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a�s-7ao-oo2o City ot Lephyrhilis Nermit Application � i r��Z raX-�,,�-�au-uuz� <br /> Building Department l � <br /> Date Received 2 �t U r � r <br /> Phone Contact for Permlttin b _ b <br /> Owne�'s Name "' IV 1►'� �S Owner Phone Number — �(? L � V <br /> Owner's Address �� � l. � �� . C�L � Owner Phone Numbe� <br /> Fee Slmple Titlehoider Name �— Owner Phone Numbar �— � <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS � S � {S � II�,�I.• Z LOT # � � � <br /> SUBDIVISION �' (. �1 C� , PARCEL ID# ��2 Z `O - �� — <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR 8 ADD/ALT � SIGN Q [] DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME [� STEEL Q <br /> DESCRIPTION OF WORK S� � L� C �(J � � <br /> BUILDING SIZE �— SQ FOOTAGE �� HEIGHT <br /> BUILDING $?/f u�� VALUATION OF TOTAL CONSTRUCTION <br /> Ju v <br /> [I�ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY �] W.R.E.C. <br /> 1�PLUMBING $ <br /> �MECHANICAL �—� VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> i <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ FEE CuW�E� Y/ N <br /> Address License # � —� <br /> ELECTRICIAN COMPANY <br /> 51GNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N � <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # � <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address <br /> License # � <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of Buiiding Plans; (1) set of Energy FoRns; R-0-W Permit for new construction,. <br /> Minimum ten (10) working days after submittal date. Required onsite, Constructlon Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary FaciliUes & 1 dumpster; Site Work Permit for subdivisionsAarae nrniwr.tc <br />