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<br />Date Received <br /> <br /> <br />1)Au <br /> <br /> <br />tlUllolng UepC:llllllt::1Il <br /> <br />':)', M', \- r; <br /> <br />Owner Phone Number 'Yt S <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />Owner's Name <br /> <br />Owner's Address <br /> <br />"\A~(l y(l <br /> <br />I ~-g'90b Df\()6~ <br /> <br />I~k(,- (ol~J\f f:.srS I <br /> <br />D NEW CONSTR I2J ADD/AL T <br />D INSTALL CZJ REPAIR <br />PROPOSED USE D SFR 0 COMM <br />TYPE OF CONSTRUCTION D BLOCK 0 FRAME <br />'--T' <br />i"vt '0 rc- <- <br /> <br />BUILDING SIZE SQ FOOTAGE I I HEIGHT I <br />'-""111""'111""'111""'1111111"1111111111"1111...""11111"."11111111'1111"'1111"1"1"1111"111'I"lllllf'IIIIIIIIIII'IIIII'IIIIIIIII' <br /> <br />Le.to~F h.((s PI S 3.s-VCJ <br />fld it: ~<1 "'Z- H -Pt :5~ LOTti I Bq <br />PARCELID#13 b 8-.5" ~I OO(v ((S{)O OOoD <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN D MOVE D <br /> <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />D <br /> <br />D <br />D <br />o 'f <br /> <br />DEMOLISH <br /> <br /> <br />OTHER I <br />STEEL D <br /> <br />~ <6 <br /> <br />OTHER I <br /> <br />0 BUILDING <br />0 ELECTRICAL <br />0 PLUMBING <br />0 MECHANICAL <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 /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />f}OC <br /> <br />BUILDER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />YI N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />ELECTRICIAN I <br />SIGNATURE , <br /> <br />Address I <br /> <br />PLUMBER I <br />SIGNATURE <br /> <br />I <br /> <br />License # <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />License # <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />Y IN " <br /> <br />Address <br /> <br />MECHANICAL I <br />SIGNATURE <br /> <br />License # <br /> <br />COMPANY <br />REGISTERED <br /> <br />Address <br /> <br /> <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />OTHER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />LIcense # I <br /> <br />r~p(C+C fZOoFVUq- <br />I CfJI N I FEE CURRENT I Y I N <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br />Fences (Plot/survey/Footage) <br /> <br />Driveways-Not over Counter If on public roadwaysuneeds ROW <br />