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<br />o 1,)-/ ou-vu,u <br /> <br />~lty or Lepnyrnllls r'ermll AppllCallOIl <br />Building Department <br /> <br />r d"-O J .)-{ ou-uu, I <br /> <br />Date Received <br /> <br /> <br />'\::: \ <br />Owner'sAddress I'~,-\~~~\(\~\~Q\\ <br />Fee Simple Titleholder NamJ <br /> <br />Owner Phone Number <br /> <br />OWner Phone Number I <br />OWner Phone Numb~r I <br /> <br />OWner's Name <br /> <br />JOB ADDRESS <br /> <br />I <br />I <br /> <br /> <br />Fee Simple Titleholder Address I I <br /> <br />~\\\\~~\Q~~~~O .. I LOTN I~ I <br />1\~ \\:i ~ICd . PARCELI..I?:i\~&:r.>~\ ~tn\C\ -Q~~ll~ <br />~ ~ (OBTAINED FROM PROPERTY TAX NOTICE) <br />EW CONSTR . ADD/AL T D SIGN 0 MOVE D DEMOLISH <br />INSTALL REPAIR <br />D SFR OMM I\-:\\I':;m,{~"'( "'\ <br />CK RA E 0 OTHER I <br /> <br />~ <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />DESCRIPTION OF WORK <br /> <br /> <br />BUILDING SIZE <br /> <br /> <br />BUILDING <br /> <br />~LECTRICAL <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br />& <br />~. AMP SERVICE D PROGRESS ENERGY <br /> <br />I <br /> <br />S\\L~ <br /> <br />D PLUMBING <br /> <br />D MECHANICAL <br /> <br />D GAS <br /> <br />:: <br /> <br />1$ <br />D <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />,Joe.. _ <br /> <br />ROOFING <br /> <br />I <br />D <br /> <br />SPECIALTY D <br />FLOOD ZONE AREA <br /> <br />OTHER <br />DYES <br /> <br />DNO <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />~~~~f),~~~~~ <br /> <br />.4@lb License # I~)~ \\~~ I <br />1~~f\~~U~T~ Y/N I <br /> <br />License # I \~ 1 I <br />I <br />I <br />I <br />I <br />I <br />I <br /> <br />Address <br /> <br />Y / N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />License # <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />License # <br /> <br />OTHER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/ N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />License # <br /> <br />P""'"111111 <br /> <br />1111'" 1111111111111111111111111' 11111111" I" 1'111111111111111111" I' "" 111111' III" 1'111111111111""""'" 1'11111111111'" II , <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) set of Energy Forms. <br />Minimum ten (10) working days after submittal date. Required onslte, 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 />I I ~ I . . I I I I I I I I ~ I I I I I I ~ I ~ I I ~ ~ I I I I I I I I , I I I . I I I I . . . .. I I I I I I I . I I I . . I I I I I I I I I . I I I I I I I I I I I I I I II I I I , I I I I I I I ~ ~ ~ ~ I I I I I I I I I ~ j I I I I I I I I I I I I I I I ~ I II I I I I I I I , I I I I <br />Directions: <br />Fill out application completely. <br />Owner & Contractor sign back of application, notarized <br />If over $2500, a Notice of Commencement Is required. (Ale 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) <br />