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� i ,� - �nv - �o��l <br /> _ -; ,� � ea�-�eo�oozo City of Zephyrhilis Pertnit Application Fex-eta�eo�oo2� <br /> �1 = ' eullding Deparfinent <br /> wt.R�.nr.a 5 1 /S� Phone CoMaetfoa P�rmktln ��3 �f6� — ��f S Z. <br /> Owm�ra Nam� �W i S � �iJ�-�ST�� Ownir Phan Numbsr .rl�J�^�3 1'3���( <br /> Orm�r�Addnss lP y � �-A �o a.c� S'� Ownor Phone Numb�r <br /> -----------FN SImp1�TltlAhold��lun�— —N—��-- -- ------OrmeRPhoneNumbeL-------------- -------- --- <br /> Fw SImpN 7itlehold� Addnu <br /> JOB ADDRESS 'l a L-IXI �tJ�C� S T LOTA � <br /> sueunnsioN �UG e r..1 c o �- PARCEL IDt f���'�°�J�/— DL`G�D —40avt�—O�'far� <br /> coerNr�o Fnor raoPEmrT�x Nance� <br /> WORKPF�OPOSED e NEWCONSRtB ADD/ALT [� SIGN Q Q DEMOLISH <br /> IN3TALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPEf�FCONSTRU ON Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF W RK C. ' A-nr. �. �,�-.� 3� �' Tv� /.3 .5�� SC P <br /> BUILDINO 81ZE SQ FOOTAOE� HEIOHT � <br /> QBUILDINO i VALUATION OF TOTAL CONSTRUCTION <br /> Q ELECTRIC S AMP SERVICE Q PROC3RESS ENEROY Q W.RE.C. <br /> QPLUMBINO S <br /> �MECHANIC S LC�Q� VALUATION OF MECHANICAL INSTALLATION <br /> -� U <br /> pc�ns p Roo�Na p sPecw.rr 0 orHeR <br /> FINISHED FLOOR E AT10NS FIOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> 81GNATURE REGISTERED Y/N �Cuw� Y/N <br /> Addms Lleenae# <br /> ELECTR�CUW COMPANY <br /> 810NA7URE � REGIS7ERED Y/N FEECURRe� Yf N <br /> Addnss Lieenae# <br /> PLUNBER COMPANY <br /> 810NATURE RE6ISTERED Y/N FEEWRHE� Y/N <br /> Aaan., ueenee�l <br /> INECHANICAL COMPANY ��P R��l�L°S <br /> SIONA7URE REGISTERED Y/N FEE q1RREt. Y/N <br /> Addras �0 C Lleense# � � 0 � <br /> OiHER. COII�PANY <br /> SIONA711RE r�c�srEReo Y!N FEECURRB� Y/N <br /> Addnas Ucenae# <br /> f i'f 17'T1 �f� 17-1"I'7'fi'1'"I"i7""1-f77-1'"f"TTI'�'1'�-7f77111'I�I-1"I-fii'i'IT7 f'T71"TTiTTTI �i"f-1"i <br /> RESIDENiIAL ch(2)Plot Plena:(2)sete of Building Plans;(1)aet of Energy Fortns;R-O-W PermK Tor new construetlon, <br /> Inimum ten{10)worMng daye elter submitlel dafe. Requlred oneRe,ConaWcibn Plerts,Stormvv�ter Plena wl SIH Fence Inatelled, <br /> Ifery Fee�itlee 61 dumpater,Ske Work Permi!for subdHiebnellarge pro)eda <br /> COMMERCIAL (3)eomplete sets oi Bullding Plerre plua e Lf(e Safetyr Pege:(1)aet af Energy Forma.R-O-W Permk tor new conatructlon. <br /> InMum ten(10)wakng deys aRer eubmiltal date. Required onsile,Conatructlon Plana,Stamwater Plena w/S�t Fence Instelled, <br /> Kery Fec0ltlea 81 dumpeter.Site Waic Permk fa ell new proJecfs.M commerdal requiremeMs must meet eomplience <br /> SIGN PERIVIR (2)eeta of Engfneerod Plana. <br /> PR�PERTY SURVEY requlred Mr a0 NEW conaWdion. <br /> i <br /> Dlnetlotn: <br /> Fll�outepplieatl eomptetey. <br /> Owner 3 dor sign badc of eppiieetlon.noterlud <br /> M owr�50D, Netle�oi Camm�ne�mmt Is rpuired. (AfC uppredp owr 57600) <br /> � n9eM(ror are Gor)a Power of AComey(for the owner)would be someone wHh notatized letter fram awner authortrJn9 eeme <br /> OVER i11E COU R PERNIRTiNG (Front oi Applieatlon Onty) <br /> Reioofb If ehfngles Sewere Serviee Upgradea AIC Fenees(PIoUS�wey/Foo4ege) <br /> over Counter ff an publlc roedways..needs ROW <br />