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3 <br /> i <br /> ' ` sasaao�oozo City of Zephyrhiits Permit Applicatian �ax-a,s•�aa�oz� <br /> BWlding Departmenl <br /> ffats Received .,F z�I� Phone Canract for PermlUing �f-3-1-fTTf`i L'�',' . _ <br /> -IT'fTrl-l"A" {"1f3�1'-iTR'�`r" rrr;y �����-e•7•� r-1'1'1_I 1 _ ��J <br /> (\ ,�� (� � J��������� �''] <br /> Owrter's Namc �✓��.�-��c:-.�.�^t'^ J �+�-">lC.�i(�`!, t Rwner PNone Number � /3� � 1. fj <br /> Owner'sAddresa -t- �"`�- ��?V '.�.�.,'�lL• ?,+��(� OrmerphoneNumber <br /> [�,„ d_—..�. .. <br /> Fce SSmpla Tittehoidar tlame B•�`���.���.ti1t ��.��.��� Drmar Phone Hamber �—� <br /> FeeSlmpleTlNeholderliddfess ���:% vC E ti1T. � �J'rt�`C:r�.� V�l�-- �?�'�� 1� , <br /> �oB aoor�ss `�'� �Stf'�' 7 �—� t�.�� �i. �.• "f1:j� �J�'��j �or� ��._..J <br /> SU$DkYlSION � � PARCEL IDt? <br /> I Zd8'CAHiED FRO;fi PH4PEftTY TAX tiOTiLE{ <br /> WOFtKPROPOSEp , �, NEVlGONSTR ADD/AS.T � SIGN Q � OENOLISH <br /> � INSTAL(. 8 REPAIR <br /> � I PROPOS�USE Q SFR � CflMM � 4THER <br /> i I 7YPEOFCONSTCit1CT1ON Q 6LOClf Q FRAM , STEEL � � <br /> I <br /> nEscreiPnallo�wo�zx i .'�til �.{�. F1�v... � f1l ,: c',�-.1, '��-�.. �.:;•� . <br /> � •—� - <br /> I 9iJIlO1NC,SIZE �7�� :�.� 5GlFOOTAGE ��FL� � " HEIGHT C�„� <br /> i <br /> i � ClBUit_[tFiVG `� � �1 VqLUATION OF TO7qL CONS7RUCTION <br /> I VV <br /> . QECECTRICRt $�'—� AMPSEAVJCE � � PROGRESSENERGY � W.R.E_C: <br /> � �_'—._._� <br /> . I QPLUM87NG �� ��� <br /> � <br /> i �OtECHANtCAL � VAlUAT10N OF MECHANtCAL IN57ALLATION � <br /> � QGAS � R4flFlNG Q SP£CtAITY� 67HER �,����''' � _ <br /> FiNISHEDFLOOi2ELEVAt1t7N5 � FLO00ZONEAFtEA�^"�YE N5r"' D''�. ~~.\ . <br /> I , t v�g . / \ ' , ;�"� l `� dL-�'" . <br /> � � �BUILDER � 4,7;"'J � c�„! C MPANY ����I�C�-I l � �' s � <br /> � SIGNA7URE I }� � n� �sr�m Y 1 N �cuw�. y�N ' <br /> Address License 11 <br /> IELECTR)CIAN � � COMPAN <br /> iSIflHR7'URE � � REGtSTEREb ---FEEG4RR-cis Y t N , <br /> I Address Licen5e p�� � ` <br /> � PiUM6ER � � C4@3FAHY �— u � <br /> S�C+��� R'eGISTERED Y/rJ FEE CUFix1. Y J� <br /> Asldress License#� � <br /> MECNANICAL �� CQMPPNY r , <br /> � SIGNATURE Rec3isrert�o Yl N FESCURftEh Y/N <br /> Address UcenseiJ� � <br /> ��'+yf'I ((! OTIiER �� C4MPAf3Y �'"'Q,�! ��,f tdla/ 'G'ti L W <br /> �(_�� SSGNATURE aEG�SrEREa Y N FE=_cuwz=n Y 1 N ,. <br /> �ft�' ,�' Addresa � �,.4't. Ucenseti G �e� ��l <br /> �� ` IIiiD {it► ! !1lP �8@2t1l7tdiii911t[ IIfHlltillAill7tl [ i[ t! i@ilGf{ ; t! !t ' <br /> RESIDEHi1AL Attach{2}PI�!Plans;(2}sefs Of Bukid(r.g Plans;(i}set nf Energy Fotms;R-O-W Permik for new carsstructlan, <br /> Mfnfmum[0n(70)wrotking days after submitlal dale.Required onsite,Consiruction Plans.Slortmrater Plans vd Si1t Fence insta�led, <br /> 5anitary FaciLlies A 1 dumpster,Site Work Pemu't(or subd;visionslle�a proJecls <br /> COMMERCIAL Attach{2)aomplele ssts of Bu�ding Plars plus a Lite 5alsiy Page;(i}sM of Energy rorms.R-D-W Permi!tar rsew cansv�rction. - <br /> MiaFmum ten{iQ}tivatsvrg days 8fter su6m;tta!dale.Raqu3red onsSie,ConswGkan Ptarts,Sto:rnvraier Ptan3 wJ Sift Fence instatted. <br /> Sanilary Fadiities 8 1 dumpstr t Site Wark Permi�for al�netv prqecls.M commercial requiremenls must meet tamplFanre , <br /> SIGN PERMIT Atiach(2)sets of Ergineered Plans. , <br /> '""'PROPERTY SURVEY required tor sA NEYV wnstntetian. <br /> � Directions: ' <br /> Fill out appifcadon completety. <br /> O�mer S Contncior sign badc W applice[ian,noLSrized <br /> � ti ctver SZ560,a Nottco of Gammeocelnent Gs te�uired. (NC uFc�raqes over S13D0� <br /> " Agant{for the cronfractor)or Povrer o1 Attomey�hrr the anner)wuuid be someane vrith no[erized lelter frvm o�mer authorizir,g same ' <br /> OVER 7}fE COUPJTER PERMCITING (copy o(contmct requireG) � <br /> � Reroofs it shi�Ies Seu•� Servise Upgrades FUC Fences{PtnttSurveyJFQotage) .. <br /> � T7riveways�Not over Counfer if an pubGc�oadways..nezds RQW �. <br /> i <br /> �_. ��. . .. ._...�_._ —.� -- �. _._. _.._.�_ <br /> � <br /> � <br /> � <br />