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a�s-rsa-oa2o City af Zephyrhilis Permit Rppiication ��-s�s-7sa-oo2a
<br /> , �- Building Department
<br /> Date Received —f�,� � .phone Cantact fo�Permitting • f� �.3 — 7��
<br /> Owner's Name � �����'U� J� %� Owner Phane Flumber
<br /> Owner's Addr�ss �� �• C��� ��vY �`�"-� �7 OH+ner Phane Number � �
<br /> Fee 3imple Ti�teholder Name Owner Phone Number �� �
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<br /> Fee 89mpie Ti�tieholder Address
<br /> JOBADDRESS �� �f' �IJ� ldT# �.��
<br /> suBo�v�s�a�i PazcE�.�a# //'��v -�1-,�1('tG'� —/43t?t� - .f�!}�fl
<br /> (OBTAINED FRORA PROPERTY TAX NOTICE) �
<br /> WORK PROP�SED � _. NEW.CONSTR' AQDlAL.T � SIGN Q Q DEMOLtSH
<br /> e INS7ALL. 8 REPAIR
<br /> PROP.QSED�SE Q SFR Q C(�MM � OTHER
<br /> TYPE'.OF CONSTRUGTiON Q BLdCK •• Q. FRAME C� STEEI. Q
<br /> � f� / �/ j �j /
<br /> DESCRIPTtON OF WORK � d'f"� ��<fTlf � ��'�`�G< _Lr.% ��r !Z'S �a �/2• /�`��!.
<br /> BUIG.DIN�(SlZE � �, SQ FOQTAGE�� FEEIGHT -��
<br /> OSU{LDlNG � �} ,c��r � VALLIATION'OF TOTAL CONSTRClCTION
<br /> � r�C (./
<br /> QELECTRICAL $ AMP SERVICE Q PFtOGRESS ENERGY Q W.R.E.C.
<br /> QPLUMBING $ ' _ �(�� �}
<br /> � � l
<br /> QME�HANICRL $ VALUATlON OF MECHANICAL�NSTALLAYEON
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<br /> Q,GAS � RdOFING Q SPECIAL.TY C� QTHER
<br /> FINISHED FL�QOR ELEVATIONS FLOOD ZONE AREA QYES NO
<br /> BUILDER CCiMPA1+1Y
<br /> SIGNATURE REGISTERED Y•/ N FEE CURRE� Y/N
<br /> ., .,._„
<br /> Address license# � �
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<br /> ..ELECTitIG.IAN COMPA[�1Y
<br /> SIGNATURE REGISTERED Y/ N �FEE CURREA Y/N
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<br /> � Address license#
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<br /> FCUNlBEtt.,, COMPA�+IY� •
<br /> SIGNATURE � RECaISTERED Y•/'N FEE CURRE� - X/N"
<br /> Address Licerise# � �
<br /> , �� ,
<br /> � ,
<br /> MECH74NICA1:' . CONIP.ANY
<br /> ` SIGNATURE` REGISTERED , Y/ N - . FEE CURRE� Y/N '
<br /> Aiid�es�' ' ' � License.# �� �•
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<br /> QTHE$;:. ;�•`� � � COMPANIY f/.j l� L1G�'� t.�`3- fit/G
<br /> rv`.SIGNATURE��r . - � � � ' REGIS7ERED - / N FEE CURREA Y/N �
<br /> Acidress;� ; 71�I����u/�:�llf�c: � ��'° Licerise# � ...��f'�13�(�
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<br /> �r'F: � , , , . .
<br /> ,.:,.RESIO�NT(Al.;�;�:`;Attach`�2);RIot.Plaris;"(2}:setsof�Buit�ing°Plans;{9)'se#'of�Eneigy;Foriiis;R=OkW,Permltfornew.constcttct(on,�
<br /> �"; , �.a:�.�-,.�'����;.�_Minlmum;terr(�10);workingidays:afte�sutimittal:date.:Required`onsite;Canstruction`Plans;Storinu"vater Plans w/Silt Fence.installed,
<br /> '.r.'...'::.-,.: . .
<br /> , Sanitary�F,acili4es;&;1�,dumpster;Site��Wor,k Permit:for,sutidi'visions/large"p�oJects` " ' �'`
<br /> �.��r:GOMMERCIP�C. Attacii�{2)�ixiiriplete'sets of'Bu�Idlrig�Flans'pleis a Ufe Safe#y Page;(t}set of Energy Farms.ft-C}-W Pecmit#or new.canstrua�on.
<br /> - � Minimum ten(10)working days after subm(ttal date. Required ansite,Constructian Plans,Stormwater Plans w/Silt Fence installed,
<br /> �� Sanitary FaeiliUes$�1 dumpster.Site Work Permit:foi all-new projecis.All commercial requirements must meet compfiance
<br /> ,�';-SIGFI.PERM17 "Attac"ti(2)sets:of;Engtneered`Ptans:e.:.., : � . . .
<br /> �'-�°:�= i "'""PROPERTY SURVEY reGuired foc aII.NEW constructlon.-
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<br /> ~'::,Dliecti6ns: � �r;>:«�,,.:;.. ...: .
<br /> - �Flli:.outapplication completely.
<br /> : �Owner&�Contraetor sign back of applicatian,natarized
<br /> 'If dver$�2800;a Natice:of,Commencement is required. (NC upgrades over$7500) .
<br /> �a..::,rti �,,u:,, , .
<br /> �°'•"' Agenf(for`th`e"contractor)Tor Power�of'Attoriiey"'(f6r'the'oinrne�)wauld tie someone with notarized letter from owner autharizing same
<br /> �`::';OVEIt'.TFlE GOUNTER:'PERMI ITIN�Ca','_ ,�' `.tcopy.of•contract�required) ` ' -
<br /> �:�Reroof§if.shingles Sewers , „ Service'Upgrades A/C ,Fences(PIoUSurvey/Foatage)
<br /> ` ��.��:. �
<br /> ` Driveways-Not over Counter if on public roaduGay§:.neects,ROW
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