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s�s-�so-oozo City ot Lephymills F'ermit App�ication rax-ts�s-iau-uu�i <br /> Building Department <br /> Date Re�eived w �� l�-%� phone Contact for Permittin �� 3 '7 �$ _ 3 j y C <br /> Owner's Name N �"/`— L, C. G_ Owner Phone Number <br /> �!'/ a.-� c q c, . _ - 3 � <br /> Owner's Address Owner Phone Number <br /> Fee Slmple Titleho�der Name Owner Phone Number �— <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS P ' �4� S ,II q L+lc I✓� �lt ✓,� j� LOT # � <br /> SUBDIVISION , PARCEL ID# - � ".ZJ - OC/3Ci `" (��CX.� "' �(y� <br /> (08TAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR 8 ADD/ALT [� SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM �� OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME �� STEEL � <br /> DESCRIPTION OF WORK /¢��t� �t( �Ir �-,� <br /> BUILDING SIZE SQ FOOTAGE �] HEIGHT <br /> OBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL �$ j 6� AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> l�� , j�'t'' <br /> QPLUMBING $ <br /> [�MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE _ REGisTEttEn Y/ N FEE CURRE� Y/ N <br /> Address ' License # �- —� <br /> ELECTRICIAM COMPANY �� ��f��.�I I I r�,�-r/ L <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address /, � � ' �=' ,,3,�s�� 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 UCense # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # � <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-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 Facillties & 1 dumpster; Site Work Permit for su6divisinncna�na .,��to�r� <br />