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; <br /> �:'; �Y �9P : '�i ,:� •� I:i��:Y,i3I�;;',� :. �s.":.3' ,-:rc� ;t..y.:±.��lf:`�i� <br /> Total Fee: $ Date Received: ������� <br /> Date Approved: <br /> Permit#: / ��� Project#: <br /> Building Permit Application 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) WaII 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 required. <br /> 4. Energy calculations - form provided. <br /> 5. Septic report and design if required. <br /> ABOVE INFORMATION MOST BE SOBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED <br /> ----------------------------------- - ------ <br /> THE APPLICANT IS: (circle one) OWNE or CONTRACTOR <br /> JOB S I TE ADDRES S: ��J�,� � /�c C� /�{v C. �l��e ��� Z I P: �� ��/ <br /> / `` /,� , <br /> PROPffitTY IDffiJTIFICATION NO. : � � � ��� <br /> ��/�S l� � �7` �l C-r c cs�'�"e c E•�' � <br /> �/� , / � (work) � 7�3-i5�� � <br /> NAME OF OWNSR: /�(c c'_�u c/ -{- /�.c�cl��. S- �c�c�c� a f'� PHONE: (home) 4 7!- 7(915- <br /> MAILING ADDRESS:��S�1� �l.�C c� C' CITY�it-�4.L ---�� ZIP:�-�S� Y � <br /> CONTRACTOR: ����� � tCc�/ �• �ul C�,.yo�-� PHONE: � 7l��Co,1� �`�`,�,4'_ <br /> MAILING ADDRESS: �tiv►�� - ��j� �� CITY: ZIP: <br /> ARCHITECT: � � PHONE: <br /> MAILING ADDRESS: � r CITY: ZIP: <br /> TYPE OF WORR: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate X Land Alteration <br /> -7T- <br /> PROPOSSD USE (describe in detail) : � /���,� C,J ���,/� � �d /' �C �ac��� C��Z,Q <br /> �����c � � �-e�c�j -� <br /> �T <br /> STORI$S: SQ. FEST OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMAT$D CONSTROCTION VALOATION (excluding land) : $ ��� �G • t�l� <br /> I hereby apply for a building permit and I acknowledg� that the information <br /> above is complete and accurate; that the work will be in conformance with the <br /> ordinances and codes of the City and with the State Building Code; that I <br /> understand this is not a permit and work is not to start without a permit; and <br /> that the work will be in a�cordance with the approved pZan. <br /> �' . �� , ,� � � .-> �i <br /> APPLICANT�S SIGNATU���.���j:�J r��/,I6� � ,/ � "!�� <br /> • ��.i�o��JGI-GGrk�Z � DATE: � <br /> (Please' £ill out the reverse side of this form) ' <br />