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iI . __ <br /> :; , ti.,� <br /> - Y i <br /> f �I - � <br /> � ,j e�3-�eo-oo2o City.,of,Zephyrhfil"s Permit'Application Fex•et�-�aaoozi <br /> Bpldinp Department <br /> ' Date Recelved � —2 �0 p��pno Contact for P¢rmlttin ( � ) <br /> '� -if-Ti`T'L'T'7'i;- - ' - `I-IT ' <br /> OwnefsName �$. pwnerPhono.Number �' - <br /> � Ownors Address .CJ. 1� d V• aC ' Owna�P.Hono Num6er <br /> t - - <br /> ^ Fea 51mp10 Tltlaholder Name Owner Phono Numbor <br /> 4 <br /> i FooSlmploTltloholdorAtldroes <br /> JOBAOORFSS +YU N ' ��10T� � <br /> ' �SUBDIVISiON � ' P1IRCEL IDJI �`T�at dE.�" � (,!" �L/OV(/'�OU�(J <br /> � �097AINED FROM PROPERTY TAX NOTICE) <br /> � WORK PROPOSED NEW CONSTR ADDIALT Q SIGN Q Q DEMOLISH <br /> e IMSTALI. � � REPAIR <br /> ;� PF2bPO5EDUSE Q SF{2 ,Q COkiM � OTHER <br /> �I TYPE OF C�NSTRUCT(ON Q BLOCK Q FRAME � STEEL Q <br /> ;I r '�I <br /> �f DESCRIPTION'OFWORK �VO� �1 <br /> � <br /> ' :BUI40ING SIZE ` ��•� J�I` $�FOOTAGE ��} HEIGHT'� M <br /> i QBUILOING � VALUATION OF 707AL CONSTRUCTlON <br /> � <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.RE.C. <br /> + OPLUMB[N6 S <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> 1 <br /> i QGAS� Q ROOFING ,Q SPECIALTY Q OTHER <br /> ' F�NISHED fL00R ELEVATIONS C� FL000 ZONE AF2EA QYES NO <br /> 1 <br /> I � . <br /> j BUILDER /�.�nJ, COMPANY � � <br /> I SIGNATURE L�-�`c`�^� �' REGI6TERE0 Y/N FEc CURREN Y.%N <br /> , I Addrase- - � r . e nse A <br /> � EIECTRIC�AN' 1 COMPANY � <br /> i SIGNATUf1E' ttEaist�teo Y 7 N FEe cuaaefl Y!tJ <br /> � Addrese Llcense,S- <br /> � <br /> j PLUM9ER I �� � '1�� COMPANY ' <br /> SIGNATURE REGISTERED Y!N fEE CURREN Y/N <br /> Address• Lfcense#. <br /> MECHANICAL �GJ� " �� . COMPANV <br /> SIGNATURE PeciSTEaen. Y I N �e cuaner. Y!tJ <br /> i Addraca Llcense# <br /> i <br /> OTHER COMPANY <br /> � StGNATURE RECI6TERED YI'N FEEGIIRRER Y/�t ' <br /> Address Uconse.it: <br /> [ 16PPttllllllillli911tIrIQi � Ai11tGI1'111111116111•► I � Ii111i1111171110 <br /> RESIDENTIAL Alterh(2)Plut Plens;(2)sats oLBu11d3�0.Plensi,(1)set of Enerpy Fnrms;R-O-W Pertnit far naw consirucNon, <br /> � MlnUnurn ten(10j Nrorking days afler submitlel dafn. Requ(red arisito.Constructlon Plans.Stam�water Plans w/Silt Fenco installed, <br /> � Sentlury FnGlftles 8 1 dumpstvr,Slle Work Rertni[for subdlvisionsllergo pro►ecls <br /> COMMERCIAL Attach(2)�camptala sels of BuildlnA Plens plus a Life S51nly Po�c;'(1)set of Enarqy�orrns�.R-O-W Perrrlll fo�trevr mnsWction. <br /> M�imum ton{10)working days afte�submiltafdale. ReqntruU a�ske,Construction Plans.Slormwaler P,Ians.wl Sfl[Fence instalied, <br /> Sanitary�FaclllUes&t,dumpsler,Sile Wotk Pertnit to�all new pmJects.A�commefclel requtreinents musPmeet compfiance , <br /> SIGN PERMI7 ARach(2).sets ol Englneered Piens: <br /> °'••PROPERIY SURVEY.roquiradforall NEW corulructian. <br /> •dJ d L{7=b L• 'J.3 � L l�' l.i' � Li' •..at <br /> [Nnictlons: . <br /> � �Fiil outappUceUon conipletefy. I <br />' Ovmer&Coniractor sl�n bark'o(eppfcalinn,nalarized <br /> ,If ovcr�260o,a.Notice of Commoncament Is requlred. (A/C�upgrades'over 57800) <br /> �•• Agent(fof Ihe contractor)'o�PoWer of Altomey{far the ovmar)wauld ba someone wifh noladzed fe8er irom owner euthorizing sazne <br /> i OVER 7HE COUNTER,PERMITTING. (copy oi contred required) <br /> ' Reroofs i(shingies �Sewe�s. Service UPpredes A/C F.ences(PIot/SurveylFoafage) <br /> ,� Ddvewaye-Nol ovarCouoterifon puhlic roedways..needs ROW <br /> ;� <br /> l <br />