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<br />813-780-ob20 <br /> <br />City ot Lepnyrnllls ~errTlIl J-\l-'l-'lIlJdUUII <br />Building Department <br /> <br />Date Received <br /> <br /> <br />~ 5- '1- .. (93i <br />Owner Phone Number 135 ~.. f ",- L1' ($ <br />OWner Phone Number I <br /> <br />Owner's Name <br /> <br />Owner's Address : <br /> <br />Fee Simple Titleholder Name <br /> <br />Fee Simple Titleho'd~Address <br /> <br /> <br />I S ca...., ! <br />oi~ it; ~ . <br />o~ 1. E.fk~.,/',.tl, I <br />~ <br />D <br />D <br />U.,Jetl <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br /> <br />ADD/ALl <br />REPAIR <br />COMM <br />FRAME <br /> <br />DEMOLISH <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />PROPOSED USE <br />TYPE OF CONSTR~CTION <br /> <br /> <br />OTHER I <br />STEEL D <br /> <br />OTHER I <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />PROGRESS ENERGY D W.R.E.C. <br />1"\0 ~n",d'~L(, QoJ"C.S>~K <br />~ l:)Ol.-\ Spe c So /-e ,re; '. <br />ID-4--Ob <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />Address <br /> <br /> <br />~.:., <br /> <br />BUILDER <br />SIGNATURE <br /> <br />Y/N <br /> <br />LIcense # <br /> <br />Address <br /> <br />J-J "....4 Ow 1AJ e ~. <br />Y I N' I FEE CURRENT I Y I N <br /> <br />License # I <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />YI N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br />Driveways-Not tver Counter if on public roadways..needs ROW <br />