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��saso-�o2o City of Zephyrhilfs Permit Application Fax-913-780-0021 <br /> . . Building Department <br /> Date Recetved Phone-Conta�t.(ar Perml�tin <br /> Owner's Name., � `.�'�� . �1,�;5... .. � Owner�PhgiaQ,�Numbar'� , .�V i� '�,'�.�-�2 l <br /> . .., ..� , <br /> Owner's Addre'ss ���1� ��= ��"�' ���@��Z��' Owner�Phone,Number`�`� F , ` �_� f � <br /> � � S. .''- - . . ' •„ '. ,� YY� <br /> Fse Simpte Tittehoider Mame, ti`6., /ti?�b,F±e���8/11'�;�•�; t '�^f� Owner Rhons Number <br /> Fee Slmpte Titleholder Address ��'�t � �� � ^ v�y r ��Sf1� � ( �. � — � ��� <br /> JOB ADDRESS ���D -�l��s t.�ODa��C 2C�e . z�„(7�'1 2�r1� l ts LOT# ` ^lj� f <br /> =—�---� <br /> suBo�v�siar� 12 ��w o d�� PAltCE�ID#, C���`�� �2 l� �3Oo-c5c�o v.a�a��� <br /> . �(pBTAINED FROM PROPERTY TAX'NOTICE) <br /> WORK PROPOSED NEW.CONSTR ADDIAt.T C� SIGN Q Q DEMOLISFi <br /> INBTAI:L 8, REPAIR <br /> PROPOSED USE � 5FR � COMM [� t?THEit <br /> 'iYPE C1F CONS'tRUC`ffOFt L�, BLOCi( Q FRAME C� STEEI. Q <br /> DESCRIP7'ION OF WORK '���1 �C�t� t.d��.�1� <br /> BUILD1I�tG SlZE ���°�� �'�� � gq FOOT GE �� � HEIGHT � . <br /> QBUILDING $p � �,��� V 11AT10l+!C}F TOTAL ONSTRUCTION~�,� <br /> tQ � <br /> QELECTRICAI $ ���� AMP SER � Q FROG}2ESS ENERGY �W.R.E.C. <br /> OPLUMBING r $ ��� � , . <br /> QMECHANICAL $ VALUATION OF�MECHANICAI.INSTALLATlON -��". `�-� <br /> �z�� �'� ����f�' <br /> QGAS [� RQOFING Q SPECIALTY [� QTHER � <br /> FtfiVISHED FLC10R EI.EVATIONiS (��� Fi.00D 20NE AREA QYES NO"' <br /> � <br /> ._--_— . <br /> ElUtLDER �w COMAIWY � �o� N�, �,.- dt�A� ��.. <br /> StGNATURE REGIS7ERED Y/ FEE CURREA Y/ <br /> Address '�'�"' }l . Clc�rtse# C...t7�`" � '��°' ���� �� <br /> E�EC'CRlCIAN GOMPANY <br /> StGNATUi�E REGiSTERED Y/ N FEE CURREM1 Y/N <br /> Addre� �Icense#. � <br /> PLUMBER ��,� �,+����l�, p�l�� CQMPANY � <br /> g�fi,�p��� -� J4�1 ! REG18?ERED Y'/ N FEE CURREn Y/1�) <br /> Address ltcense# 13 7�f} <br /> � � <br /> MEC�ANICAL �� � � GOMPAt+lY �� <br /> SIGNATURE -��� REGISTEREO Y I (1) FEE CUFtREA Y J 111 ��c�v <br /> � <br /> ass llcense# <br /> OTNEF2 COMPANY � Pp� �"'�D�°�'6� �.io� <br /> SIGNATi�RE REGlSTERED Y N. . � FEE CURREh I N <br /> Address ��S �� � �� #`��!� �► L�cense# (��13Z��a5 � <br /> RESIDENTIAI: Attach Plans;(2)sets of�Bulldtng pians;(1)set of Energy�Fortns;R-O-W Permlt tar new constructlon, <br /> Mlnlmum;ten(1.0)working ilays_after..subrnl#tal date. Required onsite,Gonstruction Ptans,S#armwater Plans wl Sttt Fencs instalied, <br /> Sanitary FaGltBes&1.dumpster•SIte�Work Permit for subd(vislonsAarge projects <br /> GOMMERCIAL Attach(3)complete sets qf Bullding Plans plus a L(fe Safety Page;(1)set of Energy Forms.R-O-W Permit for naw constructlon. <br /> Mintmurr�#en{1Q)working days after submlttal date. Reqatred onsite,ConstrucUon Plans,Starmwater Plans wt Sfit Fence�nstalied, � <br /> Santtary Faailitles&1 dumpster.Sfte Work Permit for all new projects.All commereial requlrements must meet compllance <br /> SIGN PERMIT Attaoh"{2)sets of Engineered�Rlans: <br /> "••PROPERTY SURVEY raqulred for all NEW cansUucHon. <br /> Dlrectlons: <br /> Ftll out appiication comptetely. <br /> Owner 8 Contrackor sign back of appltcadon,notarized <br /> If auer b2540.a Noltce af Comrnencement is reqaired. (A!C upgrades over:67500) <br /> " Agent(for the cantractor)ar Power of Attomey(for the awner)wauid ba someone with natarized letter from owner authorizing same <br /> OVER THE COUNTER P.ERMITIING (Front of AppllcatiQn Only) <br /> Reroots tf shtngles 8ewers Service Upgrades AtC Fences{PIoUSurveylFootage} <br /> Driveways-Not over Counter tf an publlc roadways..needs ROW . <br />