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8��-�ao-oozo City o€Zephyrhilfs Permit Applicatian F�-���-T$���
<br /> Bultding Departr»ent
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<br /> Dats Received �- �<pt�one Gontact�for'�Perrititti» ` - ' ' � �
<br /> Owner'a Name D �� Owosr Phona Number c�/.S_��7 `/��.� -
<br /> Owner's Address �v c`i� , ��' �`� � "` ' Owner•Phone Number �� �
<br /> Fee Slcnpla T!tleholder Narr=e° �� ����� Owner:Phone Num6Qr 1 � -�,� � �
<br /> . ,,"'77-- ., , .. . _ , � ..
<br /> FeeSimpl�TtttehotclecAddress ''� "'� ;� ' '
<br /> JOB ADDRESS .��� `� v�.. . �.or#_ �„_..J
<br /> sueaNvisioN l � �^ I PARCEL ID#'� - �
<br /> ' � `'(08TAINED'FROM PROPERTYTAX'NOTICE) � �
<br /> Wt}RKPROPOSED '�. NEWCONSTR •' "� ADD/ALT [� 31GN' `[� � 'Q�;�� DEMOLiSH -
<br /> -- � e ± � IiVBTAt.i. ,� ,~. :RERAIR� . - -
<br /> PRQPQSED_U3E=. ��� �SFR� [� COMM� '[� OTHER:. : -
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<br /> TYPE OP CONt8TRUCTtON.� :Q' =BLOCK • :�Q,_., .FF2l1ME �� ,3TEE1.. ,Q = � : -
<br /> DESCRIP710N�OF 1NORK �riS't=7�/�� 9 3�4/" !7`Ul�� .S' �f'I`�/j'� -
<br /> BUILDING•S1ZE,'..'� � SCC,�.F.00TAGE��: •;HEIGHT.����.,, ' �- f ,
<br /> ., QBUILDlNG ��. '"`,�s-'w�.. _�,r��:.,. -_.' ,. ., ` . �
<br /> VALUATIC'JN"�IF'�TOI'AL'CONSl''RtJCTION
<br /> [�ELECTRIGP►L $ . AMP SERVIGE Q` PROt3F2ESS ENEFtGY [�� W.R.E.C.. , .
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<br /> [�PL•UMBlNG �—f'� . . �/J ,�
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<br /> OMECHANICAL � $ 3 ��� ;. {, VALUi0.'i'lON;OF MECHANlCAI,iNSTAE.LATltaN
<br /> OGAS Q ,ROQFING.s�[� SP.EClAI.TY C� OTHER=
<br /> F!lVISNED FLOQR ELEVAT40NS F�.OQD ZONE AREA , [,�YES. NO ,
<br /> �.��� � , ., -
<br /> BUILDER COMPANY '' ' � • � -
<br /> Sl�3NATUFtE REGISTERED , Y/ N; FEE GURREt+" . -Y I.N.,:,, , Y .
<br /> �ddreas . . „ . Llcense`# , . _, �
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<br /> E�IECTRICIAN-r-:,_:_: , . '' C011APANY ' . . .
<br /> SlGNATURE �' REGiSTERED Y i N ��ceiRr�r Y 1 N"
<br /> Address , , ,i�� .-°.Ucense'#=;�' � �
<br /> Pl.UMBE12 � , , � GOMPANY� .,, . ' ., .
<br /> SIGNATURE ' _.m , R���s'tE�t�v� �.�.-��Yi�itil.`= .FEE`GURRER' .. :''YJN:. ,
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<br /> Address .�_ � - .. • Llcense#.•�^ „----�
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<br /> MECHAIot1CAL' _ '' . , �- F '. ,��;, , ' �� � j .
<br /> . . .cotwp�r: :�'.�- ...�/�► ... C�r- �
<br /> SIGiNA'TURE '� •,:..: .. - ' ,� ,,.- -_ ' ,. . ,.
<br /> _ ' REG�s'r�t�p� . � ,.,Y:J- � ::�cut�n : Yi-N-==.:`-
<br /> Address�'t $� .. ✓�� �r' .. . � _ License#�1. � - .< :, .,,,` •I�� ,
<br /> OTHER :a:. .. � - _ _ ' .,GOtyIPANY: ,. �� .:.. ., , _ ;- ,, ' - � ,
<br /> SIGNATURE. "; � ' � ` '.>`� . . .,-���ts'r�t�o ,� Y t N,.. �F�E Gutti�R �;.Y.:t<E�t:' , -
<br /> Address . 'ty . .,'x'��iz:., - ,. ... . , � i ... _ ..'Lic�rise#��� . . - .,. _��
<br /> _ ,�., � . ..,,,< >,,:��• ;,.r,.� . ___ .
<br /> �.,,; . '. -:, 4_,'. ,! ,..; �:,.�.<'.'.s� "5..,:r,=' .. � �^s,..,,:.,.,#��.
<br /> RESIDENTIAL.. _ •:Atiacti;(2):,F?lot'Piai�s�r(2):seis�of>Suildl'ng:,Plaiis�. 9 �set'`ofiEne Foims;:R={i=W�Penmlt:forcnew;constriiction , , . .
<br /> } ; , �.t.).� r9Y:. �_.. . „ ,
<br /> •j'�Mlnlrr�ums.tenK(:1�0.)kworking;days:aft�r,"s`ubtnittaGilate.t�Requited�onsfte;-Gonstiiic6on,Plans,FS�rtnwatei'Flans w!S!!E Fenc�lnstaited,
<br /> _}�;.... . ...
<br /> � ��Sanitary FacjlfH�es 8�s�lw�ur�pster Site�Work�,PerrriiC(or sabdivislons/laige�'prcJeots';�"'b"�a;'..:''=�='•..��=' , � '`�. ` •'''-;` '� �`" :��'
<br /> ' COMMERCtAC, Attac,h(3j'eomp}ete'sets of Buitdirig Plans ptus a Life Safety Page;(1)set of Energy Forms.R-O W Permit for new canstn�ction,
<br /> Minimum ten(!Q}working days sfter sub�stitta!daie. Requlred ansite,Gonstruc.tEan Ptans,Stormwater Pians w!SiEt Fence fastaNed, .
<br /> Sanitary Facllides&,1_dumRster..Site.Work_Permlt�for�II_new?proJects:�All�commercial.requlremenks-must;meet gompltanca F
<br /> StGN.i�ERMIT AttacFi(2)sets of'�`r`igineered�,Pi�(�s:$-�t;*�rr` -.,� ._ ,. " _ ,. = > ' ' � � ,
<br /> ••••PRClP.ERTYSURVEYr�qutred-.#pr�atf�NEi�Yscons.Wc�on:, - - � , ",. � - .
<br /> :>:,K.: -
<br /> Directiiin�: �r�-a:��= .K . �� . . � , . -
<br /> Ffli out appticaflan comptetety.
<br /> Owner�&C+antrackor sig�badc of.appllcatlon,noRa[ized
<br /> (f'over 32500,a�Notice of:.Connmencemant la required. (AIC upgrades aver s7�00)_, , • �. "
<br /> �w '4��'a��;:;'4^'�j sr�,:._ ...,.-^.... ............. a. .,-_...,. . . . . . .. . . � .
<br /> Agent(far�e contracto�j:pr:P'cwer`of Attomey(for the owner)�would�be someone writh notarixed letter from awner autho�izing same
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<br /> 'OYER'THE;COUNTER:PERMITTING�='•�• �(Front.of�AqplicatlonOnly)'"" � "' �
<br /> Reraofs if shinglas Sewers Service Upgrades;A/C _ Fences;(PtctlSuryeylFoatage) ��-. -- _
<br /> ...... ..:.�...,�,�,.....:. �,... -�-- . . .. ., �,},-;::,...-4: . ., „ ;.c�..._ � �...a . , � ,,. ...
<br /> Delveways-Not over Caunter if ompublic roadwejrs..needs R4{N . ,' �
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