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04- 06 -'11 15:19 FROM- T -204 P0004/0006 F -462 <br /> rluw. u4 /UGILUI•I IJ:u4 SLCO r. uuJluu4 <br /> alb - 700.0020 Utty of Lepnymnls ran= Hpphcauon rvM. J-seu A# . <br /> D a11 Waved '' bPhsne .. ter y, 1 <br /> �-- <br /> Own?' Nano r � _ ' . i �� .t;.. Omit Mom Number <br /> Owner's Address a) 1r .C_ <br /> .. _ , <br /> w _. 9 Owner Phan timbre 1 1 <br /> ' Fee 8Imp11 Thteheldor Nemo . - Owner Phone Number - - I <br /> Fee Simple T1WROlder Address 1 ���� i <br /> J os MOMS 1 !® 'a U s lV,d 0�"'•` 1 LOT p 1 - 1 <br /> SUBDIVISION 1 — 1 , PARCEL IBOI - -- I <br /> toatiamo mow mummy Tam mows) <br /> WORN PROPOSED ® NEW COW* Di ADO/ALT O SIGN I= Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I=1 SFR Q COMM i=j OTHER 1 -. 1 <br /> TYPE OP CONSTRUCTION ] ..'' BLOCK © FRAME STEEL ED 1 I <br /> DESCRIPTION OP WORK r.,, _ �. _ _ _ <br /> SUILPINO SIZE 1 1 SG FOOTAGE v HEIGHT 1 r <br /> I • <br /> BUILDIN 1 g,, ,�D v I V <br /> G ALUATION OP TOTAL CON57HUCTION/ vacs <br /> • <br /> [ELECTRICAL r 1 AMP SERVICE (= PROGRESS ENERGY I= W.RE.C. <br /> QPLUMBING I$ I �°5 <br /> (=MECHANICAL S VALUATION OF MECHANICAL INSTALLATION 46j1 1. ..) .. ' <br /> I=GAB [, ROOFING 0 SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS - ROOD ZONE AREA MYR) NO <br /> N — -Li/WilliaMWii1►' <br /> I" / 31011* _ �sr ►t-, s<,. Mal AM <br /> • : W!-0-7•-- <br /> D' [ � fEet ` r . .. Lhrousoll WA G It <br /> SIGNATURE REGIS EREO 1 ) Y/ N I FEECIAID ( Y I N 1 1 <br /> Awes ' 1 /Mineil 1 I <br /> • <br /> L_____ <br /> PLUMBER I R2 SIGNATURE REGISTMIEO <br /> r 1urMea ' <br /> Address I License it I I <br /> MECHANICAL I COMPANY . <br /> SIGNATURE rasaallrao 1 1 Y 1 N 1 Fee C+IJRRen I Y1 N 1 I <br /> Adores f Llaenee S I I. <br /> OTHER 1 COMPANY I <br /> SIGNATURE MEaaslenm I Y 1 N I ME Cuter 1 1 I 1M" I 1 <br /> Address 1 1 Mange* I . I <br /> • <br /> RESIDENTIAL MGM (z) PIOt Piet: (2)1411 Of Sulking Plans: (1) sal of Energy Falco. R-0•W Pemdt far nerd Cagbuc0oh,. <br /> . fMimun ten (10) wmldp days alter subenlBM dale. Required Mlle, C011511uNkm Place. $lafmwaler Plans tine SIN Pence IRSI$el. <br /> COMMERCIAL Attack (3) c sets al Building WPM Plerq pNq a Llfe SOW Meow Ppme. R434 Pant 00 new ooRSlruc BIL <br /> Mefmuln len (10)woddng dope alter sabROb) date. Receded mite. . Conseucdon Plena. IMITWsW Puns W SM Fence Insulted. <br /> SarOhry Fadddss S 1 diappOW. SIG Work Purmft Mr sI now minty. m COI Metda) ft qulvinntr mwt cowl compliance <br /> S IGN PERMIT Medi (e) sob of Engineered Piero. • <br /> • ""PROPERTY SURVEY requited for al NEW consebellon. <br /> O Peluelpel • <br /> Fa eul e0PN00011 comMeleM. <br /> Owner S Cod/actor Op era of applibellen. notarised • <br /> II over 51000, a Nadea of commencement Is required. (AjC upgrades over 07000) <br /> Agin (tor the conVac1 e) or Power of Abomsy (far the owner) would be someone web notarized 1MW from owner •upatome soma . <br /> OVER THE COUNTER PERNITTINO (Front of Appeal/on Orgy) <br /> Renato it shingles Sewers Sondes Upgrades AIC Fences (PIoNSwvey/FouISOs) • <br /> Driveways-Not over Counter If on pubIo roadways..naads ROW <br /> • <br />