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/ i yw r).AWIh|U` 'on ,x||k1 �Irlix <br /> ■ <br /> � ' / ^ <br /> - u^ i4F /4 | ov^mnw^^wv"mv <br /> ~_ __� �� _�J Owner Phone Number L | <br /> "mm" | - | cm"�pwm"w^v�" — .1 ` ____ """w" | --------- - � <br /> _ _ __ ___ <br /> rue Simple Titleholder i � <br /> ,����� _ �_ _��_ <br /> JON �onx�wn | ° | L | | <br /> m mu*'ymx i ��--------1 1 pm <br /> �o�x w <br /> �� ��o � �� �� � ] � �� � ���' <br /> [_] wm u� �l � ~-~ <br /> pwopoom`ome [--� *n (:021.1 [_] c [____ ------'---------_ <br /> npcmpnom /nu — <br /> o c�mx L ��ucm [_/ pvxmc [__� nnso J <br /> i -- ----------— �� --- ' <br /> �� <br /> mpnnwoP*nnn | { <br /> [---- - -- | -- �-- pit) ~^ ~�~~~~-'� '-'--� <br /> omumwnsos | � _ / wmr�owmc| | wem1/r | | <br /> - n - r�-�rrr�`r`- • • rrn-rr,-r�,��^,�-rr�'r,r,-�-����� ^ <br /> tlN/�m»G <br /> , - ---| ^'^~� <br /> ���| neum/nwnrronu*Owurnucrmw <br /> __� - _ .- <br /> [_]p errmcm h H xp mooc [_ ] � <br /> L_ �muma� <br /> [7--7uc«mwuzI, IS > VALUATION o+ MECHANICAL »*r^u ^ iN r /-71,L01,44/) <br /> ' <br /> ' ' ' <br /> |__J GAS [--- ] ROOFING [ — I SPECIALTY <br /> ,__l all <br /> awSxu n/xos�svxrm�� [ uoou <br /> - zowc^n�x EAVES NO <br /> / <br /> -7-3��--1-+-1-1-1 .5-1-3.--3- 7 3 ..1 1 _^_14,»4-3_3-4-�»�_�����:������/3�;_�-�������. <br /> BUILDER I | -- <br /> SIGNATURE ---' -' —1 SIGNATURE nowp«m | <br /> _ ____ ire | v / N | ���q^^ r Y/�-/ -----' <br /> Add <br /> piumern <br /> COMPANY I_ <br /> Address <br /> MECIIANICAL <br /> SIGNATURE <br /> ] COMPANY 1 <br /> SIGNATURE <br /> Address <br /> 1111111111 1111111111111111111111111111111111111111H111111111111111 <br /> RI:SIDENTIAL Attach (2) Plot Plans: (2) sets ef aulltfing Marts; (1) set or Energy Forms; R-O-V4 Permit for nee: constiactioni, <br /> Atetimutn ten (I 0) , ..AsEktola days after submittal Mile. lie-wired onsite„ Construction Illasts. Steamy vaI Sill Fence installed. <br /> 3. Facilities A 1 chummier, Site Work Permit for subdrvisionsharge projects <br /> COWIMERCIAL Attael) 13) complete sets of Buildrng Plans plus a Life Safety Page; (1) set of Energy Forms. 14-0.W 1 Mr r•ow construction. <br /> l.liaitrnen ton (10) working days after submittal dato. Required onsite, Carstruction Ptaris, Stormwater Plans v../ Sfft Fence installed. <br /> Saeitery Facilities 5 1 derenster. Site Walt Pernet for:Olney' projects. Al comnaorcial re...vire:meats rums( meet compliance <br /> SIGN Pt:NWT kitsch (2) Sets of Engereorod Plans. <br /> 7 ' "PliOPERlY SURVEY rewired for ail NEW cenStruction. <br /> rill oat application conlpieloly. <br /> Oemer 5 Contractor sign bark of apptcatian, notarized <br /> 11 over 52500, a Notice of Commencement is required. (A/C upgrades over S7500) <br /> OVLR TOL COUNTER PERMI1TING [Front of Application Only) <br /> Driveways-Not over m~11C: ,en psl.. FOp�yri. .°=inmm <br />