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I e+aaeo-�zo Cit�r of Zephyfiifls Permit Application ����� ! <br /> .- I 1 Buiiding Department � <br /> � I <br /> iDat�Roeoivod p�one Conf�et 4or Pe�tnit�n — I <br /> I i <br /> i a�rm w� `M Sl� o��.N�,�. �S\ `3�-�1Glo <br /> � <br /> � Ownara Address 5� � �Ve. Oamer Phone Numbor <br /> IFaoe Stmpla T[tlaholdar Name �wnar Phom�Numbor I <br /> I <br /> Foe Simple TitlQholder Address I <br /> � I <br /> � I <br /> � J08 ADORESS � LOT i � <br /> SUBDIVISiON PARCEL IDG ' I <br /> ' (atTrAttlED t'R�B PROP��7p7t NanCq � <br /> WORK PROPOSED NEW CONSfR ADD/ALT Q SIGN Q Q DEMOLISli <br /> I B INSTALL 8 REPAIR � <br /> � PROPOSEDt�E Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTtON Q BLOCK Q FRAME Q STEEL Q <br /> oescwPnoN of wowc � C- �h .J-�'�b�11 1� S2Q.1' 1'lR� - � p 1�-�- �S.-}� <br /> BUILd(dG StZE �� SQ FQDTACiE� HFJGHT � <br /> Q9U1LDtNG 5 VALUATIOPI OF TOTAL CONSTRUCIIOtd <br /> � QELECTRtCAL $ AMP SERVICE Q PROC�tESS ENERGY Q W.R.E.C. <br /> � QPLUMSING $ � <br /> QMECHANICAL S VALUATIOPI OF MECHANICAL INS7Af.LATION <br /> QGAS Q ROOFING Q SPECIALIY Q OTtiER <br /> FlNISHED FLOOR ELEVATIONS FIOOD ZONE AREA QYES NO _ <br /> a�� �ss ^ r..a • , <br /> � BUILD�R COSdPANY � <br /> g��p�y� aEotstmm Y!N t�cu�a.n Y/N <br /> i Addtesa Uos�e f <br /> � <br /> ' ELECTFBCIAN � COMPANY s <br /> ' g�GNp7URE aEasTa�n Y/nf �waaEn Y/N , <br /> Address ��e� <br /> i <br /> I PLUMBER COlAPAP1Y <br /> SIGNATiDRE r�c�sr�o Y/N �cua� Y/N <br /> I <br /> Address LF�# <br /> Mec�aw�c�u. coa+aawv � —��2C �Y � �1�1'O�-I-i(5Y1 <br /> SIGNATURE a�srr� N �cutt� Y/N � <br /> Addreaa 5C1��P 5"}� �• � lkermei J I <br /> 07HER C091PANY � i <br /> � c��7U� aFcisr�o Y!N FEEcuRREn Y N ; <br /> Addroas Licensei 1 � <br /> IIIIi11911i111i1i1fi111lIIf111A11119E9B1i1lBIIIIf1Eli8111111111111lI ' <br /> I RESIDEPITIAL Attach(2)Plot Plens:(2)sets ot B�n7ding Pians;(1)set of Energy Fom�s;R-O-W PanNt tot rlew�. i <br /> � Minirttum ten(10)wocidng days after su6miUa1 dato. Req�rired onsita,Car►sW�an Plans,S2amrv,�ater RIanS ur SU!Fettoa 6t�8�, <br /> � <br /> Sanitary Fadlities&1 dumpster,Site Wak Permft for subdivEsionsAarge pruJeds � <br /> i COMMERGAL Attach(2)complete sals ot BWid"tng Plans phis e l3fo SEfety P�:(1)set of ERerpy Fams.R-O-W Pertrtit faf newr oor�shtxtlon. <br /> Mincnum ten(10)worfd�g daye aftet submiCal date. Requlted onstta.CaistnK�iOt!Pt87�.S�tittv�i P1ffiti W Sllt F6fi0B i�td, � <br /> ! Sanitary Fadtities&7 dumpster.Site Woric Pemut Por all new ptnjeds.AN com�d2J�rtenffi muS meet C6mpCRtfoB � <br />, ; SIGId PERMIT Atta�h(2)sefs ot Engineer�Plarts. i <br /> i ""'PROPER7Y SURVEY required for all tdEW consWcGon. � <br /> .� ': o i i `.i.i '�i —— - � <br /> otrections: <br /> F�i out appfication compietety , . <br /> � Owner&Contractor sign back of appucation,notarized <br /> H ovor$25U0,e Ptotico of Commancomont Is roquirod. (A1C upgrades over$7665!) ' <br /> " Agarri(far the corttrador)or Power of Attomey(for the owmer9 would be someane vath not�rized letter fmm ouro�ser euUwtClt=O aame <br /> � OVER THE COUN7ER PERMITTiNG (copy of contad required) <br /> Reroofs it shingfes Sewers Servi�Upgrades A!C Fences(PIoUSutvey/Foo2oga) <br /> pAveways-Mnt over CounEer if on publk roadways..rueds ROW <br /> I <br />