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e�sasc-oczo Ci+p o�Zepnyrhilis Permi:Aaali�ation `a�`�;as°-°�'-�' <br /> Buiitlmc u_oartmen- <br /> r— Q <br /> Date Received � �`jl� uJ�3 � pnone Con:act for Pertnitt�ng 7� 'ZZy �_ �I Z3p � __'i� <br /> Owner's Name� �m�/a_ ��Z ,. --_---- . I. Owner Phone Number � <br /> Owner's Address r ��10 �J� ��if40D'I.I.�Lb�� C-�°fP Owner Phone Numb=r I p/3 ' -3f 2 " �,J�� I <br /> Fee Simple Titlenoloer Nzme� �//T' Owner Phone Number�, '� <br /> Fee Simpie Titleholder Address <br /> J06 ADDRESS � 3 q!o 6D NTC.3��c `�'� I L6T r '� ' <br /> SUBaMSION �'"" �� �S� S '� PARCELID�� _ <br /> (OBTAINED FROM PROPEP.TT"7Aa NOTICE! <br /> WOR'✓.PROPQSED � NcVV COt�STR � AGDlAL- � SIGN �I MO\c i I DcMO�IS:= <br /> �_I INSTAL! RcPAIP. <br /> PROPOScD USE �,''� SFR �j COMN C OTHE� V C a.pu <br /> '„PE 0=COkSTRt1CTtOK �� BLO:K LI FRAM= �i ST�=! `_I �TF+-�I <br /> �ESCRlPTIONOFWORY. ��V�4-C {� -� �� �1�-Sy5 -- i3/4"�'�3�� - f}N—IZ�SL� 361� <br /> � � i ' <br /> BUfLD!NG SiZE I I SQ FO4TAGE� i HEIGH' i <br /> i BUILDINC � I VA �LSION 0=TJ-A'_CONSTRUCTIJ� <br /> i <br /> _ =LECTRI�A_ 5 ( AM�ScRVI�= r` °ROGR�SS EN�RGI � 1h'F,.`_.� <br /> ��T <br /> ' PLUMBWG � I .�/�,/� V `� <br /> � i� � r �r� � �/^j�� <br /> t �� <br /> � MECHHNI�4. �` � r 2� _ I VALU:,TIO\0=M=�HANICA_W°SALL�TIJN � J� <br /> ' `, f. <br /> - - �—�-__�- ' � �,J <br /> �� GAS RUO��Nv r^i SPECfti Tl' r— OTH�� � <br /> �� � .—.. �_ 1 <br /> =1NISHcD=�O�F===V,STI�N� j FLOO�ZJN=ARE� �Y=S ��.INC ,�..�,��....-- <br /> � <br /> - -°�-=e=�� - -. . gE�, -'..._. .. .. �,�,.N„�_. .._ _.__ ... �_�,�..�},.,_, ._ _�._"-- .. <br /> BUf_DEP. I '� COMPANY I , ' <br /> SIGNkTL'RE 'i �cc�sT=_aec I ` � ' -e=_cu��=_n- i �` �� i <br /> i <br /> Address i =���5°� ' <br /> i i <br /> c�ECTRICIAN I ' COMPAhI' � <br /> SIG�ATURc � ��cisTe�.=_[ i ' � i -e=_cuRR=_N' 'K <br /> ktlaress I �� L.�ce^r t j �� <br /> ?LUMBER � � CO:N°Af�7 I <br /> SIGN�TURE � ' RcvIST�RCC ' , h -_CURRcN� "�f� <br /> I I LIC@f:S°.'- I <br /> Aodress I <br /> i <br /> M�CHANtCAL ( � COMPAnY � 7� �� <br /> SIGNATUR� �� � I RcG15T=RE� / . � !�__� �=�%URR�N� �(�' <br /> V r— <br /> Aatlress '_icer.s=t ' <br /> I � <br /> GTH�R COMPAlVY <br /> � <br /> SIGNATUR� � Rcc,s�E�=_[ � N I �_°cuRReN- 'i ,N <br /> Address � I License r i ' <br /> RESIDENTIAL AY�aon(2j?lo;Plar.s,(2�s=ts of Budtlmq Plans f 1�se:o`En_rgy"rorms R-�_-VV Permrt for new construc4or <br /> Mmimum rer.(10)woncmg days afler suomittai date Requved or.srce Consvuction Pians.Sionnwater?lans w�Sil,rence mstallec <br /> Sanrtary Faafities d 1 oumpster Site Wor�:Permrt io�sub6�visions/large oroieccs <br /> COMMERCVA� Atacn;3�compiete s=u o`Buildm5 Plans plus a Lrfe Sarety Page:(1)set o'�nergy=ortns F-G-Ih�Permii io�new constructioc <br /> Mmimum ten i101 worKing tlays after submrttal tlate Reouiretl onsrte,Gonstrudion Pians.S[ortnwater°tans w'Sfl:�ence mstalfec <br /> 58nitary=BCilitiBS 6 1 OufTip5t2' SitB Wo�r.FertTl�:to'e!i new D�OIEC.S.AI�commerc�al reqwrements must meet ComDltance <br /> SIGN PERMIT Attach(2i se;s o�Enomeered?lans <br /> "'^'PRO°EP,-1'SURVE"re4uired for ali NEVV constructio^ <br /> Directions: - - - . . . .-. . . - �- - �-- -. . .. . .� <br /> Fil;out app6catwn comofetelg <br /> Gwner 8 Connactor siqn back o;apphcation,notanzed <br /> It over 5250�,a Notice of Commencement is requireti. (A/C upgrades over b5000) <br /> ^ Agent(for the contractorl o•Power of Attomey(for the owner)would be someone wdn notanzed letter from owner authonzine same <br /> OVcR THE COUNTER PERMIT'fWG (Front of,4pphcation Onlyi <br /> Reroofs Sewers Sernce Upgratles A/C Fences(PIoVSurvey/rootage; <br /> DnvewaysNO!over Courner�f on public roatlways..needs RO��� <br />