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U I ~.r I UU-VVLV VILY VI L.OtJIIJ '"IUlu I OIlIlIL ~tJtJlI"'CHIVII Building Department Date ,Received c GK\ GreeY\ ~Ih?~ Dy-- LOT# 1214 -Cf.'JOOD- 22 ~ SUBDIVISION JOB ADDRESS WORK PROPOSED o /' NEW CONSTR c=J ADD/AL T G' INSTALL D REPAIR PROPOSED USE D SFR D COMM TYPE OF CONSTRUCTION D BLOCK D FRAME DESCRIPTION OF WORK I )vlD\)I~ ~ ~-t - \A,~ BUILDING SIZE 11-7 f 4 1 I SQFOOTAGE 1/2 G:> HEIGHT I . . I . . 1 . I I . I I I I I I 1 I . 1 I 1 1 . I I I 1 I I 1 I I I I I I I I . . 1 I I I I I I I I I I I . I ~ I I I I I I I I I I I I I I I I I I I I I . I I I I I 1 I I 1 1 1 I I 1 I I 1 I I 1 I 1 I I I I I I I 1 1 1 1 . I I I . . I I I . I 1 I I 1 I . I I I I 1 I I I . . . I I 1 I . . I D D D DEMOLIsH OTHER 1'(Y\{)~\l \t)c,~.I STEEL 0 OTHER I I I" I D BUILDING 1$ '35DCO.6O I VALUATION OF TOTAL CONSTRUCTION D ELECTRICAL 1$ t;oO.CO I AMP SERVICE D PROGRESS ENERGY 0 W.RE.C. D PLUMBING 1$ ~06. (1) I D MECHANICAL 1$ /DD6.c)() I VALUATION OF MECHANICAL INSTALLATION D GAS D ROOFING D SPECIALTY D OTHER FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO 11,.........'1.11111......11....'.1111111.,111111111.......1.,11.11.11111...............1..1....1'1.,111..1........11111..,1......1111..111...1,..11 :~~~~~RE ~. ""- Address _ _ ELECTRICIAN~~ .., SIGNATURE ~.. 6 ~ ';:T · ~ Address _ _ ~~.:':T~~E ~~-., Address _ COMPANY REGISTERED ~ /+:r~~lJ~t1/~ Y / N License # I COMPANY REGISTERED 1/1~~ I FEE CURRENT Y/N COMPANY REGISTERED LIcense # I I ~tfe/l-eJd fill ~/J Y / N FEE CURRENT Y / N License # I MECHANICAL 9-~. .~. . SIGNATURE ~--' Address COMPANY REGISTERED I./}Ge I Y / N FEE CURRENT Y/N License # I OTHER SIGNATURE COMPANY REGISTERED Y / N FEE CURRENT Y/N Address 111111111111111 RESIDENTIAL COMMERCIAL License # 111111"1111""111"1"1"111111111111111111111111"1'11'1111111'11"'111111111111111111111111111111111111111111111111111111111I1 Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms Minimum ten (1 0) working days after submittal date. Required onslte, Construction Plans, Sanitary Facilities & 1 dumpster Attach (3) sets of Building Plans; (1) set of Energy Forms. Minimum ten (10) working days after submittal date. Required onsile, Construction Plans, Sanitary Facilities & 1 dumpster All commercial requirements must meet compliance. Attach (2) sets of Engineered Plans. ....PROPERTY SURVEY required for all NEW construction. SIGN PERMIT I I. I I I I ~ I I I I I I I I I I I I I . . J I I I I . I I I I I 1'1 I I I I I . I I & . & . 1 I I I . I . I ". . I I I I I I I I I I I I I I I I I I I I I I I . I I . I I I Iii I I I I I I i I I i I I I I I I i & I I . I ~ & i I . I ~ I I I I I i I I I i I i I i I j & & I 'j I . i I Iii Directions: Fill out application completely. Owner & Contractor sign back of application, notarized If over $2500, a Notice of Commencement Is required. (AlC upgrades over $5000) Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (Front of Application Only) Reroofs Sewers Service Upgrades Ale Driveways Fences (PloUSurvey/Footage)