Laserfiche WebLink
s�s-7so-oozo City o1��epnyrniiis r�rr►u�HNN���a����� . <br /> � Building Departmenf <br /> Date Receivecl - -�� Phone ContacE for Permifting lJ lJ ���__ �� <br /> '� - trrrty-►-t <br /> Owner's Name �Cv l M�C� • Owner Phone NumBer `'f 0�� �g�� ��Q�2 <br /> Owner's Address • Owner Phone Number[ <br /> Fee Simple Ti4lehoicler Name 5�-�t� Owner Ahone Nutriber <br /> Fee Simpie TitleholderAddress Sar+^� . , <br /> JOB ADDRESS ��1� ��- Tr o o�,n �� �p�r�1� • 3��� LOT# � 7 <br /> SUBDIVISION • 1'� e5T G ��-kS PARCEL 1�# a�{—��a —a I � DC?�O—p�/00— �0/� <br /> ' (0[3TAINED FROM AROPERTY TAX NOTICE) <br /> WORK PROPOSED ' NEW CONSTR ADD/ALT 0 SIGN 0 MOVE � DEMOLISH <br /> e. INSTALL � R�PAIR <br /> PROPOSED U5E 0 SFR ' 0 • COMM 0 OTHER <br /> TYPE OF CONSTRUCTION � BLOCK 0 FRAME ' � STEEL 0 OTHER <br /> D[SCRIPTION OF WORK .�(�-►"�O f�� S h�pC� �F- �anG�-G"�� . ' � <br /> BUILDING SIZE �a X y 7 SQ�OOTAGE S�� HEfGHT ��� F'L�N <br />' � BUILDING $ �3' %� QO VALUATfON OFTOTAL CONSTRUCTION <br /> 0 ELECTRICAL $ AMP SERVIC� 0 PROGRESS ENE W.R.E.C. <br /> -� . <br /> 0 PLUMBING � "f�r', 1�'�? � �� ���R�ABT�����4�� <br /> t81�)788-53��€ <br /> MECHANICAL ��� 47��.� <br /> L� $ VALUATION OF MECHANICAL INSTALLA <br /> 0 GAS � ROOFING 0 SPECIALTY 0 OTHER �1� 3` ` Z <br /> f=1NISHED FLOOR ELEVATIONS �LOOD ZONE AREA �YES �NO <br /> BUILDER ��ec.c, �S� —.� ' I� �S COMPANY Sl.t_n �fia.`�"e- ��l.��tnuvri. <br /> SIGNATURE l REGISTERED Y/ N FEE CURRENT Y/N <br /> Acidress . License� <br /> CLECTRICIAN �l�r, _,(I/ Q� � COMPANY � V <br /> SIGNATURE ����'������ REGISTERED N FEE CURRENT Y/N <br /> Addres$ License# I <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRLNT Y/N <br /> Address License# [ <br /> MECHANICAL COM►'ANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N ' . <br /> Address .License# [ <br /> OTHER � COMPANY ' <br /> SIGNA'PURC RCGISTGRED Y/ N FEE CURRENT Y/N <br /> Address , License# r <br /> RESID�NT(AL Attach(2)Plof Pians;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permlt for new construction, <br /> Minimum ten(10)worl<ing days after submittal date. Required onsife,Construction Plans;Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&9 dumps�er;Site Worl<PermiE for subdivisions/large projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safefy f'age;(1)set of Energy Forms.R-O-W Permlt for new construction. <br /> Minimum ten(10)worlcing days after submittal date. Required onsiEe,Consfruction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilifies&1 dumpster.Site Woric Permit for all new projects.All commercial requirements must meet compUance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""**PROPERTY SURVEY required for all NEW construction. . <br />��������;i-ri-i-i-n-1-FI-H-f-H-fi-1-f-1-�-H-1-1-H-li-f-1-I-1-1-I-I-f-1-1-1-1-H-I-W-FI-1-I-1-f-H-H-f-1-I-1-I-1-I-(-f-1-f-H-I-l-1-l-i-I-F-MI-H-l-f-l-1-H-1-f-H-H-FI-H-H-I-1-1-1-1-1-1-1-1-1-1-1-H��,,,•�•�••�••• • , <br /> Directions: <br /> Fill out application completely. � <br /> Owner&Contractor sign back of application,notarized " , <br /> If over$2500,a Notice of Commencement is required. (A1C upc�rades over$5000) <br />* Agenk(for the contractor)or Power of Attorney(for the owner)would be someone with notarized fetter from owner authorizing same <br />)VER THE COUNTER PERMITTING (Front of Applicafion Only) . <br /> Reroofs Sewers Service Upgrades A/C 1=ences(Plot/Sutvey/Footage) <br /> �riveways-Not over Counter if on public roadways.:needs ROW <br />