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813- ��� Ci of Ze h rhills Pe►mit <br /> � a � y� ry p���APPlication F�x���-�eomz� <br /> � Deb RaciNad � <br /> / I! 1 1 1 1 1 �e CO(ltatt fq P�fIM�t�q - <br /> , 111 <br /> Uwners Nune ' Ownx Pl�on� Numb�r � <br /> \ <br /> Ovmer's Address Owrwr Phone Nun+bsr <br /> Fse Simple TitlM�Wdar Nams N 1 Owna PhqM Mnnbv �� <br /> Fas Stmpie TitledWder Addroas <br /> JOB AD�RESS LOT N �+� <br /> 1 <br /> sueaws� Parx�� wr � - 1 • , <br /> coe.,u►�n �ac« r�ovc�,v T�x Hor�► <br /> waRn �u (,� /�w corsrR 8,ano,a�r (� sic� 0 p o�isH <br /> l�d' ir�snu.i �n� <br /> PROPOSED USE �� SFR Q COMM Q OTHER � <br /> TYPE OFCONHTRUCTION Q BLOCK Q FRAME Q STEEL <br /> DESCRIPTION OF NIORK � <br /> BWIDING 91ZE �� ` X 3�� SG FOOTAGE � lf6GHT � <br /> UILDING SO �(p VALUATION OF TOTAL CONSTRUCTION� � O� � <br /> ��TR��� S AMP SERVICF �� PROGRESS ENERGY Q W.R.E.C. <br /> �PLUM8ING s � <br /> - ECNANIG4L S VALUATION OF MECMANiCAL INS'TALLqTIpW <br /> ,� f l71 <br /> Q� Q ROOFING Q SPECWLTY Q OTHER <br /> FINISHED FLOOR ELE1/ATIONS ROOD 20NE AREA QYE$ O <br /> e�� � �P,� (��l�er Nlob`► �1 om2 <br /> SIGNATUR£ �t� rt�c�t�aeo N FEE cuaREr. I N <br /> �...m � r o 3Zo53 �� � (TN 1 — o�� } (� — I <br /> ELECT�GAN J,-7 ' � I� C�IPANV � <br /> $ICiNp7URE C_(�4�SL �c�sT�o — L� �� Y N <br /> �m•� � ti�.n rh� 1 �� �_P.-�o � Z9 t a — I <br /> Plt1MBER / COMPANY �� <br /> 81GNATURE G'�'� R�wsrEa� N �E c�n Y N� <br /> � tU1n� �o3rd Z��r3 ��,* 0 <br /> MECWWICAL CONPAM1f `� T1Il.� —� <br /> SIt3NATURE r�cisrErteo Y N �E Rae. N <br /> Ad�ress t � Licence �[ W�� � <br /> OTHER COMIPANY �— <br /> 81Ci�lATURE aEC�r�n Y! N � cuq�r, Y! N <br /> � Lieense � r � <br /> IIItIt111111111/1111111111111111 <br /> RESlDENTIAI. Attach (2� Pbt Plans: (2) secs W BuIIdnH Plar►s; (11 set of Er�er� Forms: R-O-W Pertnd for naw caisbur.yion, <br /> MAnimun ten (10) wakinH d�s aRer su6milW dele. ReQui►ed onsite. Ccnstru�ion Plans. Stormwater Plans w! Sdt Ferce �stalled, <br /> Senitary FeCAiGes & 1 dun�ter; Site Work Partnit far � p�y� <br /> COMMERCIAL Attaeh (3) canWefe mIS of BuHdinp Plens plus s Life SafetY PeQs: (� 1 set � Enerpy Forma. R-0-W Permit fa new crostruction. <br /> nAh�imun ten (10� workine ders afte� s�bm�el de�e. Reouired or�ke, cawaua;on alar�s, slarrtrvveter wana wl silt Fenoa insta�fea, <br /> Sanifary FaaNties 8 7 dunpster. Site Wak PermR far aN new qojects. AN commerGal roquiremeMS muN meel oanp6anoe <br /> SIf3N PERMiT Attech (2) sets of Erpir�eered Plm�s. <br /> ""PROPERTY SURVEY raquired fa all NEW construetion. <br /> Direerions: <br /> fid art applieetion canpletey, <br /> Owr»t 8� ConVector sipn t)edt of aPP�ion, rwtaraad <br /> H wer SZ500. a Nonu of CommanpmaM h�r�, (q� �P�� arer f7500) <br /> " Aperd (tor mo car�Ctary ar Power or Atlaner (ror »�e onne.) wowa be someona w+ll, rwlarizea lener from owner awnoriang same <br /> OVER 71iE COUNTER PERAAITTNG (Frort d Appiir�tion pryY) <br /> Reroofs � afrnpfea Sewers Service UP9rades MC Fencas (PbHSurveY/footepel <br /> �riveways.Not over CouMet if on pudic roadways..ne9ds ROW <br />