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_"+ _ __r..� ....._. �....._..�r...�.«� . � <br /> Buildtng Departrrient M ,p <br /> f I" �L� <br /> Date Received � _�u <br /> Phono Cor�tact tor PermltNn <br /> Owners Name C I O� f�S Owner Phone Number <br /> Owmera Address S3 3 O� ST T Owner Phone Number � <br /> Fes S1mRFe TRlehofder Name � .7rV"IC Y�—� Owner Phon�Numbe► � � <br /> Fee Sfmple Ttiiaholder Addrass S �� <br /> JOBAODRESS S3 $T� ST��' � fC.LS 1_ tor,� I�I <br /> suaonnsioN !�/ft —� P,4RCEL Ipp ((-?�o-Zi -001(7- '� 00-�O 10 <br /> (OETA{NED FRUM PROPElRY TAX NOTICLh <br /> WOltK PROPOSED e NEW CONSTRB App/q(,T �� SIGN Q Q DEMOGSH <br /> INSTALL REPRIR <br /> PROPOSED U5E Q SFR Q COMM � OTHER D <br /> TYPE OF CON3TRUCTION �� BIOCK Q FRAME � STEEL Q <br /> DExCRtPTON OF WOitK G Lt C.R Y T o�'�T <br /> HUILDINti SIZE 84 POOTA(iE 4 I$U HEIGHT C� <br /> ��BUILDING a(�y ,� VALUATION OF TOTAL C{N�t3E'RUCTION <br /> [�ELEC?RICAL § ��I�,��S AMP SERVICE [� PROORESS Ei�RGY Q W.R.E.C. <br /> QPLUMBING s , � � <br /> QMECHANICAL S .T LUV VALUATION OF MECNANICAL INSTAlLAT10N �rZ � �� <br /> OGAS Q RODFlNG [� SPEGAl.TY � OTHER �� <br /> FINISHED FIOpR ELEVA"fiONS FLOOD ZONE AREA QyE$ �FlO 1 <br /> ��/ <br /> BUtLDER COMPANY F'�g (.-,�Q.'�1(� �"rl<sTR�CTIOIJ <br /> StONATURE t��isiEqe� Y!N �CuRnet. Y!N <br /> Addresa Po,�gox�y�� ba c�T F�- �„ae# cgc�o 3654 9� <br /> ELECTt# ,� �Q,._� ��,P,�, (M,�n+� E�crr�,� �o� <br /> St6NAN qECts7eRSp Y[N �Wr�n Y/N <br /> ndare,� ( Z o ST' �A a E C i u�B� �c_ ���3 8 3� <br /> Pi.UMSER r , r COMPANY ��I S g/4� ftUM(�(N(9 � <br /> Sit3NATt3RE ` peoisl�tep Y!N FEE ax�En Y/N <br /> Aaa,�� 57L9 C�I�t� VD z�PH QH►tis u�a C�C 14Z<o�}$Z <br /> MECHAMICAL COMPANY �� ��Z _� <br /> SIGiiATURE rtEmsieREn Y/N �e tx�� Y/N <br /> Addrsse 7 7i ry � � Ucense# �� �+�'7 l v /� <br /> flT�'�� COMPANY � <br /> SIGNATLRE aec�SiE�p Y/N FEE CuRR�. Y!N <br /> Addrsss License# t <br /> RESIDENTIAL AUech(2)Ptot Plans;(2)sats of Buiid'xig Pbns;{t)set of Enagy Fortns:R-0-W PertMt fa rrow oonsUucfbn, <br /> MiNmum!en(10)warkk�g days after auhmttt�date. Required onsqe.ConstrucUon Plana,stommvacer�ans wi s�n Fence numned, <br /> SaMtary facRiHes 6�dumpster,Site Wqk Partnit fw subd{visionsllerge projeds <br /> COMMERCIAL Altach(3)complete aeb af 8vadlnp Plans p�us a LHe Safety Page;(1)sat of Energy Fams.R-O-W Pertnit iw new constructbn. <br /> Mkdrtxxn ten(�O)workk�g days attm wbmlt�date. Requ'sed ai�slte�Construdion Plsns.3twmwaler Plars�w/�it Fe�e hatatled. <br /> SaMlery Fac9ftles&1�xnpster.Site Work Permi[}w�I new projects.IW canmerdaE requlrema�dc must meet comp��ce <br /> SIGM PEItM�T AUach(2)sete oi Englneered plans. <br /> "»PROPERTY SURVEY requlred for sry WEW cbnsavdion. <br /> Directions: <br /> F���.���,�„a��y. <br /> �wrrer 3 ConUactor sign back of applicatla�,natarized <br /> N over f2500,a No4ice of Commeneement is reQaired. (A!C upgradea over j7600) <br /> " /WeM(tor the c�tractar)w Power of AttomeY(tor tlie owner)woWd be someor�wltli notartced Eetter from ownar atAhorizirg same <br /> OYER tHE COUNTER PERMRTBVC (Fr�t of Appllcaria�Onlyy <br /> Reroofs M shin�es g¢wers Servlce Upgrades NC F�ces{Pbf/Survey/FOOlape) <br /> Driww�ys-Not over Counter H on puWic roadxrays..needs ROW <br />