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8�I3-7ao-oo2o Gi�ly a1�G�pnyrnn�� , �rr�nti��j.��tu��tuij . � Suiidinc�D �aarEmen( Qa[8 RQC�1V�c! �' !�'Z-'��t. • � . �..1 �d"d' �1 c.�/7� �"' � �� 3�honc�Confiact f r P�nnii�:inc� �� -__��. � �!-1'1-!'1-!'1y-1-I'1-1'I-hJ-�----- -- -- -------- -------- --- --- - -------------- ---- -l-i-1-17-1-1-I ------- - -I-I-Pt---- -- -- - -- - ---- =__.----------• Ownor's IVame �� ' �L/ �/1�f Lth Ovvn�r Phane Number � ' � Owner`s Address c�c�� L�-ClN� J. • Qwn�r l�hon�Numbet'�' � rees Simpia Titlri�otrl�r�Name Own�r Pl�ono NutriU�r i� � Fee Simpte Titiehoict�rActclress ' ' ' JpB Anl]RG5S .3�t�� ' L-��,�'.CX�S�-' �T � � • � L.DT�t �Y`S. . 5Ui3!?iV1S(ON ' - ��tv�'"u' ��-J,� -- I�AP,. ��.1D� a�-7—D� "c�-.� (.1.C1c,3�- ��d��' �b�� , � {OI�TAtNEQ FROIVt PROPGRTY TAX NOTICL) WORI�C PCtOPOS�D ' NEW CONST(i � ADl�i LT �( SI�N [� MoVG � DCMOLlsi-! . _ . �, INSTALL . . � f�G!' iR PROPOSCl1 ll5G'" ' . � SI=I�{ ' �• CO �_ OT!-!E!'� �C.�s�.i n�,.�^'-� � 'f'YPL OF GONSTI�UCTl�N �] I3LOCK � ' C'(�A C ' .0 STG�L � OTI-lER�� n�SCe�f�rtor�or-wor�K ' �'ad,h2 G�.a� L� �T/1 ' c1' �—L'' . C3UILDihI�SIZG /D X 33-� � SQ I'OOTAG� .�3 I•IGi�ht"C ��' m�x•� � l3UILDING �' j� �"'O�� VA4.UAT ON Or TOTAL CC)NSTC�UGTiOi�t . r [� ELC.CTRICAi. ;r , ��{ AMP S� VlGG � ('ROGRCSS�NCRGY • �[ W.I�.E.C. J ,�� '�j ��..ur�Qw� :c �. __� :�°� ��,sc�P�A�r�rs��v�c� �{ M�C1-IANIGAL ;�r • VqL,UA lON 01=MEGf iAN1CAL.INSTALLATlOI� �� -�� . . � , � , . - $� 0 �A8 [� lid0I=1NC �� SP CIALTY [� OTt-1[R . --p i=iNf51-i�D FLOOi�ELEVATlQNS �� I=i.. OD zOIVC AR�A �l`GS � O ��"`"` � � � . ' � t3t11LD�R � }� 2�� COMPANY � Y�- � - -�� slGNATUI�C �� " ' �'' Rc��sseR�n Y! N r-e�curtReN-r Y 1 N � Adrlross l�ISy �,�-,�.t �.1� �( '• . L.icenselh � � I GL.CCTRICIAN ` ��f,x /. ``�� COMPAN�f //IID!�}p/� . �[tZ(.�`"�. SIGNATUR� �\��-�.' F"��L � ��f ftEGlST�CD �Y/ N PCC CURRtNT Y/N Actciress. 1��0 � d� �cS�J� G2,- f'" f � • L.icense� ��+ � . , . . • I'i»UMJ3GR • GOMnA�IY SI�I"IATUI�E R�GISTERED Y i R)• FCG CURftEhlT Y/N . Addr�ss License� C.-.`' 4� �C�J�f21"t�J f�/�'1 ' y-,��c-_ i{tiCCi-IANiCAI. ' � �,�� GOMPANY SIGNATUI�� rt�clsT�t�cu Y! N rcc cur-u�cNr Y l N ' . Adciress �y�� .�` JL f�Y G r` f � .License�t' �� OTI-IL-I� . ' , CONlPANY � �� S1GAIA.TUIiG RCGtS'fGREp � 1`/ N 1=EG CURRENT Y 1 N Address . �.� ' L.icense�f � ( 1i�StD�NTtAG. Attach(2}t�laf'Plans;{2)s�(s of Bullding Plans;(�!)s t af Ei�ergy 1=orms;R-O-W permi�for new consiruction, Minimum[en(�I O)worieing days afEor sub�nit[ai date. i�equir�d onsifi�,Cons[ruc(ion Plans;Siormwa[er Plans wl Silt t=enco instaifeci, ' Sanitary raeilities&1 clumnster;5it�Worlc Permlfi fio subclivisionsliarc�e projec[s . COMMCRCiAL Attacii(3)com�f�f�s�fs of 8uiiciing 1'lans plus a l.if Safeiy nac�c;{9)saL af Cn�rgy'1=orms.R-Q-W Permi(far new constructlon, NlinImum ten(10)warlcing days af[or suUmift�l ciai�. Roquired onsif�,Construefiion Pl�ns,S(ormwat�r Plans w/Slil I=ance tnstalled, Sanfit�ry i=aciiifies&'i dumpster.St[o u11arlc Permlt�Fo a!!new proJec(s.AII commerciai requirements mus['meeG compll�ne� ' SIGI�!I'�RM1T Attach(z)sets of Gnc�inaorerl i�ians, *i"''*PROPERTY SURVEY required�fot a1I NCW cons ruction. � � , ' -1-H-(-I-FI.1-I-t-J-hFhi-i-i-i-I-I-t-hl-i-t-I-t-1-I-i-i-I-i-t-l-i-t-i-1-I-I-i-i-i-I-I-?-I-I-i-H-t-I-i-1-1-i-i-i-i-i-1-i-F-id-I-!i-l-l-l-l-l-l-1-l-l-l-l-1-1-1-I-I-1-I-l-I-I-1-l-1-l-1-I-l-t-I-]-1-I-I-I-I-I-I-I-I-I-hi-1-[-1-I-id-i-i-�-I-i-t-I-t-i-1-I-1-1-I-t-i-t-t-i-t-f-1-3-t-t-i-I biracfiions: rI!!Qut��plIaalton cam[�IeCely. � . ownor&Contraatar sic�n bacic ai applicalion,notarizacl ' • If over�250D,a Nofiice or Gommencemenfi is rec�uirect. (A1C ui�c� acles ov�r;�50�0) ** Ag�nt(for t1�e contractor}or I'awor of Attornay(�For ih�nwnor)would o som�an�wilh notarized lett�r•from owner authorizinc�same - •OVGR T[-1C COUNTGR,PZI�MITTIhIG (1=ront ofi Appiication Only) • Reroofs ' S�wors Sotvice.Upc�r�des A/C 1=encos(i'Iat/SUtv�yl�ootage) . Driv�ways-Nol over Gounter ii on�uJalic roadways.:needs FtOW