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<br />11/07/2007 14:37 FAX 7273279655 <br /> <br />J & K ELECTRIC,INC <br />, BUilding Depanmenl <br /> <br />~001 <br /> <br />Owner'lI N_e <br /> <br /> <br />t2.~ I <br /> <br /> <br />Dale Received <br /> <br />JOB ADDRESS <br /> <br />Fee Simple Titleholder Addre.. I #J 'A <br />1,3010 6ccAJ <br />I <br /> <br />Ze..P~~JI"hj lieS' I Fe ~3 5'-11 I LOU I <br /> <br />PARCELIDtJld:") -a~'-.;2., -COf8-CRvoo-ca::n <br />C08TAI/WJ FROM PROPERTY TAX NOTICe) <br />SIGN D MOVE D <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />DEMOLISH <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />OTHER I <br /> <br />DESCRIPTION OF WORK <br /> <br />BUILDING SIZ!! <br /> <br />" f <br /> <br />.......T...'... <br /> <br />....... <br /> <br />rr'..................... <br /> <br />"f,,'r'.' ....... <br /> <br /> <br />D BUILDING <br />D ELECTRICAL <br />D PLUMBING <br />CJ MECHANICAL <br />0 <br /> <br />I <br />I <br />I <br />I <br />D <br />I <br /> <br />NAP SERVICE <br /> <br />D <br /> <br />PROGRESS ENERGY <br /> <br />o <br /> <br />W.R.E,C, <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />VALUATION OF MECHANICAL INSTAllATION <br /> <br />SPECIALTY D <br />FLOOD ZONE MEA <br /> <br />OTHER <br />DYES <br /> <br />DNO <br /> <br />Address LIcense # <br />MECHANICAL COMPANY <br />SIGNATURE REGISTERED Y/N FeE Cl.NIEtlT I Y/N I <br />Addr..e License 1# <br />OTHER COMPANY <br />SIGNATURE: REGISTERED Y/N FEE ~NT I Y/N I <br />Adelre.e License. <br /> <br />111111 11111111111111111141111111111111111111111111111111111111111111111111111III III J 1111.. 1111111111111111 II I I IIIIl IIIJ 111111111111111111111111111 <br />RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-o-W Permlt for new construction, . <br />M/nImwn ten (1D) WIlIklng days Ifill' IUbmIIlal dale. ReqUrld onslll. eonsl1ucllQn ~Ians, Stcnnwaler Plans wi SlII Fence Installed, <br />Slnilaly Fadlllll. & 1 dumpster, Site Work Plrmll for IUbdMslonsJIargl pRljecls <br />COMMERCIAL. Atlllch (3) I8lIl of Bullding Pl8r:lI: (1) .11 o'.Enlrgy Forms. R.o-W PlIIlIit for new construction. <br />MInimum ten (10) working days after IUbmlUaI dale, Required onslll, COnstrUcUon Plans, Stormwater Plans wi Slit Fence Insllled, <br />Sanllary FielD".. & 1 dlll11flSler, SIll WoIk P.mll for all nllW projects. All cOmmercllll requlrlll/lenlS must meel compllancl <br />SIGN PERMIT Alllch (2) .Its of E~1d Plans. <br />....PROPERTY SURVEY required for III NEW construcllan, <br /> <br />DI;"Cllons: .. .. <br />FII oul epplIcaUon complelely, <br />Owner & Contractor sign back of aPflllcadon. nol8rlud <br />If ov... $2500, a NoUe. of Commlnce_nl Is reqUired. (AIC lIPlIrlldII. over $5DOOI <br />Agenl (for the conlnlC\or) or P_ of Al\Omey (for Ihe owner) woUld be someone with nolarized letler 'rom owner authorizing same <br />'OVER THE COUNTER PERMITTING (FIO/lI of Appllca/lon Only) <br />Rlroofs s-ers Service Upgrades . AIC <br /> <br />.......... <br /> <br />......... <br /> <br />...... <br /> <br />.............. <br /> <br />........... <br /> <br />.... <br /> <br />...... <br /> <br />r.. <br /> <br />Fences (PlollSurveylFoolage) <br /> <br />Drlveways-Nolover Counter If on public ro8dways..needs ROW <br />