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���-�W�N GIryoTZephyrhllls PermltApplicatlon FeX-s�a-�eo.00z� <br /> , � . Bullding Dapertment - <br /> ')ataRecetved �(��r� . ,•�n �� <br /> Phone Contact for Parmlttln �Jl.i <br /> Jwnofs Nam9 � fvt • G. Owner Phone Numher 38,•� 9 � <br /> � <br /> :wnor's Addreas 7 �� � � ('%� F' Ownar Phona Mumber <br /> �ea Slmple Tltlaho(der Nama Ownei phono Number <br /> ��ee Slmplo T�tleholder Address C�'�j �pr�� �,[ <br /> IOBADDRESS LOTit � <br /> IUBDlVISION PAEtCEL IDH <br /> (08TAtNED a PROPERTYT�TICE)pEMOLISH <br /> NORIC PRDPOSEO NEW CpNSiR ADDlALT Q SION <br /> e INSTALI '� REPAIR , <br /> �ROP08ED USE [� SFR � COMM � OTHER <br /> 1YPEOFCpNSTRUC'f10N Q BLOCK FRAME Q STEEL Q ' <br /> SHSCRIPTIpN OF WORK ,1• l a f <br /> 1UILDING SIZE 8q FOOTAGE HEIGHT � <br /> ' QBUILDING S �� VALUATION OF TOTAI CON9TRUGTIDN <br /> QELECTRICAL § AMP SERVICE L] PROORE38 ENERGY Q W.R,E.C. ,/•` �Z� <br /> [�PLUMBING , $ � ���ii riP <br /> MECHAN1CAl � ��� �J <br /> � � VA�UATtoN OF MECHANICAL INSTALLATION 7. �'r�,�j$/�Q't'�"� <br /> [�GAS Q ROOFING [] SPECIALTY Q 07FiER �y� <br /> NvW <br /> �INISHED FLOOR EL�VATIONS � FLOOb ZONE AREA QYE3 NO a l;t�'f�M.J p��'C�� <br /> Q1J►1Prsh�t <br /> iui�oeR ' ��� �coMP�wY 'y"v r n e►^ I�v,`�r'� �vt'lv�cc�S <br /> IIGNATURE � �cis� Y!N F�cuHF�n` Y 1 N , <br /> Addreas ��¢� ' /y.�i i �ti 1� 1-l� ayb/a <br /> � Uoense# ��G O�j ��a� <br /> ZECTRIEIAN � TyT^-- � � COMPANY G G��' �GE'C���C�L <br /> lGNATURE REGISTEAEO Y/N FEHCURREA J <br /> Atidrees <br /> ,LUM9ER COMPANY <br /> IGNATURE rcEC�sr�rseo Y/N FEE CURREA Y I N <br /> Addresa �� <br /> se# /� <br /> (_ � � K-�/�'n <br /> COMPANY /�Iz <br /> `GNA7URE� `L REGISTERED Y/N V FEE CUqq6p Y/N • � <br /> Addr9as -- ��� <br /> �.��, --^�_ , / <br /> (d �° <br /> 7HER COMPANY pr++u•� <br /> IGNATURE RECISrEqEp Y/N FEE CuRREA y�N �� <br /> Addroos <br /> Llnenae# <br /> ESIDENTIAL ptlach(2)p�ol Pians;(2)sets af Bullding plene;(1)cet oF Energy Fortns;Fi-O.W permH for new conatructton, <br /> Minlmum tan(19)Wprlcing days eRer auhmlNfll dale, Requtred onslte,Con�truciion Plane,S�ortnwater Plans w/SIIL Fenoe Installed, <br /> dMMERCIAI. Attaoh 3)complste els o}B tlding Plan p ue a�NerSakH Page;(1j etof Eergy Fortns,R-0-W Permit for new conslniction. <br /> Minimum len(10)warking daya'okor au6mlltal data. Requfred onslte,Cons W dlon Plans,Slormwater Plans w/Sllt Fence installad, <br /> SeNtary FaaHllles 81 dumpster.511e Work Pertnit for eQ new proJeclg,M commerclal requlrements must meel compifence <br /> GN PERMIT Attaoh(p)sete oI Englneered Plans, <br /> ""PROPERTY SURVEY teqvired(or gll NEW constructlon. <br /> � <br /> wctlona <br /> FIII out eppliratbn campletely. <br /> O�+mer 8 Contrector sign badc af appl(ratlon,notetized <br /> If ovor a2900,a Notloe of Commancomant Is requl�ed. (16/C upprades ovor 57500} <br /> Agent((or Ihe contrectar)or Power of Attorney(for Iha ovmer)wou(d be somaone w1►hnptarized.ielter(mm owner authonzing eame <br /> rER 7HE CDUNTER PERM�TT�Np (Front of Appllcatlon Only) . � '�+-` • � <br /> uoofs If ahinples Sewers Servioo Upgradea'A/C Fences(p�ot/SUrveyjFodtaga).. •• <br /> Drlveweys.Notover Counter If on pu6iic roedways..needs ROW�.;,, '' <br /> „��r. <br />