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r <br /> � �'�'Y �J� �� �3:�:3=, _ �� .,_.i.:3��::�' �r.eF.I��T r.F�''.',;��`��1i��N <br /> Total Fee: $ Date Received: <br /> Date Approved: <br /> Permit#: �v Project#: <br /> Building Permit Applica�ion Requirements: <br /> 1. Building permit application - to be filled out completely and signed <br /> 2. 2 sets of construction plans to include the following: <br /> a) Floor plans; <br /> b) Footing and foundation plan; <br /> c) Elevations (of all sides) ; <br /> d) Wall sections and cross sections ; <br /> e) Details - stairs and any special connections. <br /> 3. Certificate of survey with location of existing and proposed <br /> structures including hardcover calculations and grading and drainage <br /> plans as requi�ed. <br /> 4. Energy calculations - form provided. <br /> 5. Septic report and design if required. <br /> ABOVE INFORMATION MDST BE SDBMITTED IN FIILL BEFORE PI,AN REVIEW WILL BE STARTED <br /> -------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER or CONTRACTOR <br /> / ( �� <br /> JOB SITE ADDRESS: � 1�� ��,�' �f��_� ZIP: <br /> PROPSRTY IDENTIFICATION NO. : <br /> ,, (work) <br /> NAME OF OWNER: C� L _�,'�"� PHONE: (home) <br /> MAII,ING ADDRESS: ������ ��,�c'`'�`� �, � CITY: ���e�i'�� Z�P: ���7;�1 <br /> � �_ <br /> ;' <br /> � <br /> CONTRACTOR: ��'C���,�?%� - S��'7�S �'� PHONE: <br /> .� ���� � � <br /> MAILING ADDRESS: ����� ���'��Y���IY�� CITY: ��l"�%�j �� tY ZIP: � <br /> -�-�1 <br /> ARCHITECT: - PHONE: ��%� '�`'� ?� / <br /> c <br /> MAILING ADDRESS: CITY: ZIP: <br /> TYPE OF WORR: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> I � 1 _, � <br /> PROPOSED IISE (describe in detail) : 1�Y ��� Cr ��`� y��:',��� �Gj� .e!�i,i i j° i1 �i / <br /> % �� �1-�' �. � 4 L�,:2�'"�(. � l � -� "1 J�t �,'.�, � /1 j-�2 j;�, .•��L,� 1 �!� ! i ','.`!'iL�` (t,.5� <br /> ✓- <br /> STORIES: SQ. FEBT OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. \ <br /> �y��� <br /> $STIMATSD CONSTRIICTION VALDATION (excluding land) : $ If V �� <br /> ��"""" <br /> I hereby apply for a ? :�ilding permit and I acknowledge t..::,.��. tht_ information <br /> above is c�mplete and accurate; that the work wil l be in c� �_��ormance with the <br /> ordinances and codes of the City and with the State �u-� � ;�ing Code; that I <br /> understand this is not a permit and work is not to start ��-i'.:�.�ut a permit; and <br /> that the work will be in accordance with the approved plan. <br /> /'/' �a� ,✓� 9 <br /> APPLICANT'S SIGNATURE: / " ��''- ' / '/'-,/�`��,, �'` ��'<, ;�'-'� ' ,%�� <br /> (Please fill -but e reverse side of this �� �:4 �+ <br />