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Permit #
Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
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3 1-
I BT. A / BPW I~3C.~ET
(EXCLUDING LAND VALUE)
~UARE
O NEW
E~l TOWN HOME []
[] TWO FAMILY
# of units: ~
[] MULTi-FAMILY
# of Units:
[] RESIDENT'zAL (For []
Additions, Remodels, Etc,) [] DEMOL.ZTZON
pplied
[] Uniform Plumbing
(HulU-Famity Construcl:ion Code)
OFF~CE USE ONLY:
Manufactured F ---' ATLONTYP : (Check all that apply for the new
Trusses: y '~ construction ama)
Permit: N
_ _ -'~ [] CRAWLSPACE [] POST & BEAM
LotSplit: Y_~_N bump~'ump: Y_.~N ~ SLAB [] BASEMENT
Does any part of the property lie within a special Rood designafion/a~ea: _Y,~_N WALKOUT:. Y N
~ slamc~um_s, ~ [occm~t ~s v~d~c[ o~y ii co]tst~ucrJon commcaccs
w~rtda 18 moat]ts ot'r~c
jute, Cjass ! s~mctu~c [~:~m~cs a~c subjccc to thc Genera] A~rivc Rules of thc Sacc of ;[nai~a~ ($c~ 675 !AC
amc ~mmcs £or I~a[ng a~a complex/ag co~s~ucCioa,
mcoasmacr~on, ctdm~gcmc~t, ~c[ocad. o~ or aJt~ar.~o~ of a sc~uc~utc, or a~y c[',a~c ~ r~c usc of }a~d o~
~[ cozEm*m m, ail app[icabl¢ Jaws o£ ~c Scare of ladia~a, a~d fl~c 'Zo~g O[~U~a~cc of Ca~mct
of [,C, 3{5-7 ct sect, Gc~c.--a] Asscmb[7 of r~c Scott of ]~c]f~a, a:ad
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Dcparr~ac~c or' Com~u?t~ Scm~_ccs, Carmc],
Print
Under Slab
of community'--~"~T~ (Date)
Filing Fees: ..~..,~_~, *i
Base Inspections: .//~,~C~;, ~ _ # Charged Re-
Reviews
Cert. of Occupancy: __~/- .~ C~
P.R.~.F.: Additional Fees