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<br />OWNER'S N~~b. clChrt <br />JOB ADDIWJ~. m<ADlO\.uo'OOl Loop <br />LEGAL DESCRIPTION: LOT (S) -!J ~~I~ BLOCK <br />PARCEL ID' ~-~-~o-q)O 10BTAIN <br /> <br /> <br />PHONE CDN'l'ACT FOR <br /> <br />WORK PROPSED: ONEW CONSTRUCTION o ADDIT'ION DALTEAATION o REPAIR o INSTALL <br /> o SIGN o MOVE 0 DEMOLISH <br />PROPOSED USE: OSGL FAMILY DWELLING OMULXI-FAMILY O. OF UNITS o MOBILE HOME <br /> o COMMERCIAL o INDUSTRIAL o SWIMMING POOL o OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />D!!:SO!~!ON or WO!U': ~~or ~ <br />BUILDING SIZE SQUARE FOOTAGE HEIGHT _ <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEEREb PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />& (1) SET ENERGY FORMS. <br />FORMS. <br /> <br />~UILDING <br />o ELECTRICAL <br /> <br />s--kSSo - <br /> <br />PERMIT$ RBQUESTED <br /> <br />CD 0'1 of Ll (:'- <br />.~ - <br />'i.<-p ~I~\ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o <br /> <br />Progress Energy <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCI< <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />~ ",00' w"' """0 m~' I <br /> <br /> <br />~~~ <br /> <br />STATE CERT OR REGIST JI c.GCP~~ L <br /> <br />BUILDIlR <br /> <br />SIGNATURE <br /> <br /> <br />**.~*..**..*.*+...*.**.**.**...****~...***.***.***...*............ <br /> <br />1lLB:C'1'1UCIAN <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST . <br /> <br />.............**.**.**......**...........**.........**............. <br /> <br />PLtlMIUR <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE eERT OR REGIST JI <br /> <br />M1tCHANtCAL <br /> <br />**............................................................**.. <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST . <br /> <br />***...*****.*........*....**********..*************************** <br /> <br />OTHJ:R <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST . <br />