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I Building Department .�=�,�'j .j'u� <br /> I . I phon�.Contact for Permlttin 6j�'3 2�c. -r"t `i � � <br /> �ate Recel ed'" �' <br /> ►wner'a N e C h ti t' r'►n+,.R Ph Own�r Phone Number ��3 '`�12-`�C - 1t�t' � <br /> ?wner's A dress ��fo(�S Ownor Phone Number �_ <br /> 'ee 31mp1 Titleholder Name � � �wnnr Phone Number � � <br /> �e�31mp1 Titleholder Addreaa <br /> i0E!ADD SS 3 O�% �g �2'2-� (�s Pr'�`� �-'��`��"F'���� r-� 3 �3 s5ro LOT# � `�� <br /> tUBqIV131 N �}�Prl� lli I�F}wa �STS� PARCELIDft 35-�5' -2t � a Q�A -C"iC�C7�c'> ' (��G <br /> (OHTAINED FROM PROPERTY TAX NbTIG£) <br /> VORK PR POSEO e NSTALLS7R� REPAIR � ��GN � � DEMOLISH <br /> �RAPOSE U3E [� SFR �J COMM Q OTHER <br /> YP�OF� N3TRUCTION Q BLOCK �] FRAME C� STEEL Q � <br /> I <br /> )E3CRIP NOFWORK -1-NSTA1 J 1� � - Coi l�i.jfl �,��� c,��►lk.(Q�T'C. *' �O , '`" �++ �'aTc c-r �dE�'� K�'.f(� <br /> �'t°.N L e <br /> lUILDINO IZE [_� SQ FOOTAOE� I1EI(3HT <br /> ILDINC� $ VALUATION OF TOTAL CONSTRUCTION <br /> 3�q �. �� <br /> [�� �CTRICAL $ AMP SERVICE [� PROGRESS ENEROY [� W.R.E.C. <br /> [� UMBINC3 �� Ut���P,�' <br /> �'1).� <�(/•�'r u''n <br /> [� ECHANICAL $ VALUATION OF MECHANICAL INSTALLATION v `�r)(1G <br /> �r-. <br /> [� AS [� ROOFIN(3 [� SPECIALTY Q OTHER �� <br /> �INISHED LOOR i?LEVATIONS FLOOD ZONE AREA QYES NO � <br /> G �,e.�, �. <br /> � <br /> 3UILDER /1/�;`l,� COMPANY � w es NoM<, c.eNTe2,s ' �,/t, <br /> 31GNaTu � � REOISTERED Y/ N FEE CURRE� Y/N <br /> Addr s C• � �OK � a�1�3 D��A��c> 3Y-�7S License# �.•�o�. � �CO �t'�'� � � <br /> :LFCTRI N COMPANY � � <br /> 31GNATU [ REf31STERED Y/ N FEE CURRE� Y/N <br /> Addr s � Llcense# I � <br /> �LUMBE � COMPANY <br /> 31f3NATU � RE(31STERED Y/ N FEE CURRE� Y/N <br /> Addr a [ � Llcense# � � <br /> NECHANI AL COMPANY � <br /> 31GNATU I <br /> REGISTERED �[ Y/ N FEE CURRE� Y/N <br /> � <br /> Addr s I � License# <br /> �7HER f COMPANY � <br /> 31C3NATU l REOISTERED Y! N FEE CURRE� 1'!N <br /> L <br /> Addr s License# <br /> RFSIDEN AL Attach(2)Plot Plans;(2)sets of Buliding Ptana;(1)set of Energy Forms;R-O-W Permit for new construcdon, <br /> Minimum ten(10)working days atter submittal date, Requlred onslte,ConsUuctlon Plans,Stormwater Plans w/Slit Fence Instailed, <br /> {i Sanitary Facllitles&1 dumpster,Site Work Permit for subdivislons/large proJects <br /> COMMER IAL Attach(3)compiete sets of BWlding Plans plus a Lud 3afety Page;(1)sot of�nergy Fo�rms.R-O-W Permlt for new canstructlon. <br /> Minlmum ten(10)working days after submitta)date. Requlred onslte,Constructlon Plans,Stormwater Pians w!Silt rence installed, <br /> Sanitary Fadlftles 8�1 dumpster.Site Work Pemtit for all new proJects.All commercial requlrements must meet compllance <br /> S1C3N PE IT Attach(2)sets of Engineered Plans. <br /> """"PROPERTY SURVEY required for all NEW construcUon. <br /> Direction <br /> Fill o application compietely. <br /> Own &Contractor sign back of applfcation,notarized <br /> If ov S2S00,a Notice ot Commencement is required. (NC upgrades over 57500) <br /> `• Agen (tor the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner euthorizing same <br /> DVER TH COUN7ER PERMITTINt3 (Front of AppllcaUon pnly) <br /> Reroofs If ingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driv ays-Not over Counter if on public roadways..needs ROW <br /> I <br />