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<br />� �,3-r�-��L� Gi#y af Zephyrh1ls Permit Application Fax s�a-�saoo2a �
<br /> Building Department .
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<br /> DateR�aeived , .: Rhone�Contactfor�Petmittin �O� � ' '.
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<br /> Owner's Name �os�^7�rc� �' ,� � Owner Phone Number r • /�' i.
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<br /> Owner'��lddress �o� / �Owner Phone Number � �
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<br /> F�e Simpl�Tittehotder Name � � Cwner Phone Numb�r � � '
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<br /> Faa Simple Titl�hatd�r,Addcess
<br /> J08 ADDRESS 1 r,.� l � y� GOT# ��� `
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<br /> su�o�v�s�t�r� � � . Ra�tc��.�a�1` • �. r�o . �
<br /> . . (OBTAINED FROM PROPERTY.YAX NOTICE)
<br /> WORK PROPOSED ��fw cor►STe ADDlALT �� SIGN� "0 � � [� DEMOLISH i'
<br /> ���, INSTALI: .8 ,� BEPAIR � ;
<br /> PROPOSED�USE � - � :[� SFR� [] COMM � OTMER !/ i
<br /> TYPE�F CON3TRUGTION 'Q ;�SLQGK " Q FRAME �' S'i'EEt 'Q �
<br /> DE3CRIP'TtON C►F WOE2iC" . U C.� �> � � �"�. ;
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<br /> BUILDIMG SIZE '��-�'SQ FOQTAt#E ' HEIGNT , � �
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<br /> QBUILDING � , , , . - ,,,,.. ... _ .. Y
<br /> , VALUATI{ON�OF TOTA1�`CQNSTt�UGTitlfd= �
<br /> �]ELECTRICAL �_____� AMP SERVICE Q PROGRESS ENERGY �
<br /> W.R.E,G. '
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<br /> QPLUMBING , � ' . � �'J� ;
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<br /> �MECHANIGAL $� " � -+--- VACUATION OF MECHANICAI INSTALI:ATION ;
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<br /> QGAS Q ROOFING ;Q SPECIALTY � OTHER � I'
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<br /> FINtSkiED F4.00R E�EVATIONS �� FLOOQ zOI�fE AREA QYES. NO j
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<br /> BUILDER �p(y�p/E►j�►y - - �
<br /> _ _�tC�P'�'Tttt3E - �__ _ _ _ .� _ _ - - REGtsTEREo - _ _,�1 � . FEE GURREP . Y 1 Fi - - ' -- --__ _ _ _t_.-1
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<br /> Address ' , _ License#'� 1 �
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<br /> ELECTRICIAN 4�: �. 'COMPANY ' - - . '
<br /> SIGNATURE �` E2EGISTERED Y! N FE.E CURRFt���; :��Y l N ' �.
<br /> Addre,as . � '
<br /> _ lfcense#.,�� �
<br /> PI.UMBER COMPANY -
<br /> StC3NATttttE' � ' REc�s�R�o � Y_!:N,. ��cuRa�= Y-1 N. �
<br /> Addra�s � l,icense.# � ,�� : � •�.
<br /> MECHANICAL" . : � GOMPANY ..1�'' e2,,.�
<br /> 3lGNATUEtE� -C/Yt� E3EGISTERED.. N .. .._.. FF.�=CURREt� - - -�t1
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<br /> Addre�� � ' /� License#����`���a,Lr�
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<br /> OTHER ':` .- ^ l � �=COMP��/�VY , ,-
<br /> SiC3NATURE 3;° - � � . � ' ` ���s��a 'Y i'N _ " :�E cti�i�h Y i N. �
<br /> Address �_ -,. _. _, -_ , , _ �- , • • � � ` �
<br /> ��: Licerise# (
<br /> RESIDEN7IAL;��_: :AltacFi'"(�)„PIoY�Plans;;(2)sef�:of.�Buildliigi'Plans;'(1)set of'.EnergyfFarms;'R-'C1i=W�Peririif fb,r new cqnstruction, � � I
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<br /> - �_;�>Mfnimum�ten;(:1A}�worl�in9�dA3!s.;;aite��sutiinfttai'd"ate.v.;ReiluCreii onsfte,riGiin�t'r�ic�oit°Plans;i�Stonnwater Plans w!Si1t Ferice installe�l,
<br /> Sanita''ryFac{IitJess8�j1�,,dumpster,�Site��INarkiPermit`foir�suti�ivislgnslfarge:projects;:,,y�:•-:;;` • � _ -
<br /> CQMMERCIAL Attach 3�'coin lete sets�`of'Bulidin�Plans"f'lus a Lffe Sefe Pa e; 1 set of�iie Forms.R-O W Permit fur neu►constru�tion.
<br /> � ) P 9 P tY 9 � � . r9Y
<br /> Mia{mum ten{10j waricing days after submiftai cfate. Req�aired onsi#a,CorasUuc�on Ptans,Stormwater Pians w!S11t Fencxx Instailed,
<br /> Sanitary Fadli�es&1 dumpste�.Site Work Permit for ali new!projec�s:.Ali cammerclal,requirements.must meet compllance �
<br /> SIGN PERMIT AttadF�(2)`set.s`of�E�g,i`,nee�edrPlarisa,: -.�� .. , ',. , .. - �
<br /> ""PROPERTY SURVEY requTred fior ati_h1EW_constructlon..
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<br /> � Directlons: �• ,. . . �
<br /> Fi11 out appifcatlon completely.
<br /> Owner 8 Canhactor sign back of appllcatlon,noiaflzed �
<br /> If over a2500,a Notice of Commenceenent is requlred. (AIC upgrades c�ver�7500)
<br /> tt ' `t.s:�5 Y�{�`,kx2•'j�
<br /> Agen#{for the contractor)ot`Paurer of�Attbmey{fo�the awtter}vuould�e someone wlth nat�rized le#ker from owner authorizing same
<br /> DVER TW�COUNTER PELtMITi'ING -- (Front of-AppllceUon Only)-- �- �
<br /> Rerocfs if shingles Sewers Service Upgrades NC Fencss{PtotlSurveylFootage)
<br /> Drivewaya-Not over Counter if an public roadways:.rieeds ROW +'
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