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<br />bl,j-lbU UULU <br /> <br />lilly or Lepnyrnllls t""ermlt AppliCatiOn <br />Building Department <br /> <br />r-aX-b j,j-lbU-UULI <br /> <br />Date Rlilcelved <br /> <br /> <br />./ <br />~ ELECT ICAL <br /> <br />I <br />I <br /> <br /> <br />Fee Simple Title older Address I I <br /> <br />I\\'--\~ ~,-,,-i\\>, -=\\- ~~ I LOT# I~,; I <br />~~oo- W~:U:::~.r PARCELlD#I3'\:~~~\ -()()\C'I ~c,ffi -(:)\ 11<; I <br />~ (OBTAINED FROM PROPERTY TAX NOTICE) <br />~I\IEW CONSTR . ADD/ALTO SIGN D MOVE 0 DEMOLISH <br />~NSTALL REPAIR <br />PROPOSED USE D. SFR~D COMM D OTHER IC\\. ,~\""\.'~ <br />TYPE OF CONS UCTION D. BLO ~ D FRAME D STEEL D OTHER.I <br /> <br />DESCRIPTIONO WORK I~~~ -=- C\~. <br /> <br />I SQ FOOTAGE I ~ '-c.:> <br /> <br />1~~4.~1< I <br />1$ . \ I <br />1$ I <br />1$ I <br /> <br />o ROOFING D <br /> <br />\ \'(\ <br />Ownee. Add,.. b\.1~ \ti \2QY\ ~'<J0X ()( <br /> <br />Fee Simple Title older Nam . <br /> <br />Owner's Name <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION <br /> <br />WORK PROPOS D <br /> <br />BUILDING SIZE <br /> <br />HEIGHT I <br /> <br /> <br />BUILDI G <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />PROGRESS ENERGY <br /> <br />~ .~~:x.~~. <br /> <br />D <br /> <br />D <br /> <br />D <br /> <br />PLUMB NG <br /> <br />BUILDER <br />SiGNATURe....... <br /> <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />GAS <br /> <br />SPECIALTY 0 <br />FLOOD ZONE AREA <br /> <br />OTHER <br /> <br />DYES <br /> <br />DNO <br /> <br />ELECT <br />SIGNATUR <br /> <br />~~ License # ~~\1:)~-r\~ I <br />I~~\;-~~~)N 'F= I <br />License # I \~"\ I <br />I <br />I <br />I <br />I <br />I <br />I <br /> <br />Y/ N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />License # <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />License # <br /> <br />OTHER <br />SIGNATURE <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />License # <br /> <br />RESIDENTIAL <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 onslte, Construction Plans, Sanitary Facilities & 1 dumpster <br />. Attach (3) sets of Building Plans; (1) lIet of Energy Forms, <br />Minimum ten (10) working days after submittal date. Required onslle, 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 />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br />Directions: <br />Fill out applies ion completely. <br />Owner & Con ctor sign back of application, notarized <br />If over $2500, a Notice of Commencement Is required. (AlC upgrades over $5000) <br /> <br />Agent (for the ntractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same <br /> <br />OVER THE COUN ER PERMITTING (Front of Application Only) <br />Reroofs..- Sewers Service Upgrades AlC Driveways Fences (Plot/Survey/Footage) <br />