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� <br /> t <br /> � R . e�a.rsa-oozo City of Zephyrhil3s Permit Applicatiot� �ax-s»-asa:,czs <br /> Buitding a�apartment <br /> Dato Recelved �-- 1�—'fo phon�Goninct far pertrstttln <br /> Wmer's Namo Ii�tL �1V �i �C'• �r'�f�t qwnar Phona Humb � (, �S� � � Y-. <br /> o�ar8 aaarso8 . 1 r � tJt�13 F{- .iS�� Chrnor Phans Numbet !J i0���"1 /",��� Y.' <br /> Fea&imple Tiklohaidor Name Owrrer Phone ldumbnr � � <br /> Foo Slmpla Tltioholder Add»sa <br /> dDBADDRES8 T��� ��'rt - r ve Z:H, FC. 335��. �br� �� <br /> susams�o�t �2n�,z__� ;r�N,�.�j?��asacEZEu� t�.'��,-: �- � - � �' ,—�.�. ` , - <br /> ;oeT,�iNaa�rsau aRormrrtnac Hottc�t <br /> WORK PROP09ED � � NE4V CONSTri� ApDlAIT � SIGN Q Q pEMOLISH <br /> INSTALL � REPAfR <br /> PROPO5ED USE � SFR � COMM � OTHEF2 <br /> TYPE OF CON9TF2UCTIdN � 8LG1CK C] FRAME � STEEI. �] <br /> D�8C1?lF7iON dF VltOitK �C. `C'I3�DQC.t� i/f�f�1tJS <br /> BUI{.OING SI� �i� SQ FOQTAL'iE J�.'1 }{��G�{7' �j �_ <br /> [�BUILpING S �0 � �� VALUATION OF 70TAL CONSfRUGTION <br /> [�ELECTRtGAL $ � � �� AMP SER1+ICf,ZO G� � PROt3RESS Eh'ERGY p W.R.E.C. <br /> QPLUht9lNG $ � �����n) / <br /> S a� l ;'1 Z- �'-��r�i�'� <br /> QMECHatJ�CAI g ,�, a v,v.UAT7oN oF AaecHANICAL nJSTAUATION 1,.�/ i ' � <br /> '� z .�it���S -���'�'�' <br /> �� Q ROOFING Q SPECIALTY� OTHER �� <br /> FiNISHED FLOQR ELEVATIONS FIAOD ZqNE AREA �YES NO �=�',,,�,�� �Q <br /> � t (� . <br /> I BWLDTux�hf �r�.?�f�s� � ,�i�l��'��� , {I p _ <br /> s«� ����� C al�s C�H..�t. �vc�.� <br /> tiEG�Si'ERm Y/�FEE cuRRE� Y/N <br /> �Z a�,a,�s /�a ...SherwaNJc G� u�a C�'� /2s-stps-� <br /> �t� - <br /> ��crniu� ,� �� �. `���coi�parar <br /> ., SIC3NATURE � G /��,� r�r,�ss�rtEo Y/N ��cuanea Y!N <br /> Addtoss <br /> x3-78q- si :. r1��,v Ucenss�t <br /> PLU1flBER � ,."��,� �'�� � �Sr u �ct�sT�aeo Y/N �E Cttru�. Y!td <br /> SIGNATURE G�'�'�. <br /> Asldreas Ltcense#! �^� <br /> t � <br /> MECHANIC�J � � �CO%PAHY � ' <br /> SIGNA7URE! . � riEGUTERED Y/N FEE cuRREn Y/N I <br /> � Addross3 Ja� '�% �.� �/� Ucens@41 �'7�~� �Y/ 0 <br /> OTttE� cQaaaAan /� _17'�-� t7� /N� 1JJG.� <br /> SiCiNk'C!)RE aet,ssz�aFo Y 1 N cEE CtitvtR. N <br /> aad,a�, u�ss�-� � <br /> REStDEidTiAL Attach(2}Ptot Plans;(2}sats of Bui{d{ng Pte�:(7)sei of Ensrgy Fottns;R-0.W Pertnk For nmv constructJon, <br /> Mlnimum te�(10)worWng days afler submlttaf dats. Required onslte,CansVuctlon Rians,3tormwater Plane w/5112 Fencr insfalled, <br /> � Sanitary Faa7t6es$i dumpstar,Site Wnrk Perrn1!tor�u4dhristorssAarga pmJec(s <br /> C4A"!ldERC1A1. AttaUf{3}comp3e3e sets of Bnikiing Plans ptaa a LI€e Safety pagg:{t}sat of Enecg}r F�mS.R-4-W Pesmi#for new ccrtsWClon. <br /> Mi�imum ten(1p)wotiting daysafter submtttal date. Required onstte,ConsUuctkin Pians,3tormwater plans wJ SAt Fenrs Insfelled, <br /> Sanifary Fadtilies!41 dumpsteu.3ita Wnrtc Permft tot ell new proJects.A�I commarcJal tequlrements must meet aompilance <br /> � SIGN FERMIt Attaclt(2)seb of Englneered Plarss. <br /> ••••PROPERTY SURVEY requtsed ior a�NEYU cansuuc8on. <br /> Directions: <br /> FCq out appliCetion aomR�efaly. <br /> Amer&Confreciar sign back af aApltcatlar.aatarizeti <br /> if over 53560,a Notica of Cotnmonwmant Ie roqulrnd. (AIG uppradoc ovoe�'ISODj <br /> " Agent(tar tha wntracfo�)or Power of Akemey(for the owner)vrould ha snmeona wlih notsrized lotter from owner authwlzing aatne <br /> DVER Ti1E C011IdiER PER�IiTItdt3 (Ftant of Applkation Onty} <br /> Reroots H sMngtes Sewers Service Upgrades p!C Fences(PIoUSurveylFaptega) <br /> [frlv�waye-Nat ovar Counter S!cn pubilo madways..naeds ROW <br /> � � _J <br />