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a��-7$o-aa�o City af�ephyrhi(is Permit Appl�cation Fsx-813-r$aoa2� <br /> ' . Bullding Department <br /> Date Received ' Phone CoMact far P�ermtttin <br /> OwneP�Name Owner Phon�Number <br /> Owner'�Addre�s � t,,h� � ��,:.� "�y Owrner Phone Number � � <br /> Fee Slmpfa Tltlehofder Narae Owner Phone Number { !^� <br /> Fee Stmpl�Tltlehalder Address <br /> JO�ADdItESS � (,it -� �Y�Q, C I.OT# � <br /> sueaivisio�r � CL.Z!�����.����. �.1 w�ce�.io# �`0��0 -C� - l�."1l� -Ql���` � <br /> • (08TAINED FRdM PROP6RTYTAX NOflCE) " <br /> WORK PROPOSED , e Nflnl CONmt 8 ADU/ALT [,�J SIGiV• Q [� DEMOI.ISH <br /> lNSTAI.E. REPAii2 <br /> Pb�OPO�EQ,U3E Q S�F2 Q CflMM �� OTHER <br /> 'd'YPE O�COAISTttUGTlON Q B�OGK ' Q FRAME [,_J STEEL Q <br /> DE3CFt1�T10N 4F WOR{� 4 (,Z �VY �- �V 1 � <br /> Bti1LD9Rtfs 51ZE ' SQ F007AGE�� NEIGHT'��� <br /> QBUlLD}i�tG I$— ff� VALUATION OF 70TAL CONSTRUCTION <br /> � <br /> QELEGTRiCAI .�� AMP SEF2VtGE - Q PROGRESS EAIERGY [� W.R.E.C. <br /> [�PLUMBING $ ��g-.,�__�rr��=�1 <br /> l..�J �, � <br /> [�PAECHANICAL � VALUI�TlQN OF MEGHANICAL INS`fALLAT10tV <br /> ��.��� <br /> [�c�s (� �ooFir�� .p sP�ca,�..rr C] ot�ea <br /> FINISHED FI.QOR ELEVATtONS �+_w� FLOOD ZO�fE AREA QYES NO <br /> �UILDER COW1Pi�AlY <br /> StGNAYURE Ft�isr�o Y! �t ��cu�+ Y I N <br /> �ddreas Ucense# �^� I <br /> EE.�CTRtC1Altt -COMi�1�NY <br /> Si�NATURE �` t�cts�a� Y t N �cu�n Y 1 N <br /> �dcOress � Ucense# I � <br /> ��.uMs�� cor���nr � ���1 �'I(��} <br /> 31GNATURE RE6ISTERED Y.t.--N . FEEGuiZREt. Y/ <br /> �►ddr�ss I.icense# _� ��-�'J �5,� �.G�S`"J�� <br /> iiABGH��IlCAI: COMFANY <br /> StGWATURE t��tss�REa Y,! N. . ��cu�n. Y/�N <br /> Rddres� License# � � <br /> OYNER :.COMPAI�Y �� <br /> SIGPIA'YUP3E � REGISTER�D Y! N_. �cu� Y/N <br /> �ddres� License#•1 � <br /> �E�lqEP1'i7AS:" •Attaali{2}Plot Plans;(2)se4s:of 8iitldl6g P.lans;('!)set oE-Eiiergy�Fotms,R-U-W Pemilt fcr t�ew ooasbut�ion. <br /> Minimum.ten(10)work(ng days after_subrriftfal date:�.Required onslte,'Constiticticn Pians;StoRnwater Plans w!SUt Fence installed, <br /> SaniteryFacilt�es�;l:dumpste,r,�;Site:Worirl?ermitiorsubdivisionsliarge:projects � ' - <br /> COfi��N�E2C�Ai. Aitach(3}cosilpiete seCs of Su1ldtrig F'Ians pIus a U#e 5afeiy Fage;(1)set of Energy Fcrms.R Q-W Permit for new canstsuc�on. <br /> Mfnimum ten{10)wo�lcing days af#er submltkal date. Raquired onsite,ConstrueNvn Plans.Starmwafer Plans w!SIlt Fence lnstalled, <br /> Sa�itsry FecillBes 8�1 dumpster.3ite Work Permit for all new,proJects.AU ccmmerc�al requlremenfs.must meet campltance <br /> SlGA!PERMl7 Attach'{2}sets af Engineered Ptans. • <br /> ••"PROPERTY SURVEY required for all IVEVY construcUon,. � <br /> Dlrectlons: <br /> Ftll out applicaflon completely. <br /> Ownar 8 Contractor sign back of application,notarized � <br /> if avor$x500��Notice of Commencement ts required. (AIC upg�rade�ove��T50Qj <br /> " Agent{far the wntractar}or Power af Ai#omey(for the awner)wautd be someone with notarized ietter#rom awner authorizing s�me <br /> DVER THE CCiUi�iTER PERMtTfiNG (Front of•Apptication dnly) <br /> Reroofs.if shingtas Sewers Service Upgrades A/G Fences{P!o#(Suroey/Footage) <br /> Drivewaya-idot aver Counter ff on pubiic roaduvays..needs ROW <br />