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<br />Building Department
<br />
<br />I W^~U J ,.r I VV-VVL. I
<br />
<br />Date Received
<br />
<br />if 112-(
<br />
<br />JOB ADDRESS
<br />
<br />
<br />Owner's Name
<br />
<br />Owner'. Addre..
<br />
<br />Owner Phone Number
<br />
<br />Owner Phone Number I
<br />Owner Phone Numb~r I
<br />
<br />SUBDIVISION
<br />
<br />WORK PROPOSED
<br />
<br />~ ~W CONSTR
<br />o----!N-STALL
<br />D SFR
<br />D BLO K
<br />
<br />~DD/ALT
<br />D REPAIR
<br />o COMM
<br />FRAME
<br />
<br />o
<br />o
<br />o
<br />
<br />(OBTAINED FROM PROPERTY TAX NOTICE)
<br />SIGN 0 MOVE D DEMOLISH
<br />
<br />OTHER I'(......~\. ~i\1, ~
<br />STEEL 0 OTHER I
<br />
<br />PROPOSED USE
<br />TYPE OF CONSTRUCTION
<br />
<br />
<br />o
<br />o
<br />o
<br />
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<br />o 2D/NG tt:.\~\..s;., . \l I VALUATION OF TOTAL CONSTRUCTION
<br />o ELECTRICAL 1$/ AMP SERVICE 0 PROGRESS ENERGY 0 WR.E,C
<br />" --.j\\6~.
<br />1$ 1
<br />1$ I
<br />o ROOFING D
<br />
<br />PLUMBING
<br />
<br />MECHANICAL
<br />
<br />VALUATION OF MECHANICAL INSTALLATION
<br />
<br />GAS
<br />
<br />SPECIALTY D
<br />FLOOD ZONE AREA
<br />
<br />OTHER
<br />DYES
<br />
<br />DNO
<br />
<br />FINISHED FLOOR ELEVATIONS
<br />
<br />
<br />~
<br />Y/N
<br />'~ ~~ LIcense # I\. ~ C\CS ,""I ~~
<br />
<br />I~'~~~~RR~ ~~N
<br />
<br />LIcense # I \~ '\
<br />
<br />BUILDER
<br />SIGNATURE
<br />
<br />ELECTRICI
<br />SIGNATURE
<br />
<br />PLUMBER I COMPANY
<br />SIGNATURE REGISTERED Y / N FEE CURRENT
<br />Address LIcense #
<br />MECHANICAL I COMPANY
<br />SIGNATURE REGISTERED Y / N FEE CURRENT
<br />Address I License #
<br />OTHER I I COMPANY
<br />SIGNATURE REGISTERED Y/N FEE CURRENT
<br />Address I License #
<br />
<br />Y/N
<br />
<br />Y/N
<br />
<br />Y/N
<br />
<br />III' . I r 1I11 , 1111111111 . 111I J 11111 , III1111111 , 111I , 111I111 , 11I111111 A II . 1111111.' 11111111111111111 ' I I I I 111111111I1111 . I . 11I1 . II ' , 111 ' 1111 ' I ' II ' II1II
<br />RESIDENTIAL Attach (2) Plot Plans; (2) 8.It ot'SUlldlrig Plans; (1) set of Energy Forms
<br />Minimum ten (10) working days atter submittal date. Required onslte. Construction Plans, Sanitary Fac/litles & 1 dumpster
<br />COMMERCIAL , Attach (3) selt of Building Pla"s; (1) ..t of Energy Forms.
<br />Minimum ten (10) working days atter submIttal date. Required onslle, Construction Plans, Sanitary Facilities & 1 dumpster
<br />AI) commercial requirements mUlt meet compliance.
<br />SIGN PERMIT Attach (2) sets of Engineered Plan..
<br />....PROPERTY'SURVEY required for all NEW construction.
<br />11,,1.11...1.1,11.,.1,1,.1.',1,'11111.1""1,1.,1,.,.1.'.,.1'1.1,.1.'11".1.,.111"1"'11'11"1111111.,.1'1.11111111111111.,1111111111111111111, 'If
<br />Directions:
<br />Fill Ol~t application completely.
<br />Owner & Contractor Sign back of application, notarized
<br />If over $2500, a Notice of Commencement Is 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)
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