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813aeo-ooao City of Zephyrhilis Permit Application Fax 613-780-0021
<br /> Buitding Dapartrnent
<br /> Dats t2ea�ived . - � � . " . ,
<br /> ���A i - � - Ation�=Contact�,fi�r Per�mittin
<br /> Owner's Name � . . , Owe�et Pbone Number - .. ' • '
<br /> Ow�er's Address � C►wnerPhane-Number �- �
<br /> Fee SImp1�71tlehalder;Name` � ' " '" Orwner phone.Number :� ,!��
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<br /> Fee Simpla Tltleholdeel�ddre�� ''•� �� "' �
<br /> JO�ADDRESS LOT# ��
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<br /> SUBDIiIISIQN , �� . ""��: P14RCEL ID#i ' "- ` °: . : � �
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<br /> WORK PRdR05Ed 1' NEW�CONSTR��°`� �•` ADD/ACT �� ' SIGN " `�[� `[�'„ DEMOCISH � -
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<br /> . INSTAL•1: �:; . -�;�:�..:REPAIR
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<br /> PROPOSEQ<USf•' , Q� 8FR � _COMM`�`, � OTEi�t2" .. _ .
<br /> TYPE OF GONSTRUCTION�� ` �Q ''9LOCK•' ,`Q`_. �F�RAflAE �� STEBL. �Q,
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<br /> DESCRIPTIQN�OF WORK :� .•Y S L�" l (�f7 ��'w �[✓G Gc v 4v�..d2 , �Vl.?� ; , .
<br /> BUILDING�SIZE,`,� � �"SQ.FOQTAGE�� , . �� ,>;HEIGH��-:: ' ` ... �_;. _
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<br /> �. QBU1LDitVG ($�''— -:x:�;.� u..�=-�,�:.. � ,.
<br /> I , ^-�; •VALUATION bF'�tOTAL`GONSTRCICTION
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<br /> EI.ECTRiCAI $ ��� ,....-- ,'AMP BERViGE ��` PROGR�SS ENERGY', C] {W.R.E.C,
<br /> QPL:t1M81NG $ . ` _ �
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<br /> QMEGNRNtGAC ' � $ ` �'VAl:Ili4TtON OF MECliANtCAL_INSTALl1:1T10A! +�[ �( l ���
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<br /> QGAS Q. ; ROQFlNG:;.;r°�, SP.EGIALTY'-'Q", OTHEft. �
<br /> FINISHED FLOOR ELEVA710NS � � FLOOD ZONE AREA .L�YES- NO
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<br /> BUiL�ER COMP7INY -` � _` � � -
<br /> SIGWAYU�� REGISTERED Y/ N. �E CuwzEn' :.. :":Y/_N..:., , ,
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<br /> ELECTRICIAN;�� .. � � '�,' COIIAPANY i- .`.;`�'( � C.�L�-.�.5 ...�.� _:�, �
<br /> SI(3NATURE � REGISTERED Y/ N FEE GURREK " "Y/'N.. '
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<br /> Addres� ,. - ;' , , ..License#�� ' ..� ,
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<br /> �RESfDENt :Attacti:2 y.P,tot;Pt`ans•.$�;sets=ofi$i�tditt �P1ans�`.,:1�.set of.�Ena �Forms`-R=f}�tN:Perro'Itfor n� ;c`onstnia�on�f,..�-
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<br /> ,i.Minl 'um,.ten`s.�10 'w,orlcin��`da;s{aiter,rsuti�iilHal�id"ate:i'R'�"uirecl:ans(te;?�onst'rucUon?Plans,,59�oitnwater',Planswl;SiltFenceMstalled, �
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<br /> �`Sanita�rFa��itl�►sc�4i;�d.'u ei��$I eeiNoik'=Pe� It;. `�:subdiv1s10ii '8 e"�ro eats';:•=,=a��'�fr':=�:y=:.-'�;�� __.... - . � .
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<br /> COMMERCIAL At�cB(3j'�comptete"sets'of'Buitaing Ptans plus a�Cife 8afety Page;(1j set of�nergy Forms.R-t}=W Pertnit for new constru�tion:
<br /> Minimum ten(10).working days after submittal date. Required onsite,�Construcdon Plans,Stormwater Plans w/Sllt Fence Installed,, ; ,
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<br /> SanitaryFad![tie�st&1:.dumpster...Slte.Work-Fetmit.(ar�il�neinrrpro�ect's:^-Ali`cbmmerclai.requlrements�mu�t-rnestcampliance :
<br /> StGN PERMiT AttacFi(2)sets o�Eaglrieefed;Pla�s;�;k;��»�'r� ... •• ,, _ ,. , .,_ . - ,
<br /> ••••PROpERT.Y_SUR�/,E.Y-required•for aJ1-NEW:const[ucdon.:~ • -� ' _ '," ` �
<br /> � •�r,,:». $;- ;''e',"i.. � 'x:,,.-
<br /> Dirisjctlons: ;€�,4 , ..�;.. _, ._.�. _,_ _. � �,.. _e .. _ . . ,..
<br /> �Fllt�out applicaUan completely.
<br /> E}tivner 8�Contractcr�ign:badc:.of appltca#Ean,natarized
<br /> If�over�6�500,,a:Notlqe of,;Commencement le required. (AlC upgrades over�7500) � � = .� -
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<br /> Age�(for�i'e contractor}pr.Fo�"ier ofAttoiney(fo�#tte:owrier)would'be someane with��otacized tetter from awner authorizing same
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<br /> �DVER'THE COUNT�R:P.ERMITTINi3�=' ==":�(FronE;af_Application Oniy)��
<br /> Reroafs if shingles Sewers- Service Upgredes AIC Fences(PIoUSurpey/Footage) � ___..... .. .. , -. - -
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<br /> qNvew�ys-Nat over Counter if am public roadvi►ay&::iieeds ROW
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