JANUARY 19 2016 BUILDING APPS,$1-,
tr-?E
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APPLICATIOiI
urSc r
(offl(r Ur.)
NEW HANOVER COUNTY BUILDING PERIIIIT
APPLICAT
lotl mE: RESIDEIITIAL
PLEAsE
Alrsrtt Arr qJESTIO S Appt-ICAEtE TO yoUX pROlECr
"ProJect Responslbtllty"
APPLTCT'T'S tlAXE :
DEVELOPER:
rnon-3.,/- 2,,2- t
DATE: /-d -'
PiO]ECT ADORESS:
SUODIVISIOl{:
4-lo z 6,,> e .z -1t^- t--D->. c-< CITY:
ELOC|( *
:_LOT*:
zIP': 2 ?a6 2
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f:
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PROPER O$iER'S tlA
E: ,.''n z4 t-y'.o-)et,'
O'|{ER'S ADDRESS:
CITY:
COITRICTOR:
{'- o.. ).-,a ,F.,,- *-.O.* .1- '2.*LICEi|SE f:
-<-////
ADORESS:
CITY:2,7 > .t rzl ,o n-2'< r) z,z
EITAIL AIDRESS:
-ato -z
pRolECT Cd{TAcT PElrSa/: <121e- ,4 . :- <'
2 2, ._<
e, ,-t pt([E *: e, a_ y/ o -/ 7Cz
EXrSTrrr co srRu€rroil:
I alrenarroN
! nerovrrroN @-ceuenal nrrrrns
I RELOCATION
r{Ex corisTRucTlot{ t
I rntcr Ex RESIDGT{CE
or
I motrror To Exrsu]{G REstDE cE
..PLEAsE CIIECX AT{D ArcTER BEL(}' AI.L TI{'IT APPLY TO YOUI PiO'E'T:
f] arr cluce
_ sF I orr ernaee sF npoRcH
_sF
! suunoor
_sF ! eool
_ sr ! sronnee sHED
_ sF
! enrruxouse
_ sF ! oecx
SF OTHER:SF
TOTAL HEATED
SQ FTI
3OOO TOTAT SQ FT UIDER ROOF I
,*,''€ TOTAL AREA SQ FII
SftOO
TorA[ PRo]EcT CoST rr-"65 roo z
] 2, loo * OF STORf ES: ?
Is Any ELECTRICIL, PLlrS$lG
or liECHAr{tCll Uork Eeing Oone
to the Accessory Structurr? [ V", firilorf the project
ls a Relocation,
is there a Naturar Gas Lire on
th€ curnent stte?
fl ves BtoIs thene Electrical Power on thls Bullding?
frv"r I lro
PRoPERTY
tsE
/ occuPA[cY t [!t'srr,rer-e ranrlv I ourlrx I To],MtousE
DESCRIPTIO{ OF HORX:
Z-4,,,..-,41./
DtsCllf{ER lhlllbyc€rtt b8l oll hb{$.ton h ti6 rpplic.lion i coEcl end
al yrort wil corpty win
tE Sr.t. Boitdiro
a.dc
.ad odindlc€s fid .6gulatons. Th. NHC De\€bpmeni S6rvic.s C.nbr rit b3 nolf6d ot sny
chIle€s h tl€ lppot.d pt
ns.nd
contebr inb.m6ton.
"1{OTE Any Work Farblrncd Wr'O
}e Appropri!ts Pemils *Ilt€ in VbLtion ot thc NC
Sbt gd! fuo
.nd rii oh€r
Tgbat c St ts ond lrcal tais
spccilbalron6 o. chsnoa ir contEcbr or
ond SubFcr
b Fh6s
tp To
lSOO.qf..
or{ ER/Coi{TRACTOR :u.cZ SIO{ATIrRE: a-'
r'. r r,i* * *. ' r *
*, ***r *** * *, * .(31'll,lt'.'Ji t *:l* * * * + t *:t * +* ** * *t * * *:| *r * tl
trra r +* *
l+* ++:*
rs rHE pRopERw Loc rED
r I rloopurrl l'-''l vrs EI-ro
EXISTIIIG
I''PERVIq'5 AREA :
EH I''IP ERVIOUS AREA:
EXIST UTI{D DISIURBIIG PERTIIT:
N v:s I-] ro
SQ FT
SQ FT
TOTAI ACNES DISTURBED:
SETSACKS:
F:_ LH:_ RH:_ B:_
TATER :
SEHEN:
{qwa ! couwrw svsrer.r
fl pRrvArE ri,ELL
! crrurnal wrr-i
6'cieua I crrurnrl srrrrc
! pRrvArE sEprrc g- .on
unrw srrre,
rr. SEPIRATE pEittrrs REqTIRED FoR ELECT, ttECfl, p!BG, 6 5 EqJtp, PIEFABS
& ri6ERtS ...
p^yltE
r rEroo: ! crsx
I crrcx (pay^BrE
m rr*l f] lrltrr. *
rrr*ri, El-*rni^
"-E
orr.*r.
*
'r
** *** * *t,l ***,t *,1,t,* *:t,* .l
*:l I :*
* *:t ,*
* I *t * * *:i t * *:* ****:t **ar *i+* t ** **,t a*a*t *a*
*r,t+:t:tj**,t* ** * * *:* **
(FOi oTFICE lJ5E OllY) R€vrsEo
oArt g4l11/12
t{
Approval:_ City:_ DATE:_ F1000: _ -BFE+
2ft=
ZoNE:
_ 0F FICER:
ftz#/r-:rrot
&.olb-3s'/
APPLICATION
Number
(offi(e Use)
DAIE,/"/B/
hott,4_1o.lzzlftuAPPLICAI{T'S t.lAIIE :
DEVELOPER:
PRO]ECT AODRESS:
SUBDIVISION:
PROPERTY O$.IER'S i,IA'IE :
otll'lER'S ADoRE
CO TRACTOR:
ADDRESS:
EIiIAIL ADDRESS:
irb
ffi
NEW HANOVER COUNTY BUILDING PERMIT
APPLICATION TYPE: RESIDENTIAL
PLEASE ANSWER AtI QUESTIONS APPLICAELE TO YOUR PRO]ECT
"Project Responsibility''
crw:
CITY:
LICENS E
CITY:
PHONE #
zl'P:
/\,2-
,lqAa
Pxo E #: q'/o'/63-/6@
srrTuPtdful
t.)54:rre
@91
PHONE
#:
PjnNE
*:qi2:kbtV@
LOT f:
PRO]ECT COT'ITACT PERS()I'I :L"
EXTSTTNG CONSTRUCTTO :
! alreUrrOru
[ neltoverroru
! cruenal neenrns
! RELocATIoN
t{Ehl coNsTRucrror{r
I rnecr NEH RESTDENCE o"
! OOrrrOH TO EXrSTrltG RESTDENCE
.*PLEASE cHEcx AND Al{St{ER BELOi, ALL THAT APPLY TO YOIR PROIEGT:
ffier canacr
/,34 sr
I eool
_ sF
I roncx
-
sF
STORAGE SHED
DE CK5F OTHER:
SF
SF
ToTAL HEATED sqw: (,a7R. roTAL sQ FT UNDER R@Ft,1r4 Toral AREA
sQFT: /13'41
TOTAL PROIECT COSTrressroo : $
4@ f OF STORIES:
Is Ar MECHANICAL hlork Being oone to the Accessory Structure?
ffies No
If the pnoject
is a Relocation, is thene a Natural Gas Line on the curnent Site?
Is there Electnical Power on this Building?[v"r pfft-o
tr Yes
W*6
PROPERTY USE
/ OCCUPANCY:
E SINGLE FAMILY TOWNHOUSE
DESCRIPTION OF WORK:
and ordinances and regulations. The NHC Developmenl Servaces CenEr willbe nolil5ed
ofany changes in fie approved plans and specifcations or chang€ in contracbror
conraclcr intormaton. "'NOTE Anypropriate
Pemitswillbe in Violaiion ofihe NC SraECode and Sus Up To $500 00"'
SIGNATURE:
AIIERICAN EXPRESS
E m.rvrto
I orscovrn
O,{NER/CONTRACTOR:
(
PAYIITENT fiETHOD:
ficasx flcxecr< (PAYABLE
ro .incl
I
*,t,t * *,t+ * ** * * 1.** )r* * * **)** * )t )*
* * )t )t )t
* )t
*)t*)t*****+***
IS THE PROPERTY LOCATED IN A FLOODPLAIN?YES NO
EXISTING UiIPERVIOUS AREA:SQ FTTOTAL ACRES DISTURBEO:
NEI.I IITPERVIOUS AREA:
-
SQ FT EXIST LAND DISTURBING
PERMIT: E VES
I-I ruo
HArER:
EtFpuA I coruururrv svsrru
! pRrvArE WELL
! cerurnal wrll
sEr{ER:
EfcFpuA I ceNrnal serrrc
I pRrvATE sEprrc
f] commuurw svsreu
*** SEPAIIATE PERIiIITS REQUIRED FOR ELECT, I'IECH, PLBG, GAs EQUIP, PREFABS
& II{sERTS *I**
* * * * * * + * * 1. * * t * * * * r* r* r* ,i
* * * * * * * * * t * * * * * * r*
* * * l! )* ,*
* ,t )* )* )t
* * )* ,*
* * * * * * * * * * )* )*
* * ,i * )*
* t * + + * * * ,*
* * * + * ,*
* * *
ZONE :OFFICER:
(FOR OFFICE U5E
OTILY) REVIsED DATE O4l11/12
SETBACKS: F:_ LH:_ RH:_ B:_
N
ELECTRI
Approval:_ City:_ oATE:_ FLooD: _BFE+2ft=
BLOCK f:
! rrr eannce
_ sF
! surunoom
-
sF
f] cnerrunouse
-
sF
DUP LEX
tr
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I
I
,.I
li#rSdx|SH,
lj
APPLICAIT'S IIAH!:
DEVEIOPER:
cotlT&aaI0B:
ENUIL ADORESS:
PRO]E{: COIITACT
NFltl IIANO\rER COUI{TY BUTLSXruG PERPIIT
APPLZcAttaN rrPf ; nESTDENTIAL
tlaasE lr{:rtr Alr Qir,n-::oti: aPPLI(l8lt r0 YolB tP)l[(i
"Project R€tPonsibitity"
totb-38Y
?r-z* J5-3bol
APPLI CAT I O.I
Nuob€r
(efri€e U3. )
PHOSIE *:
DA1E:
Lo"f E r
5
PRO:SCT ADSRESS;
sugDrvrS!&\ |
PRoPI;tit OINER' 5 llA,t€ :
Oif{EF,5 ADDR!5s
ti
.iTY:
5€
BLoCK {r
PHOl,lE S i
f,o8 -H
-*
sr
z'r.P t
N!-
rrP:c?{Wl
L
L.
L
LICEh
(ITY:
sr"l&zrp-&91
8t-10t{E #:
pHo$lf $;qlg-/b,
EXlSrrtlc CO Sr&U{r:oX,
f] ALTERAT:CNRENOVATION
l] crrrml *rnnrrs
f fi€rocaT:oN
r{rH
co STaual:olr,
I rtrcr $E{ REslr€Nc! o.
I alo:rrr*t To rxrll:{6 nEs:t! cr
*'pL*A5E Ci{Ei:l( AND AtlS}E& BELfi ALL THAT APPLY T0 YoU[ pR0]E€T:
f] rrr crue:
-
sF ffi-r., uooaot 1,,3,& sr
Pa!t50r'l;
5rsul!R00M SF
f cnrrrxous:5;
rorAl HEAtlt sQ
fi: ATL rorAl sq rr UNDER xaor:
I &L toTAL aREA
sA n: t
&-
TOTAL PROIECI CCST,r.'.
-, ; $2n ,,-,,v-,+ OF STORIES:
POOL
0Ec(
I sromr:r sHED
-*-
sF
OTHaR: SF
TOKNHOUSE
Is
If
r figC'iAtlICAL Nork Bein8 Oone to the lccesso.y Strucrurei m.{"s l*I f*o
tion, is there a l,laturaL Gas Line on the Curent Site? [ ves p-ffe-the project:.s a Reloca
Is the.e lle(trical Forer
3r this Bui.ldingl
f]v"u flfo
psopERTy usE
/ occupAlcY:
I sr+cr
t ro*tln ] DiJpLrx
Ll
B;S'IIPTTON O' I4ORK;
eonra. Br in6,0a!!tr -*ClE l\1ltt a.opn.aE at-ii-at5 *'tl b. ri
01.,1'188,/CoIT{ACT0R :
volaro. cl tie NC Sta
SIGT.IATURE :
-, X arr*:rt=
I5 THE PROFE'W LOCA'EO IIi A FLOOOPTAIIi?
EXlSlIl,iG :itPERVIotS AREAr
*.**--_ sQ !T
liiEli TMPIRVIOUS AREA: --. SQ pf
MrEi: EtFpuA f] con.tur.urv
svsreu
f]
atlJ * rt !* *, * *
**, r !* 4,
Approval:
-*
Cj.ty:_ 0AlF
y4 , --..-.-..|-\,
NO
TOTAL A' tls DISTURBTO:
Exlsr LAN' 0lsru*B!Nc,.prR,{rr:
llf yes l--l o
PRIVATE I,JELI
n
Rro aox ELECT, t'1tcN, PLB6,
YES
lj?-lb rr-ooo:
-
cr!!'rnaL !(E LL ll'/.,:.,..
cc$4t'1uNlrl
sY:aif1'''::r:;,r;..
.-.-r/;.,,,.-
cAS €Q{Jrp, pR[FAB5 I I{5.'i}5 i '}?{w
rcAir ExpSESs l_"] nc,/vIsa u )rsrt,tEC
t )tl .-4.xtJ h.\^
581{ER;
EC!pUA C:Xt*,rl Srrrtc l FNIVA:E
SEPll'
il
rr* s€paMrt p€&rllTs iEQUI
paYill*T fiErxoo: c clsri D flrecr
ZONEX' I orr:crn,
(paY BLE To *ac1
flmrn
'r'r Crrjit Jli Otlv \ _ . .t,C IlVltLD
tr,i A{.:l :l
SIrBAc{s: r, \';',A lr", 1) nH,
\ !F Bri n^,1,n
.ar. +r* r *r. t*** *,ir' r r i i' "l t r *, t * I i lit
I + r' i, *
*' * { i ir* i.
rt;a'ttI
!)
b.d'rr,i-*.*1s
t?\ll
s.{
\t- 351t0
A alt'o-
38q
APPLICATIOI
l&.der
(offt.. t s.)
Lo{t{EH HAfTOVER
C(UIIITY BUILDING PERTIIIT
APPLIqTI^I IYPE: RESIDET{TIAL
PLEASE AlSra€R ALL QUESrrOlrs AP9LTC BLE TO yurn pRoJEsr
"Pr.J cct Respotrslbtllqf
14 h |lonp< th-DATE:APPLICAIT,S tlAIE:
DEVELOPER I
PROIECT ADmESS
t
sugoryIsl('r:nouc ?
Fcscrtl
PROPERTY C ER'S TIAIIIE: T:ICKI HOMCS. IIC
or,f{ER'S ADORESS:
CONTRACTOR:
AI'ORE5S:
DilniBlon
BITOCX *: LoT *r
zrez f,fi|/l__ /ol
* (92)1fi-7/a lf??
st I ltlc zrPt 1130)
CITY:
Ptl(,ilE *:
PIIONE
rl39
totthl .clnci@
LTcEEE
*: /3q fO
CITY:
Raltqh srrULztp;
ru21
EitAIL ADORESS:
mAunun itmelechuntsnt, COm PHONE *:
'T
PROJECT
CfiIATT PERSOI:l,ltno!
,lonts ptfiiE
* /dq\g{9- g 8/g
Dcsrttrc corsrRrlcrro :
f] ArrERArron
! nemnrron
! e rneul REpArRs
E RELGATTo{
llEt{ cosTnucTlo{ t
fi rnecr xEH RESIDE
€E
o"
I g191161 TO EXISTITE RESTDE|KE
T.PLEASE CHECX
ATD AI{SIdER BELOI ALL IIIAT APPLY TO YOIJR PRO'ECT:
ffi rrr crmae rl4l sr ! orr erme e sr p noncu .r74 sr
I sulnm'r
_sF I noor-
_ sr ! srome
e SHED
_ sF
! enreurousr
-
sr !oecx SF OTHER:SF
TOTAL HEATED
Sg FTt
a92rl TOTAr SQ FT TIDER
emr: tl tt35 TOTAL AnEA q n: 6 /?4
ToTAL PRolEcT CoST tr-a: r,otr z
$ lftl, 'lll * oF STORIES:
3
Is Any ELECTRICAI,
PLtIiDIMi or IiIECHAIICAL r.,ork Being Done to the Accessory
Str(rcture,
I Ves I frfo
If the prcject
is a Relocation,
is there a Natural Gas
l-ine on the Current Slte?
[Ves Ito
rs there Electrical Power on
this Buildtng? f[Ves l-I xo
pR@ERry usE
/ occupArcy:
[t srrcle rurrlv
I urelrx
! tomrnusr
DESCRIPTIO{ OF hIORK: coDstruct sinqle faoilLhcme from dirt to fiDl6hed hone.
DISCI-AIIER I h.Eby csnl,y itsl a[ hbmslbn h hi5 .pCicadon b conEcr and
d vlo* ,ttt compty wih he SErc BuitdinO codc
rd dt oher rpptrcabl6 SbE aid Iocal l€ws
ndordn.6-il?g!lAo.n.Th€NHCOeEloFEntS.ri:sC€nrrUtberblli.dot*rychrlge3irtE4provedpl'lsd specifc.ion8 or chfl0€ ii co.r r&br or
c.nracbr i.ibfln.rjon. ''I{OTE: AnyWoll Perlormed W]lc h€AppopriaE pemilewiltbe h Viotalion of,le NC Fi.€5 Up To i50O-0O"
orirER/cor{rRAcroa,t
z4///an /. A*, *
lPrtnr t&i,.. *,ir * ai!* '| +* *. *', r
r+' *++rar*+*'i+l*r+***r
rs rHE pRopERw LocarED r l rrcoopurrt
I-l vrs
EXISTII{i nIPERVIqJS AREA!
_SQ FT
}JEd IITPERVICUS AREA:
-
SQ FT
SIGNATURE
*,1***+* t,* * *,*,i*,1* ** 'tt *:t* *+ *
** + *,t * * ** ** *,1* **,r:l* *,1
IIATER:
SEWER:
..* STPAIIATE PERIIITS REqJIRED FOR ELECT, XECH, PLBG, GAS EQUIP, PREFAAS & ISERTS T+I
pAyrErr
irEn@: I crsx
florea (pAv alE ro rr*y ! ^renror
rine=rs [l *r** [ orscorn
**:.* +t+ **i:t:*a'l:| *t** *
*'t* a*** **l}ai ++ tir**i'+a'l a*** **a ***+ t++:t t t* t+* t,i*** i+******+ta ++t:r I *:|t *t
ZONEi
_ OFFICER:
$rc
TOTAL ACRES DISTUREED:
EXIST
LAI{' DISTURSI G PERNIT:
l-l v:s
l-l rrrc
(foi oFFIcE usc ottv) tEvtSEo DATE 6al11/r2
SETBAC6:
F:_ LH: RH:_ B:_
x
F
crnra
I cot+rurlrry
svsrrm
! pRrvATE llELt
! cerrarl well
creur
I CENTRAL sEprrc
! enrvlre
serrrc
! co,s,{..nrry sysrEu
App roval :_ City:_ DATE:_ FLOOD:
_ BFE+2ft= _co,rrr*rrt, o ' J.*I rrr,
tfffi
ff s,.(1
\6-
2)
NEI^J HANOVER COUNTY BUILDING PERMIT
APPLICATION TYPE I RESIDENTIAL
PTEASE ANSWER ALL QUESTIONS APPLICASLE TO YOUR PRO]ECT
roject Responsibility"
tDiI imi-,{t"J
CITY:d
lrus.J
CITY:
PROPERTY OUINER,S NAIIE
OL\INER'5 ADDRESS:o
! surunoom
-sF
! cnrrruHous e
-
sF
TOTAL PROJECT COST tr..s rot) : $
Is Any ELECTRICAL, PLUI4BING or l'4EC
APPLICATION
Number
(office Use)
//-3d 6APPLICANT'S NA E:
DEVELOPER:
PRO]ECT ADDRESS:
SUBDIVISION:
I DATE:
NE *:cl
,..1
LOT #:
BF
E+2ft=
N
PERMIT FEE: $
oro,, ot?10"J3)/e
5Tztp.V
ACCOUNT
ST
r;J
t?B?ol
ZIP i
P
CONTRACTOR:
ADDRESS:
(.,Jia.r.J LICENSE *:
crrv: tr)i
EMAIL ADDRESS:
PROJECT CONTACT PERSON:rd
+.- u-
EXISTING CONSTRUCTION:ALTERATIONRENOVATION GENERAL REPAIRS
5
NEW CONSTRUCTTON:
! enrCr NEVJ RESTDENCE o" I aOOrrrOl TO EXTSTTNG RESTDENCE
,}]PLEASE CHECK AND ANSHER BELOW ALL THAT APPLY TO YOUR PRO]ECT:
! nrr eanncs
-
sF ! orr canace sr
! eoncH
-
sF
PHONE #:
o
PHONE #: Ilo-a33 -/J/3
RE LOCATION
REVTSEO qArE 04/17/12
B
5FPOOL
DECK
/, Czo* # oF sroRrEs:
HANICAL work Being oone to the Accesso
If the project
is a Relocation, is there a Natur Gas Li.ne on the current site? [f[,v/e s I lo
Is there Electrical Powen on this Buildingl"s fito
PROPERTY USE
/ OCCUP
DESCRTPT-r-ON r OF WORK:u)t^l- b
OISCLAIMER: lhereby cer!ry ulat all intmaton in his applicaton is cor€ct and allworkwillcomply wih he State Building Code and all oher applrable StaE and local laws
and ordjnances and regulalions The NHC Development Services Cenlpr w llbe noi,Red ofany changes in he approved plans and specifrcat ons or change in conlraclDr or
7.
ry structure?
E v"t Eldo
SINGLE FAT,IILYDUPLEX
iare Bldgand SubjeclIo $500.00"'
,l(
* *rk * * ** * * * ** **** * * ** * * * * **,t* + * *
**** ** * * * * * * * ** + * ** *,t
De
?xw#
conrraci)r inbrmaton.
"'NOTE:Any Work Performed w/O lhe Approp,,a!r9.{rnits w,l be,n Violaior of the NC S
owNER/coNrRAcroa:
b0 il/r' *zz Z
. rZ)6, oq,/ru*orr*r,
*r*** *r*r **** ** ** * ** * * ** *. ** *(I i'Il lil"J
IS THE PROPERTY LOCATED IN A FLOODPLAIN?
EXISTING IMPERVIOUS AREA;
_SQ FT
NEW IIIPERVIOUS AREA:
-SQ
FT
I lves I lro
TOTAL ACRES DISTURBED:
EXIST LAND DISTURBING PERfiIIT:
l-l vrs
l-l rc
wArER:
I crrua
I coMMUNrry svsrem
! pRrvArE WELL
! crrurnar wrrr
sErrrER:
! creul
! CENTRAL sEprrc
! enrvlre
srerrc
! coMMUNrry sysrEM
I,** SEPAIATE PER]V]ITS REQUIRED FOR ELECT, IIECH, PLBG, GAS EQUIP, PREFA8S
& INSERTS ***
pAyrirEMT rirErHoD:
! crsH flc}rrcK (payABLE
ro rxcl lerlr accourr E uc/vrsr I orscovra
***,f * *,t *1.** * ***:t **,t )*)*+ * )*)*+
*,t* + +)** ***)**8)t)i *)t+ri )trti.*r(*** !* )t* * *,t*** r(***,* **,** **,*,*** )*
*)*)*)* *,t ** *,i
(FOR OFFICE UsE ONLY)
SETBACKS: F:_ LH:_ RH
Approval:_ City:_ DATE:_ FLOOD:
_
A
Comment:
: t.
tu
BLOCK f:
TOTAL HEATED 5Q FT,: /(b O TOTAL SQ FT UNDER AOOT ' /88!_ TOTAL AREA 5Q FT:/Fa"
! sronagT suro
_ sF
s F ots*' ,/cDll i-,^-< s t/
+
ZONE: OFFICER:
rs\
APPLICANT'S MIIE:
DEVELoPER I
"Project Respons
lbil ity,,
Ll. r.6inrsc.l(t )i It i;,r.,
PRoIECT AoORESST
SUBOIVISIO{:
NEW HAI{OVER COUNTY
BUILDING PERMIT
appLrCArroN rypEr RESfDENTIAL
pLEAIE Airs]iae
arL qJEsIIoNS App[IC 8LE TO yOUfi PRO]ECT
CIIY:
BLOCk
s:
! ,- I
m
2o(a- 3tl
\6-
t?
APPLICATIOII
Number
,orr,
/-/)O/6
HOPNE*t Mtt,ZI P
5T
.-z
P
o'l
LOT S:
puo,t,r a,Y/o -) -t'l/sPROPERTY Ol.tNER'5 NA}lE
ot.lilER,5 ADoR
ESS:
Co TRrcr0n: L\)i
ADORESS:
EITAI
L ADORESS:
PROJECT CONTACT PERSON:
ATT 6ARA6E
-
SF
suNRoorl
_ sF
GREETiHOJSI
_ 5F
IS ANY ELECTRICAL,
If the project i
Is the.e Ele<t.i
C CTTY:
/J:
li
ir,l.*',.J LICENs
E fl ACCOUNT
[:,
sr l'lAlL 0/
u,J I 11
SF OTH
CrTY: tl)
GNATURE:
PHONE
}: ?la-)? -D/-!
RELOCATIONEXI
STUIC COI,]STRUC]ION :ALTERATIaTx
I nerovrrior
f] crnenrl neerras
fl
NEH CONSTRUCTION:
! rnrcr NEtl RrsroENcE
o" flmorrlorl ro Exrsrrrc REsTDENcE
.TPIEASE CHECI( AND AIIISi\Eff BELol./
AlL TtlAT APPLY
Io YoUR PRo]ECT:
fl or;
eanacr sr
I noncx
_ sF
POOL
_ sF
DECK
-
STORA6E.
SHED SF*. ,7/4';l-r,,/-
rorAL HEATED
se rt.: /4A o rorAl sQ Fr UNDER RooF
|
/!!lg!_ roTAL AREA
se Frt /Faa
TOTAL PROIECT C05Tt-essLorr
: g?Ls oF
sroRrEs: 7-,
L,O
Pl,UfiBIilG
or tlECltAr{ICAI
uork geing Done to the A((essory Structuret E y
5 a Relocation,
is there a Natu r-a"f6a
s Line on
the Cur.r,nt Site?
cal Poh/er
on this Buildingl [}fes I no
5INGLE FAItlI!Y
] ouclrx Tor,rt
DUsi
,L) t< c,tln/l +
/.
", 96
Ei/es E ro
PROPERTY USE
/ OCCUP
DESCRIPTIoN,0F WoRK:
LD t^t- ,r)
O|SCLA|MEP h6,eb!.",t'./lhalar
:,b.r,:o1. r larok.lcn
tld ordnarcls and
Egulabns. Tho
N,iC aavoropm rS.,vrcsCeia, w lt€rclfedot ,changor h
$. at'r,.!€d pra;s andspr.,tr.rlions
u.'r:j.]e n cotr[ack, q,conracbr mb namo "'|!OTE: Any y/.r k ,,e.la mc
t W/O
het,d ^' -tlL:.,a!85f .t,iI.,i i:es !l; :. S5CC C?.,,
oulen/cotrnacroR
'
Lai ta,A7..
-'*-.*: l,
rs THE pRopERTy LOCATED
IN I rlooocutrl f] ves
EXISTIIIG IITPERVIOUS AREA: _SQ FT
NEIJ
IiIPERVIOUS AREA: _sQ FT
NO
TOIAL ACRES OISTUREEO
EXIST LANo DISTURBING pERfiIT: E yEs
i{ATER:CFPUA
f commuNtrv svsren
f] rnrvrre wert I cENTRAL wELL
sEr.rERr
x creu,r
! CENTRAL
SEprrc PRrvlrE sEprlc
D courutr;, svsrrr
NO
}.. SEPARATE PER'tITS R[QU:RED FOR EI
PAyrrrEirT
rErHoD: ICoS, ICrra* 1oo"ou.t
FCl at.H, otBC,645 iqJlp, PREFASS
I IirSEprS ...
To
rc) L-J BrLL
acco.rrr f_ ncl,,.rsn I orscovrni'l rr r * **r ai, r i***! *t****r *** +i,* * r
P'5 orrrcen,
vaL:_ City
(r0R
oFriri lrs, oi(Y)
SFTSACKS:
r' rJrA LH,
Iilf nn l,JtA ,, .) rd'"':r
o^rt
s4lri/rr
v 8FE+2ft:
_
Jr.ii rr,, s 7{,@
5
ZONE :
Appro
Co.rme
nt:
:_ o/.r:
t -l5 - I bFrooD
.lrlei
IPHONE
a: N,/ ,L
o(t\
\A-t6
2orC'7tJNEW HANOVER COUNTY
BUILDING PERIqIT
awLIcATIott TYPE: RESIDENTIAL
PLEASE AiISWER
ALI" QUESTIOTIS APPLICABLE TO YOUR PRO]ECT
_/\ "Project Res pons
ibilit)/'
(*rrr-^r,r*tq
APPLICATION
Number
(offi<e Use)
DATE: l1ll. l<APPLICA T'S NAI4E:
DEVELOPER:
D
PRO]ECT ADDRESS:
ce
SUBDIVISIOT{;*r-
PROPERTY Oil,lER's tulrE: t"JL
O{I{ER,s ADDRESS:loz ' D Ir1.:-A t.CITY:
coIitTRAcToR: 6rgqt-r.-
$r-.- p Lf C
IODR€SS :oZ
k-
E AIL ADDRESS:
, ,\/ €-r-
ELOCK *: _ LOT #:
pro E #: @61 '4oo
ST:
N QIP: ?-
LICEISE #:q38
CITY:
Pnot{E
e:1t Z)'1 0900
ZIP':2&/o7
srtQut::€?<,3
tr Yes
tr No
PtOl'lE
*:
PHO
E S:
! orr ennaer sF
E poRcH
_ sF
I eool
_ sF I srouee sHED
_ sF
PRO]ECT Cd{TACT PERSoi'I:
T3c,ao,o-=I-6 o-s,t't-t r t<- r /i
ExrsTr[G co{srRucTrori:
f} nlrenartoH
[l netovmrou
! eruenar- nrenrns
! RELOCATTON
NErd CoNSTRUCTION:
fl ERECT NEhr RESIDENCE
o"
ff aOorrtor To ExrsT iG RE5TDENCE
**PLEASE CHECX AND AilSl,lER BELOt4l
ALL THAT APPLY TO YOUR pROIECT:
f rt.3 e '7
-o9 q)
! nrr cnnaer
-
sF
! surunoou
-sF
GRE ENHOUS ESFDECK
SF OTHE R:SF
TOTAL HEATED SQFr
U26 ToTAt SQ FT UitDER ROO1:
l%TOTAL AREA SQ FT:
-
TOTAL PR0IECT COST cess roj
i $U* OF STORIES:
Is Any ELECTRICAL, PLUtrtBIt{G
or l,lECHA
fCWork
Being Done
to the Accessory Stnucture?
[ Ves I No
If the project
is a Relocation,
is there a Natural Gas Line on the Current Site?
Is there Electrical Power
on this Building?flves F] Ho
pRopERTy usE
/ occuPAr'lcY,
[l srucle FAMTLY
I DUPLEX Tol'INHOUSE
DESCRIPTIO'I OF t{oRK:'f&)o
6s% DtS l-'r t:tR Nczn BH-/S+('
cr-r4L
DISCLAIMER: lhsrebycertjfy fial allinbrmalion in
his Epplication isell work N,itt
compty wih he Slate Buitding Code and altober applicablo StaE and tocal taws
and ordinances and regulalions The NHC De r willbe notfed ofanychanges in
he approved ptans orchange in
coolracbrorcontacbr infometon. "I|OTE: Aoy Work Permits willbe in Viotation
oflhe Subjecl
Ot{NER/COilTRACTOR :
5I
* ** * * *+ + ++ * ++ * * ** * * *rt,t *,f rt,f(Print Name)
+* * * +,t * )t*,i *+,t,t ++ + ** !t*,1** *,r,t )i** **:t +* + * * * * ,*,t * ** t:t ,t ,t *,* *,1
rs rHE pRopERTy LoCATED rN A FLOODPLA
{?
f] Vrs d w
EXISTITG IfiPERWOUS AREA:
-SQ
FT TOTAL ACRES DISTURBED:
NE}I II'IPERVIOI,S AREA:
-5Q
FT ExIsT LAND DISTURBII{G
PERfiIT: I].1 YEs
Nilo
wArER t
/ cFpuA
E cor,4rr4uNrw
sysrEM
n pRrvATE WELL
! crrurnal wrrL
sEr{ER:
[Z cFpuA
il CENTRAL sEpr]c
I nnrvare
sEprrc
n cor4MuNrry sysrEM
*** SEPARATE PERIrtrrs REQUTRED FoR
ELEcr, mEcH, PLSG, GAs EQlJrP, PREFABS
& riEERTs **r
pAyiiEr{T
ErHoo:
! clsn ficrrcK (PAYABLE
ro mrcy
I mrRr.or
,rr*ri, E ,.lrrii ' -
E orr.orm*,*,i***)t++++***+****)**,i***rt.t*,t*****,*,i+,t*********,*:****++*+,****++,*,****,i*,t***++***!r+***+,t)t+,t
(fOR oFFICE UsE otltY) REVI5ED DArE
o4lttl12
ZoNE: oF FICE R:SETBACKS:
F:_ LH:_ RH:_ B:
N
e-'.1
Approval:_ City:_ DATE:_ FLoOD:
_
AV
BFE+2ft=
CITY:
L-.J, I r, ,
-, t',..
20te-31
\6-r6
APPLICAIIOIT
Nur$e r
(Offi(€ u.e )
3
L(i\.,
'
#,l
NEW HANOVER COUNTY
BUILDING PERMIT
APPLICATI$T
NAT; RESIDENTIAL
PLTAS€ AHSIJEN AI! QUESi:CN5 APPLICAEL€ IO YOUS
PNO]T'r
"ProJect Res pon s ibj.l.it/,?**,APPLICAflT'5 IIAI4E:i_^l DATE:l. ll. r<
OEVELOPER:
D
PRO]ECT ADDRESS:
SUSDIVISIOiI:
oC ITY:
Plo E * i
OO
Z,.Pt>€4a1
pHO{E
j: 6'f,J4 7 "ct ao
r!.-,BLOCX *: -_.- LOT fl: _
PROPERTY OTTTER,S IT'A,TE: I, })
OI$IER'S ADORESS:
lo z .
co rRAcroR: 641y*r* 6,-'-. p Lc- C-
ADOR€SS:
4'>-ru
D,.- >- Xrl e.-.1t.CITY: LU.
LIC€NSE fl;c3g
CITY:
sri M (ztp:
?-[i1/o3
sr:(!uc,
€?o:
SF
5F
/-to t'r= llwc-
EI{AIL ADDRESS T
PROIECT COa{TACT pERSOl.l:.-r2, .,"L -f- 6 *..;t,,r.-
PHO
E fl:
PH0{E
s: Ta. 3 e t -ca a.
NEI{ COiISIRUCTION:
! INICT El{ RES]DEiICE
O"
I MOTTTOI TO EXISTIN6 REsIDEI{CE
I*PL€ASE CHEC( AND A'{sI.IEN BELOII ALL THAT rPPLY TO YOUE PRO]ECi:
AII 6ARA6E 5F
! oer canrcr
_ sF
fl
EXISTIIre COT5TRUCTION:A
L'I E RATTON
sUNROO"',t
_ 5F
! cn re ruous e
_ sF
pl nrtova'rroru
fl eerenal nrrrrns
I RELocATToN
PooL
_ sF
DECK
_ 5F
PORCH <E
5TORAGE SH€D
CIHER:
DUP
IEX TOI.'NHOUS E
TOTAL HEAIED SQ FT:
"/2€TOTAL
sQ Fr UNDER
Roor:
l?t{,
IOTAL PROIECf COST;r*srou
: I L)T OF STORIES:
Is Any ELE(rRICAL, PLUIBI G or n
TOTAL AREA SQ FT: _
l.ro.k Being Done
to the A(.esso.y Structuret
I Ves I to
ere a Natunal Gas Line on the Current Sitet f ves Ilding?
I-l ves l-'"1 ro
NO
If the project
is a Relocation,
is th
Is there
tlectrical Po[er on
this Bul
pRopERw usE
/ occl.lpAlrcy:
f,f srNe
r-e FAxILy
E
DESCRIPTIoN OF ttlORX: Jr, rro
6.r DB-r," o *-
e.-lR C)-Y1
- Nczn
4ttr?
/t t-
DISCIAIMER: lh,rcby reiit 6a1.l1htlh6rn. h Dk lpprc.to^ ir 6lrwo.t rilrcoopty witr n€ Sbt. Buitding
Cods.nd.rl o'ler applcabts steE cnd
bc. a,i6.d ordi.onces Bnd,ogolltiors Tha NHC D€vetcome, wiilba nottaC otrny ctenoos ln ha approvGd Dbnr.nift3lion6 or.h&D. n conr..b. or
conr-b. in,oft.lton "1iOTE A.y Wo.k
:b Psmiti wlibe i. VmLtbn orthe N
OI{NER/CONTRACTOR:S IGNAT
(e.'nr ri.!e itraalrttrr**
IS TXE PROPERWLOCATEO
IN A FLooOPtAIil? -YE5
dno
c
EXISTING IIIPERWoUS t&EA:
--
SQ FT
NEt{ I}IPERVIo{JS AnEA: _ SQ Fr
HATER :
Z CF PUA
sEr{ER: EJ cFPUA
PAYI.4EM T1ETHOO:
TOTAT ACNES DISTURBED:
EXISr LAND DTSTURBTNG pERfirr: fl yES f-l o
COl,tr'1U
IrY SySTEtlPRIVA'I'E IiELLCE'i]FAL WELII cerrrRlL srer:c
! nnrvarr
srrrrc I co HUNrry sysrE].1
.T' SEPASATE P ERIIITS REQ{JIRED FOR ELECI, ttECH, PLBG, CAS EQUIP,PiTFABS
I IIISERfJ crsn
I cHE(x (p^yABLE ro
mc; I arrntcAlt ExpREss
E ,.urrro
f, orscovr
!)\'o'a
(aoi otrtct J5t qrlY)
ItvIttD DAit o4l!r./12
,orr, f2,- 15 oFFrcER:
Approval:_ City:
lrla 6.,(
SETBACKS: F
OATE;
\.I3-Ib FLOOD;
tJlS rr,-!ln nrr; trlAB
,,tiiF
Dq!.\S ror. OvChovr-.go
-
-w-\/l-\8FE+2ft=
LJ,lr-",-, n-.
#
APPLICAfiT'S TIA]VE I
DEVELoPER I
NEW HANOVER COUNTY BUILDING PERIlIT
APPLICATI$I rYPFr R
ESIDENTIAL
PTTAST ANSI{IT ALL QUE!'ITONs A9PL]CA8L' TO YOUi PNO]ECI
"Proj€ct tesponslbility',
--i-, t")Qituci-l-
adt@3q1
?r+ (u-l!
APPLICATIOTI
t{umber
((xf
i.! uic)
DIT[:l3
PRO]ECT ADORESS:
SUBDIV!5IO{;
PROPERTY O'SiER'5 MNE:il.
c R'S ADORESS: i42,
COHTRACTOR:
ADORESS:-1 "u UJ , 9,rL-r,t-
BL0C( *: LoT d:
*mr a, I () '75 L '55{D
fi : L)e zrP't Lbla
t'
9L
CITY: -- I.Jrlr
^(:
r0,
Pliot{E
*:3ql, "t
st: tPzw I zlliS
PtfilE
tt tlto - Z.qt. ,.,;tt
pro
E,: f,0 ".5a {bB
,/r.a:.:1,
| - ' - '
L 4 Lt t,;-.<:
'tt+ II!*
LICE
CITY:
HS€ r
t^/,
EI.TAiI ADORESS:L
PRO]ECT COIiTACT PERSON:--l-art^r!>yi*4t-
EXTSTIT{G CO{ilSlRUCrrOr'
I ALTERAT]ON
! nrrcvarrOl fi CrHrnal neC}rns I RELoaarioN
NEtd colJsTRucTloll,
! eercr [Ex RESIDEilCE o"
f molrtu,t To ExrsTrNG REsrDEllcE
.TPLEASE CHECT ANO A}IS{ER BELOII LL T}OT IPPLY TO YOT.li PROJECT:
I cnrtxrouse
-..--
sF
f orr crRace
_ sF
f eoor-
_ sr
DECK
PORCH <E
ST0RA6€ Efl:") <E
AT1 GARAGE
-
SF
SUNROOIi SF
SF ]TK5 R:
TOTAL HEATED SQ FT:
-
TOIAL SQ FT UNOER ROOF:
-
T0TAL AREA sQ FI:
IoTAL PROIECT CoST
r.." ,oo : tr 1:9-, o0 * OF ST9RIES: -.-.._--
:s Any ELECTRICAL, PLUHB:i|€
or fi€CXlIfCAL l.lork Being Oone
to:he Accegso.y Stru6lLrre> f V"r E ruo
If the project
is a ielocatlon,
is the.e a Natural Gas Line on the Cur.e.t Site? E yes
Is there Electrjcal Power
on this Suildintl ftlves Ito
PROPETW USE
/ OCCUP
DESCRrplror.r ot rroRx:
lX srNcLE FAr',rrLY I I
CflrdL a-
lt?
DUPLEX TC'r/NHOUS E
c)*(*l Ngr*.L / JY4L (,X1|L,41 tt)1;.c;
r$9i1,t!_"T1i,
fu, 5.-, L1^t4k'q- 3
DISCLA|UERli.lt6y..inar!h.iaIinhn.lc'hhir.pDlic.lhnic.n.1andoawo.twrll..hriy*,!rheSt6l!B!,di.!a.a!andafloae,.ppricabt€ StaD ana ix.l.wsrrai.t.ancos91asgula$onsTh.NHCDawbpm€nr5.,!,.s8C€nt i ir!€ nolf€d ot aily chsnges n h. sppoL?d pt
rr2.d cha.Ac m
cont6(bror
con ra.6r ,^b
m.ton '-1,|OTE A.y ,,.,o.1 Pcrlomod w/C
i€ Approprisk oom iB witl
b. in
Vblalir. ot rhe N
CBld!s U, io 3500 00"'
ol'rNER/corirRAcfoR :{1,o, A. {pbnr.",SIGIATURE:
YE5 NO
IS THE PROP€RTY LOCATED
ItI A FLOOOPUIIN?YES
EXISTII,G IIIIPERVIOUS AREA:
-sQ
FT TOTAI. ACRES OISTURBEO:
NEI{ I;|'!pERVI0US AREA:
----
SQ Fr SXIST LA D 0ISTURBII{6 pERiIT: E
Sm
$rEn;f crcur
f coffivuNrry
sv:rrr f pRrva:E wE[L
D
sErER:
fi cFPUA
D cErtrRAL stprlc f rniva;r sEpTIc
E
r.T SEFARATE
PERiII5 REqJIRED TON E[FC'
PAYIIEI.IT I/:THOO;
I crsr
trcHEC( (p vABLE
ro xr<y
I eren
CETJTRAL
l.]Ett
COHIIUNITY SYSI:I4
GAS
FQUIP, PTEFABS
& IN,ENTS
rcalr
Exparss
[ rcrvrsl
3iTsAcKs:
r: NIA r-n:
urg nx: NiP 6. U
rq
D^tE:\
\4'lb F LOOO BFE+2f-.
ir0R o.1r.t !ta trty)ri,'ilD arl
t u/titt2
[ ,rscovrr
( ,)l
0F ;:c t R:
Aoorova.l : Ci
tv :
r-),r.\Q(t \
-{.^'t1 o( \-^J (Jv
l<- on\
#zs
,9;4vt-Sr.n,3r
ZONE:
3,0 t(o'3U
PERMTT
TE+ tt
-t lNEW HANOVER COUNTY BUILDING
APPLI
oATIoN rYPE: RESIDEI{TIAL
PLEASE ANSI/ER ATL QUESTIONS APPTICABLE TO YOUR PRO]ECT\.t'
APPLICATION
Numb€r
(Offic. Use)
-JorH t,
"Project Responsibllitf'
9atrk>DATE:lbAPPLICAT'IT'S NAI}IE:
DEVELOPER:PHO$IE
#:QtO'bs59d
PROIECT ATDRESS: I
cIw:ztp | .L)qoS
8L0CK
*: LOT #: _
plo.{E
#: Qto-256'SttD
SUBDIVISION:
CONTRACTOR:
ADORESS:
D
fAa.-
bc;aLPRoPERW ON.['IER'S iIAItE :
of{ER'S ADDRESS I l4A
-!o*,t L)
?rZ.t&L
-t
LICE
CITY:
titsE #
tJ,14Ll
CITY:,Lntl-9 srt
lDzwtz,las
srt
&zrP': ?i4os
PHONE
f: '1lO-79t -*b
pHoNE
s: Q t0 .z-56 --SbB
L.w11^)
4 rOrs/
EiTAIL ADDRESS:L-
PRO]ECT CONTACT PERSON:
Jot+^l tySro,t4a-
EXrsrrNG coNsrRUCTrON:
! alrrnerroru
! neuovarroru 'Elceruenau nrerrrc
[ RELOCATToN
NEI,J CONSTRUCTIOI,
! INCCT NEt{ RESIDENCE O"
! ADOTTTOI TO EXISTING SESIDENCE
I*PLEASE CHECK AND AI.ISI{ER EELOUI
ALL TI{AT APPLY TO YOUR PRO]ECT:
! arr canace
-
sF ! oer eanacr sr
! eoncx
_ sF
! surunoou
-
sFPooL
_ sF
! sronacr sHED
_ sF! cneerurouse
_ sF I orcx
SF OTHER:
3D 5F
TOTAL HEATED SQ FT:
_ TOTAL SQ FT UNDER
ROoF:
_
TOTAL PROIECT COSTIr-essr-or1 t $19.o0 f OF STORIES:
ToTAL AREA SQ FT: _
rs Any ELEcrRrcaL, PLUitBrl{G
or fiEcHArucAL wonk
Being Done
to the accessory structure?
[ v", I uoIf the proje€t
is a Rerocation,
is there a Naturar Gas
Line on the current site? [ ves [ ruoIs there Electrical Power on this BuildinglffiVes Ito
PRoPERW UsE
/ OCCUP
OESCRIPTIO{ OF HORT:
, fXsrner-e rar,rrr-v
I oucr-rx
I rowNHousE
0,L
)\rl4l L e N9?41.1- lNdL ha+t6<Nt&4
3
applicable StaE and tocat
ch6nge in
conlrEcbroI
71LE furl
DISCLAIMER: lh6reby certjfy fiat all inbmation in
his appticaton is
conecl and a[ work wi]lcomptywih he Sl6te Euitding Code and
a ohsr
6nd ordinsnces and regulations The NHC Development 56Nices CenEr
wi be notfied oranych5nges in he approved ptansand
contacbr intomalion "'NOTE Any Work Perfomed W/O
he AppropriaE pemits witi bein
Violalion ol the NC BldgCode and Subject
b s Up To $500.00,'.
ottt d. 3pars,SIGilIATURE:
* * * * * *,*,** * * + +:r:* * * * * * * * * * ** *(i
i'll JiI"] *
*
IS THE PROPERW I-OCATED
IN A FL@DPLAII{?
EXISTING ITIPERWOI,S AREA:
-
SQ FT
NElrl IT,IPERVIOI S AREA:
_ SQ FT
+,1** +**,*
**,t *:t + + **:t* *+ +
fives Eno
*1**,1* *** + ,t:i,* **:*:* + ** + *+
MrER:
[l crrun
fl cor.$4uNrry
sysr
sEwER: El CFPUA
ll CENTRAL
sEPrrc
rn I eRrvare wer-l
! cENTRAL wELt
! rnrvarr senrrc
f] cofimuNrw sysrEm
(roR orFICE usE oNtY)
ZONE:
_ oFFICER:SETBACKS:
F:_ LH:
TOTAL ACRES DISTURBED:
EXIST LAND DISTURBING PERIiIIT:
I'''I VES [ rc
+*** )*+* )t )i
*jt + +:* *
*+,**,t*
f,EYISTD DATERH: a.
BFE+2ft=
**,* SEPARATE PERXITS R
EQIJ]RED FOR
ELEcT, It.IEcH, PLBG, 6As EQUIP, PnEFABS
& JIISERTS ***
PAYilEt'IT TIETHOD:
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EcHEcr (payABLE
ro
rixcl florrnrcalr ExpREss
[ rcrvrsr Eu)r
* * * + **,r *** ** * )t
* * *
+,t* )i:t *,*ri,t** * * )t
* *,t * + * + *,t
** * * *,t* *+,* * *
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I * * ** **,t *t
Approval:_ City:_ DATE:_ 5t_@D:
f,
il,
OI{NER/COilTRACTOR :