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<br />~l.j- (~U-UULU <br /> <br />lJlty or Lepnyrnllls t-'ermlt ApplicatiOn <br />Building Department <br /> <br />rax-/;l 1 j-{ /;lV-VVL 1 <br /> <br /> <br />D~te Received <br /> <br />Owner's Name <br /> <br />Owner Phone Number <br /> <br />OWner Phone Number I <br /> <br />OWner Phone Num~r I <br /> <br />JOB ADDRESS <br /> <br />Fee Simple Titleholder Address I <br /> <br />I:~J~\ ~~\C'fY\~ * 3r3! I LOT# 13~J <br />~~ ~-\~ I PARCELID#I2:>-\~'~-:J\-\::'\.,\() -~\.(~ -('\\\C\ <br />~. (OBTAINED FROM PROPERTY TAX NOTICE) <br />CONSTR ~D/ALT SIGN 0 MOVE 0 DEMOLISH <br />. INSTALL D REPAIR <br />SFR COMM (:'-4 \~~ ') <br />OCK F. ME 0 OTHER I <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br /> <br />DESCRIPTION OF WORK <br /> <br />D <br />D <br />D <br /> <br />BUILDING SIZE I I SQ FOOTAGE \ HEIGHT <br /> <br />........:>1- I.... 111....1....... 111.1........... r..... T ~.. "' 11111..... 1111......................... 1.1...... II.............. II" I..... 111.11111.11 <br /> <br />~ /lNG ~~'-.s:L~\-\'-\ ,I VALUATION OF TOTAL CONSTRUCTION <br /> <br />~ ELECTRICAL 1$ I AMP SERVICE D PROGRESS ENERGY D W.R.E.C. <br />'. ~\<'Q. ~~\. <br /> <br />1$ I <br />1$ I <br /> <br />D ROOFING D <br /> <br />PLUMBING <br /> <br />MECHANICAL <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />GAS <br /> <br />SPECIALTY D <br /> <br />FLOOD ZONE AREA <br /> <br />OTHER <br />DYES <br /> <br />DNO <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br /> <br /> <br />'2\::>. ~) <br />BUILDER COMPANY <br />SIGNATURE REGISTERED <br />~1":~. . I~~ u""n~# ~C'\':')I\~~ I <br />ELECT COMPANY I H~,,<- ~\M-C \t-_ <br />SIGNAlUR . _ .. un - -, .: REGISTERED - ') VI N I FEE CUR""" I VI N <br />Address I I License # I \ ~ <br />PLUMBER I <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />License # <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/ N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />License # <br /> <br />OTHER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address License # <br /> <br />'"'111"'1""" ""111"1"111'"11111"'111111111111111111111111'1'111111111111111111111111111111'11"'111"1111'111111"1111'"'11'1'11"1111"'111 <br /> <br />RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Fonns <br />Minimum ten (10) WOrking days after submittal date. Required onslle, Construction Plans, Sanitary Facilities & 1 dumpster <br />COMMERCIAL . Attach (3) sets of Building Plans; (1) lIet of Energy Fonns. <br />Minimum ten (10) working days after submittal date. Required onslte, Construction Plans, Sanitary Facilities & 1 dumpster <br />All commercial requirements must meet compliance. <br />SIGN PERMIT Attach (2) sets of Engineered Plans. <br />....PROPERTYSURVEY required for all NEW construction, <br />II1IIII , IIIIIIII,~ , . II ~ I ~ ~ IIIII ~ III ~ I. III , III . I ~ I , II , II ~.~ I . 111I , ~ 111I1III , , III ~ I 1111. II11II1III , III , II1I ~ IIII ~ III , ~ ii' J I Jill i , ~ III ~ III ~ Ii, II J , I J J I j <br />Directions: <br />Fill out application completely. <br />Owner & Contractor sign back of application, notarized <br />If over $2500, a Notice of Commencement I. 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 <br /> <br />OVER THE COUNTER PERMITTING (Front of Application Only) <br />Reroofs Sewers Service Upgrades NC Driveways Fences (Plot/Survey/Footage) <br />