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HomeMy WebLinkAbout4112 SADDLE NOTCH DR - APPLICATIONS - 7/30/2014O Y ER -THE -COUNTER ONLY This application is to be used to apply for the following permits only (check all that apply). 13 Air Conditloning p Demolitlon (interior non-structurO O Electrical Alteration (not service change) DIGas Lighter LI Gas Log ❑ Heating Unit 4 Lawn Sprinkler ❑ Mobile Homer replacement X Roofing ❑ Sewer line D Photo -voltaic Q Ventilation ❑ Water Heater CI Water Line ❑ WoodlPeltet Stove (must be EPA certified, provide make, model and manufacturer). Complete all applicable information on the application_ incomplete applications will not be scceptsd. i Application # 12>140aa53 Date 17L � 0. 2O[ 4 FaroffM no only Sob Site Address (mqulmef) Value_of Construciton (labor, materlift prol* Property Owner Name address City/StatE Zip Phone s t u a Gl8 �i ahoy ii J el'i+, V;11a N. �Z �t51i� Applicant Name Address City/State zip Phone 9 -7d - Aj-� -ramiok ?,ocg ytnc aIrl U-1 -EA'6 t-X PIK ',C6 $pS-A �c7-r�Qoo Contraciq Address dtyMate i Zip i i Phone Contractor MY of Pt.'Callins Sales TlIx V. Are you paying taxes here or, by report?, evere 0 Report sa�sta rr sa raertcrequrredbyealnwgradm Are you paying with your trust account? i rYes I O No Is this a ragdeMiai or commercial project? fQ Residential 0 Commercial ! IP residential, is It: I! Single Family Detached Q Corrda t wnhome (single famay attached) Q Duplex 0 Muitffamily (apartment) E3 Garage If commercial, is it: O bank CJ Bar ❑ Church ❑ HoteVmotel ❑ Medical office ❑ O$iCe ❑ Retail [1 Restaurant ❑ Other (explain) Is this building 50 yreans of age or more? ❑ Yes ❑ No IFyesy ysoil InayRead t0 goniac#hJslwfrPresaervaUarr If this is for a demolition parrnit, ghat year was d*-building mnsb%kiDad?- . fxufarm I97.f, you will need an asbe=s azemVreat to R,6Wt KMU16- AAm7WffV& of work Teer n-(:C- *- ze)glace e.xi•s (-ivcQ�ac-F ! c<.i:w 8 a *If lawn sprinideNbaddlow preventer, must list Ikensed plumber. If fir-410me A/C, must Ust licensed elet ldan. Subcontractors: Clst' b'+e cnrn�aeayrta ►Ae orG}1� ofR Clzl/rYrs9c�rse 61.~01Mw Plumber Med1W9=1.itu°!er �- l.�s� other I hereby admrnvledge that I have read this appll©tlon and state that the above Inrcrnotlon is pomplete and COMM I agree to comply with all requirements contained herein and dty ordinances and state laws regulating building constme ion. I know that a permit is not valid until it bas been paid and Issued. i