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oau Received --' <br /> � � � � � � � � Phoq1 ConLt[M�P�rinittlfq , _ <br /> 1 1 1 i 1 <br /> Ownei's N�m� � <br /> Owner PAon�Number 7 � <br /> OwnKs AOOress ( Owner Phone Number C— � <br /> F�e Simpk Tttleholtler N�me S� � !Y1 Owner Phon�Number � <br /> Feo Simple Titleholdu Addnss ' �I � L 2� <br /> JOB ADDRESS LOT� C� <br /> sueavisioH —� Pnace�ior 3�-Z.5-21- �i'�a -oOoC�-� <br /> (OETAMrtD f110M PRO►ERtt TAX NOTC[) <br /> WORKPROPOSED NEWl�ST� qpD/ALT � SIGN Q Q pfMpLISM <br /> INS7ALL � REPAIR <br /> PROPOSED USE Q SFR � COMM � OTHER � <br /> TYPE Of CONSTRUCTOI+ Q BLOCK Q FRAME � STEEI Q �—� <br /> OESCRIPTON OF WORK •C� �n i�1___ �I. Q� /'; Qr <br /> ,I/`� {IV C T <br /> BUI�O�NG SIZE SQ FOOTA�aE�� HEIGNT �—� S/S ` ' <br /> T-rrrr <br /> BUIIDING i VALUATION Of TOTAI CONSTRUC7lON <br /> QELECTRICAL b AMP SERWCE Q PROGRESS ENERGY Q W.R E C. <br /> QAWMBING s /� <br /> J <br /> �MECNANICA( S VALUATION OF MECHANIGAL INSTALLATION � S�/� <br /> �G'� Q ROOFING [� SPECIAITY Q OTHER <br /> FIHtSH£D FLOOR EtEVA710NS �� FLOOD ZONE AREA OY�S NO <br /> I - r,� --� <br /> BIHLDER v COMPANY �M�ti,�v ����,�(� fiiVA� <br /> SIONATURE aEcaSig�EO Y/N fEE CUqRE� Y/N -��� <br /> noe�e:: 11�'l 5t�cs. p� M l <br /> ` - u�,K. C-1r�C�16�'�SSt � <br /> '-� s��Narwarw corornwr et' �!c n�,� �/�f�,"c �– 'F-i���r�1 <br /> � aEaara�o Y� v�a�r Y/N <br /> Q r/�1/✓ <br /> --� Addrsss (n-.o�Ci � w . �� licenae t �� 4 � �v1�, ' � <br /> PLUMBER ��P� <br /> -�''�'IC�� <br /> SIGNATURE nEwsr�o V I N F�q�A y�H <br /> Address � <br /> Licrose! <br /> MECHANICILL � � COMPANY � <br /> SIGNATURE ( � I�STERED Y/N FfE CU1tlE� Y/N � <br /> �_ . <br /> ndCnss � <br /> li«nse�1 <br /> OTMER � COMPANY � <br /> SIGNATURE qEpSiERED Y 1 N fEE CIR�h Y/N �� <br /> Atldnu license/ C � <br /> 1 I 1 1 1 1 i 1 J 1 1 I 1 1 1 1 1 I 1 1 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1 ! 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 � 1 i <br /> RESIDENTIAL Atl�ch(2!Plol Plans:{2)seU N Buildinp Plero:(t 1 sq of E�py fortns:R-0•W Permi(fpr new cpnm�cpon. <br /> bMnbnum ten(10J woAcinp Csyy Mer fupmipal tls�e_ Req�ired onsRe,ConsVudion Pfam,Stommyler alens wl Siq fence irqts��ed. <br /> SaN�ary Fap'IiGes d 1 dumpster;Sitt Work Pem�it lor iubdiMsionsllaipe prpjscta <br /> COMMERCiAI Atlsrh(3)cd^W�1e sets M 8u4dNy Plsrs plus a Llle SNeb Pape:(1!set d Enerpy forms.R-O-W Permh for new construuon <br /> Minirwrn ten(t0)warkirtp yeyt N1er subrtWtal tla�e. Required onsAe,Consuuelwn plsns.Stormwalar Pls�s w/Sin Fence installetl. <br /> SaMlsry FadYties 6 1 tlumpsler.SAe Work Permtt la eb new pro}ects pr�eommetisi�eQuiremerps musl meet compiance <br /> 51GN PERMiT qlqch(2j seu W Enyineercd Plans. <br /> ""PROPER7Y SURVEY r�aqrire0lorall NEW wns�rup�pn. <br /> Dinelions: �y„;„� <br /> F1N oul�pplksOon ppmplebly <br /> Owrar 8 Contraclor ypn D�dc of appliption.notsrizetl <br /> 1f ov��f7300,a Notics of Commencemsnf ia requlnd (AIC uppnC�:ovar=7bDD) <br /> " Apent(fo�1he cwNr�toh w Pw�er o(qpomey(!a the own�r)wout0 be someone v,ilA rwterizey IWer/rom owner autho�np came <br /> OVER TME COUNTER PERMIT'nNG (Frorn d qppli�qn p�y� <br /> Reroots�shirqles Sewers Serv�ce UDp�ades AIC Fences(PbV$urvq/Fpp�apc) <br /> Drn�w�yc.Mw cvar CouMer i1 on pubic roadw�yy.naetls ROW <br />