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e�a-�so-�ozo �.ity oT�epnyrnius r�sri�n�r,NN�wauv�� ������ .�� ���.. <br /> Building Department <br /> , rno.�,r,q <br /> Date Recelved phone Contact for Permittin � �l ��,�1 � <br /> Ownera Name S� f u Owner Phone Number ��� c� �� �g 7 g <br /> Owner's Address � `Z.-��i l l� '�3Sy I �� <br /> L Owner Phone Number� <br /> Fee 3lmple Titleholder Natne Owner Phone Number �� <br /> Fee Simpie Titleholder Address <br /> JOB ADDRE88 ' �J �'� �i R� !'� I S L, ��S� LOT# � � a" !Z <br /> SUBDIVISION �.�rt ��,2 ��11 S PARCEL ID# -� - -. � �O IO ° �v�2D0 � O�/8 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT [� SIGN �] MOVE [� DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION C] BLOCK Q FRAME Q STEEL Q OTHER �1 <br /> DESCRIPTION OF WORK �( CQ j N t�l/�1;fi S S�2e, Sj Z �--L //Z D�v � <br /> BUILDIN(3 31ZE 3Q FOOTAC3E�—� HEIGHT <br /> Q BUILDING $ � VALUATION OF TOTAL CONSTRUCTION <br /> � <br /> Q ELECTRICAL $ AMP SERVICE Q PRpGRESS ENERGY Q W.R.E.C. <br /> Q PLUMBINO �$ �� � 1 J� <br /> I r <br /> Q MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � <br /> [� GAS Q ROOFINO [� SPECIALTY Q OTHER <br /> FINISHED FLOOFt ELEVATIONS FLOOD ZONE AREA QYES QNO <br /> ��� e- PX <br /> SIGNATURE �� / COMPANY +.�� � <br /> REGISTERED N FEE CURRENT Y/N <br /> Address � `r� $� � � � p ��,32,$'7$ Ucense# C�'�JO�� <br /> ELECTRICIAN COMPANY <br /> 81GNA'fURE <br /> REGISTERED Y/ N FEE CURRENT Y/N <br /> Address <br /> Ltcense# <br /> PLUMBER <br /> 31GNATURE COMPANY <br /> REGISTERED Y/ N FEE CURRENT Y/N <br /> Address � <br /> License# <br /> MECHANICAL COMPANY <br /> 81.GNATURE <br /> REGISTERED Y/ N FEE CURRENT Y/N <br /> Address � <br /> Lfcense# <br /> OTHER <br /> SIGNATURE COMPANY <br /> REGISTERED Y/ FEE CURRfiNf � Y/N <br /> Address � � <br /> License# <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Bullding Plans;(1)set of Energy Fonns;R-O-W Permft for new constructlon, <br /> Mlnimum te�(10)working days after submittal date. Required onsite,Construcdon Plans,Stortnwater Plans w/Silt Fence Installed, <br /> Sanitary Factiitles&1 dumPster,Stte Wor1c Permit for subd(vlsions/largs projects <br /> COMMERCIAL A:tach(3)seta of Bufiding Ptans;(1)set of Energy Forms.R-O_W Parm(t`for ns�,v constr�ctlon. <br /> Minimum ten(10)work(ng tlays after submittal date. Required onsite,ConstrucUon Plans,Starmwater Plans w/Silt Fence installed, <br /> Sanitary Facilitles&1 dumpster.Site Work Permit for all new proJects.All commerctal requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> '***PROPERTY SURVEY requlred for aH NEW constructlon. <br /> Directions: <br /> FIII out appllcaUon completely. <br /> Owner&Contractor slgn back of applicatlon,natarized <br /> if over;250o,a Notice ot Commencement Is requlred. (A/C upgrades over a5000) <br /> " Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs Sewers Service Upgrades <br /> �� Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways,.needs ROW <br />