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<br />vwner 5 "lame I Ke I1l1ettJ J, 'JeJl k/ If ..s <br />Owner's'Address I 3~ l(iO 18T'f tfv ( , <br />.Fee Slm~le Titleholder Name I <br /> <br /> <br />Fee Simple Titleholder Address <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />BUILDING SIZE <br /> <br />vwner t"none I\lumoer I S' /3 - 7 ca 2 - 7~9' J <br /> <br />Owner Phone Number rC1!'IIJ 3/3- 8 3"i5 - 10/3 <br />Owner Phone Number I <br /> <br />tJ~qlo Ign Ave, <br /> <br /> LOT # I 'if <br />I PARCELlD#1 OZ -2<">- 2.{ - tJo3 0 -(}()IOO-O/~O <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br />E3 ADD/ALT 0 SIGN D MOVE 0 DEMOLISH <br />REPAIR <br />D COMM 0 OTHER I <br />[K] FRAME 0 STEEL D OTHER I <br /> <br />c:..-- <br />I Y 8()AJ <br /> <br />~ <br />o <br />o <br /> <br />NEW CONSTR <br />INSTALL <br /> <br />SFR <br />BLOCK <br /> <br />i9-z... <br /> <br />I 10' <br />HEIGHT <br /> <br />BUILDING <br /> <br />\500.00 <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br /> <br />[K] <br />D <br />D <br />D <br />D <br /> <br />ELECTRICAL <br /> <br />PLUMBING <br /> <br />MECHANICAL <br /> <br />GAS <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />BUILDER <br />SIGNATURE <br /> <br />Address <br /> <br />ELECTRICIAN I <br />SIGNATURE . <br /> <br />Address I <br /> <br />PLUMBER I <br />SIGNA TURE <br /> <br />--.> <br /> <br /> <br />, AMP jERVICE . <br /> <br />" 1? 22. L" pi <br /> <br />D <br /> <br />D <br /> <br />PROGRESS ENERGY <br /> <br />w.R.E.C <br /> <br />1$ <br />1$ <br />o <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />OTHER <br />DYES DNO <br /> <br />~~-e. <br />I Y I N I <br /> <br />dwl'L-VL <br />FEE CURRENT <br /> <br />Y/N <br /> <br />License # <br /> <br />COMPANY <br />REGISTERED <br /> <br />YI N FEE CURRENT <br /> License # <br />YI N FEE CURRENT <br /> License # <br />Y/N FEE CURRENT <br /> License # <br />YI N FEE CURRENT <br /> License # <br /> <br />Y/N <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />Address <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />Address <br /> <br />OTHER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />Address <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 onsite, 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 <br /> <br />Dlrectlon5: <br />