"~~REt'l-1ikN I
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<br />
<br />Address I LIcense # I I
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<br />~I~~~~I;:L!.L,)~D~ ;~~r;:: ~7-;; "'CURREN< IG'bN I
<br />
<br />
<br />Address . . LIcense # I
<br />
<br />
<br />~;:::A~URE I ~~:: Y IN"" CURR"" Y I N I
<br />
<br />Address I License # I
<br />
<br />OTHER
<br />STEEL
<br />
<br />I
<br />D
<br />
<br />OTHER I
<br />
<br />VALUATION OF TOTAL CONSTRUCTION
<br />
<br />AMP SERVICE
<br />
<br />o
<br />
<br />PROGRESS ENERGY
<br />
<br />D
<br />
<br />W.R.E.C.
<br />
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<br />DirectIons:
<br />
<br />Fill out application completely.
<br />Owner & Contractor sign back of application, notarized
<br />
<br />If over $2500, a Notice of Commencement Is required. (AlC upgrades over $5000)
<br />
<br />Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same
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<br />OVER THE COUNTER PERMITTING (Front of Application Only)
<br />
<br />Reroofs Sewers Service Upgrades NC Driveways Fences (PloUSurvey/Footage)
<br />
<br />Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms
<br />Minimum ten (10) working days after submittal date. Required onslte, Construction Plans, Sanitary Facilities & 1 dumpster
<br />Attach (3) sets of Building Plans; (1) set of Energy Forms.
<br />Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Sanitary Facilities & 1 dumpster
<br />All commercial requirements must meet compliance.
<br />Attach (2) sets of Engineered Plans.
<br />.-"PROPERTY SURVEY required for all NEW construction.
<br />
<br />RESIDENTIAL
<br />
<br />COMMERCIAL
<br />
<br />SIGN PERMIT
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