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<br />VllY UI L..t:fJliYIIIIII;:' ,t:lllllll-\fJfJlIL;dLlUII
<br />Building Department
<br />
<br />4t 1~u I v-, uu-uu~ I
<br />
<br />
<br />Date ReceIved
<br />
<br />Owner's Name
<br />
<br />Owner Phone Number
<br />
<br />Owner Phone Number I
<br />
<br />Owner Phone Numb~r I
<br />
<br />JOB ADDRESS
<br />
<br />Fee Simple Titleholder Addres8 I
<br />
<br />~31&\~ ~\\~ ~.r~ I LOT # I ~CS
<br />~ \-~( \ Tc;0 , PARCELlll#b'\ - ~-"'\ -CX>\b _ ()""~ ~,
<br />(OBTAINED FROM PROPERTY TAX NOTICE)
<br />
<br />SUBDIVISION
<br />
<br />WORK PROPOSED
<br />
<br />~ JdEW CONSTR
<br />~iNSTALL
<br />. SFR
<br />OCK
<br />
<br />~D/ALT
<br />D REPAIR
<br />o COMM
<br />o FRAME'
<br />
<br />o
<br />o
<br />o
<br />
<br />OTHER I'=\\~ ,
<br />STEEL 0 OTHER I
<br />
<br />SIGN
<br />
<br />o
<br />
<br />MOVE
<br />
<br />D
<br />
<br />DEMOLISH
<br />
<br />PROPOSED USE
<br />TYPE OF CONSTRUCTION
<br />
<br />
<br />DESCRIPTION OF WORK
<br />
<br />~~~~'~~. ~,~~.,. .I,....,,,..,.........,..!,.. .,~?~,~~~~~,I... ~~. ...."...,.1..., ,~~I~~~,!....."..."..",.", i.",.,.",.""""""
<br />o BUILDING I$~ \~~ \(:j()
<br />\
<br />o ELECTRICAL 1$
<br />o PLUMBING 1$
<br />o MECHANICAL 1$
<br />
<br />o GAS 0 ROOFING
<br />FINISHED FLOOR ELEVATIONS I
<br />
<br />I VALUATION OF TOTAL CONSTRUCTION
<br />
<br />I
<br />I
<br />I
<br />D
<br />I
<br />
<br />AMP SERVICE
<br />
<br />t:J
<br />
<br />PROGRESS ENERGY
<br />
<br />o
<br />
<br />W.RE.C
<br />
<br />VALUATION OF MECHANICAL INSTALLATION
<br />
<br />SPECIALTY 0
<br />
<br />FLOOD ZONE AREA
<br />
<br />OTHER
<br />DYES
<br />
<br />DNO
<br />
<br />Address
<br />
<br />
<br />PLUMBER
<br />SIGNATURE
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />COMPANy1~~} ~.b\-\y~ \-\d\"~1
<br />.EGOSTE.'O \ ('y,''',/) ~ '~E ;;;..ENT I Y 7 ffj
<br />. -=".;:;:,\.0 Lice"". ~()-:':2\\~!
<br />
<br />COMPANY II I
<br />REGISTERED Y / N FEE CURRENT _ Y / N
<br />I
<br />
<br />,
<br />I
<br />I
<br />I
<br />I
<br />I
<br />
<br />BUILDER
<br />SIGNATURE
<br />
<br />ELECTRICIAN
<br />SIGNATURE
<br />
<br />Address
<br />
<br />License #
<br />
<br />Addre8S
<br />
<br />MECHANICAL I
<br />SIGNATURE _
<br />
<br />Address I
<br />
<br />OTHER I
<br />SIGNATURE
<br />
<br />Address ~ I II...........
<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/N
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />LIcense #
<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) sell ofBulldlrig Plans; (1) SBt of Energy Forms
<br />Minimum ten (10) wol1dng day~ after submittal date. Required onsfte, Construction Plans, Sanitary Facilities & 1 dumpster
<br />' Attach (3) sets of Building Plans: (1) .et of Energy Forms.
<br />Minimum ten (10) working days Iftersubmlttal date. Required onsfte. Construction Plans, Sanitary FacllllJes & 1 dumpster
<br />All commercial requIrements mUst meet compliance.
<br />Attach (2) sets of EngIneered PI.nt.
<br />"..PROPERTY-SURVEY requIred for all NEW construolJon.
<br />
<br />COMMERCIAL
<br />
<br />SIGN PERMIT
<br />
<br />11111,1,1,1,1.1,1,111.1,1.,11'11.1.",.11.,.,..,'1.1.,.",1...1,1.,.,.1.111,.1.1.111111111111,11.1,1111.1.1111.111.1'1.1.",,1.,'1""',',1,1,1','1
<br />Directions:
<br />Fill out appllcalJon 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 Attomey (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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