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Is Any ELECTRICAL, Pl.lrltBII{G or IIECHI ICAL t',ork Being Done to the Accessory Stnucture
If the project
is a Relocation, is there a Natul Gas Line on
the Current
Is there Electrical Power on this Building?
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SuBVIS10
ZIP:
PROPERTY O"NER'S HOUSING
OWNER'S ■524 S■
6th Street wi,IminqEon
LICENSEACCOU
#: 034-7
ST: NC Z
ST:NC ZI
#: 252-
#: 252-
PH
CONTRACTOR: CENTR
ADDRESS: ■6
EMAIL ADDRESS:
al@centralbuilders.com
pRODECT CONTACT P
ACCESSORY STRUCTURE:
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PH
PH
NEW CONSTRUCTTON:
I eneCr NEW RESTDENCT or! ADDTTTON TO EXTSTTNG RESTDENCE
EXrSTrl,lG CONSTRUCTTON:
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If the project is a Relocation, is there a Natural Gas Line on the Cunent Site?
ft Yes E Ho
Is there Electrical Power on this Building?
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IS Any ELECT BIN6 or MECHANICAL Work Bei
PROPERノ OCCUP日SINGLE □DUPL□TOWN
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DESCRIPTION OF I.JORK: Renovation to an exisE.rnq S-Fedroom sinqle-familv i*:4#tfreit-*rr**iir9-
DISCLAIMER: I hereby certiry hat all informalion in his applica0on is cor(ect and all work will comply wih he State Building Code and 8ll oher applicable StaE and local laws
and ordinances and regulations. The NHC Development Services Cenbr will be notilied of any changes in he approved plans and specifications or change in contractor or
contrinbrm・・NOTE:Any work Perfomed W7 l be in Vio!atbo
OWNER/CO cerlt,ral Builders, Inc .SIGNA
(Print
*********************************************
TOTALECT COST(Less Lotl: 542.000.00 1S N□Ves
TOTAL ■
,5 NO. OF STOTAL SQ FT ■,5
TOTAL ACRESEXI NG IMPERVIOuS ARE
NEW IMOUS AREA:
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APPLICANT'S NAl,lE: Munso Homes of North Carol.ina
APPLI
Num
(OffiC
DATE:
DEVELOPER:
:l:tp rnve:rt-rrenr-, rnc .
CITY: wirminqron
PHONE #: 9
PHONE #: 9
ST: NC Z
S: NC ZI
#: 919-
#: 803-
PRO]ECT ADDRESS: ZIP:
BLOCK #: Ph3 SeSUBVIS10N: Plan
PROPERTY
OWNER'S 2514 Rel-iance AvenueCITY:
NAIvIE: Mungo Homes
of North Carolina
CONTRACTOR! Munso Homes of North Carolina
ADDRESS: 2514 Reliance Avenue
LCENSE #
CITY:
EilAIL ADDRESS: klusk@mungo.com (Katherj-ne Lusk)
PRO]ECT CONTACT PERSOect ma
PH
PH
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EXTSTTNG CONSTRUCTTOru:
! ALTERATTON
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NEkr CoNSTRUCTION:
I enrCr NEhr RESTDENCE or ! AOOTTTON TO EXT5TING RESIDENCE
**PLEASE CHECK
EZ]AttT GARAG
E:]SUNR00M
E oer GARAGEsF EPoRcH 2i4 sF
I eoor-
ALL THAT APPLY
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TOttAL HEATETOttAL SQ FT U
TOTAL AREA
丁0AL PRO]E(Less Lot 0# OF ST
Is Any ELECTRICAL, PLUMBING or MECHANICAL Wo Ves
lf the project is a Relocation, is there a Nat N
ls therecal Power oldingP I:N
pRopERTy usE
/ occupANcy:
I srruclE FAMTLY
! ounlex
I rowruHouse
DESCR
ON OF WORK: New Sin
and ordin ances and regulalions.
The NH C Developmen t Se rvices Center will be notified of an y changes in he approved plan s and specifications or change in
contractor or
contaclor information. ...NOTE:AnyWork Performed W/O heAppropriate Permitswillbe in Violation of the NC State Bldg Code and Sub.iect to Fines Up To $500.00.-'
OWNER/CONTRACTOR! Munqo Homes
bv Katherine
Lusk SIGNATURE:
(Print********************************************
IS THE PROPERTY LOCATED IN A FLOODPLAIN?
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ACRES DIST
LAND DISTURB圏 YES
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*** SEPARATE PERMITS REQUIRED FOR ELECT, M
PAYMENT MET CA層亘コcHECK (PAYABL AMERICAN EX]Mc/vlsA ********************************************
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AppLI
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