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, � 893-T80-0020 City�f�ephyrhell� Permit Applic��ion Fax 893aso-oaz� <br /> Bu3Eding Departntent <br /> t9a4e��c�iv�d y - � �� ��an���n�c�for P�rmi4gin � � — �� r t3 <br /> tf <br /> t9uvner's�4aone l.t !�' t�i�'� � �J Oweae�a�horae�ursn9m�r <br /> O�arnar°s B�cHdr�ss � W ��. ��� C � - Owrn�r�hono Y�uovalo�r � � <br /> F�e�IrvapY�Y'141�holde�r PO�m� �� � Owrn�r Phae��Rlunr►b�e �� � <br /> Fee simpt�'fltl�hoBd�rAddr�ss <br /> J��AIDDRE�� � 1� �I l. � l�� Y'C`�l_-_ L07 s� ��„� <br />� � <br /> su�D��rosi�� �— � ��c��.o� � —C`��`"rJ� ' ��{� ~—�C3't C;L� � � - �� <br /> (OBTAIPIE9 FROPA PROPER'fYTNt NOTICE) <br /> w�������o��� � � sv�uu co�s�8 �oolA�r �j s��� � � o�n�ousH <br /> IfVSTALL F3EPlAIR <br /> ��o�o����s� � s��a 0 con�� � oz��� <br /> 7YP�OF COR�a'�RUCT'oOPd Q BI.00K " [� FRAME [� STEEL Q <br /> DESCRDE��IQR4 OF ilYC9R�1 ` ``�i � �1(..�� 1 � 1 c �� <br /> �L11�DtR1��f�� �C���O'Pc������ 4���GH7' ��_____� <br /> 0��3E'���C" � 1 VAIUATtORI OF 30TAL COiVSl'f211Ci'IOiU <br /> L� �.1 <br /> QELECIRICAL � �� AIUP SEf�VICE � PROt'sRESS ENEFtGY Q W.R.E.C. <br /> QPLUNtB[E�l� � ���. �� . <br /> DiViECHANICA,L $ VALUAI'IOM t3F MECHAi�!►GAI.{NSTALLATlOi�f � <br /> � ��, <br /> (�c�s [� s�oo�Er�� _� Sf'EClA�TY �� OTFiEFt <br /> FItVISHED FLOOR ELEVATIQNS �� F�.00D ZONE AREA QYES NO <br /> �t11��I��2 C�F�f P,�IY <br /> S)f'st`\IATURE REGISTERED Y/ N FEE CURREh Y/AI <br /> 1�1d�P�8� LiC8i1S8# � � <br /> ��.�C�'�EC9� C��i2P�Y - <br /> SICsRI�.Yl1R� �' REGISTERED Y/ iV - FEE CURitE� Y/YV <br /> Af.��P��B I.iC9i1SB# { � <br /> ��Bltl���� G�i�tIi��lY ��` t L���C� �� 1 t� �t�� <br /> I SIG�t�'T19� REGISTERED Y/. N FEE CURFtEN Y/ <br /> I �c�ot��ss `t �! � 1'�, 1 � � C't'l � License# �—c�`,.�' �,�`t ��}� � <br /> �) <br /> I �l��Ei�9���i1: Cti���tfi� <br /> �I�R91��P1��E REGIS7ERED Y/ N - FEE CURRE� Y J-N <br /> At,�dY�� liC�+TI$6# �—� � <br /> 4 <br /> V-9 Q"Y�t'E Y�iV7if�J'i70 Y <br /> SIf'aP3�Y49� � REGISTERED Y I �-. FEE CURREA 'f 1 i'� ) � � <br /> _� , <br /> ��O�P�.4i8 �GL't13B xr-� i . <br /> ��S!l3�6�'�'�Ato Attach{Z).PlotPians;{2}sets of Bui(ding�Plans�{9)set of Energy�ocros;R-O-W Pemiit far n=x c�r��uc,.c;:�ra, _ <br /> Minimum ten(1.Oj working iiays after subrriittai date._Required onslte,.Constructian Plans,5�-:zr�r�r'a��zrrs wt SSE Fence instailed, - <br /> San(tary Facllitles&1 dumpsYer,Site Work�Rermit for subdivisions/large projects � <br /> ���4������. Aftach{3)cbmplete sefs of Bu'sId€ng Plans p3us a�ife Safe#y Page;(1}set af Er�ergy Ec>rsns.R-C}-W Perrnit#�r nevr carts#rvi:tton.� � <br /> IViiNmum Ren(10)working days after submittal date. Required onsite,Gsnstructt,�n Pians,Stcrmwater Plans w/Sift Fence instailed, <br /> Sanitary Facilifies�9 dumpster.Site Work Perrnit for all new projects.AIC commercial requiremerits must meet aompliance <br /> �1�����36T Attaoh{2}`sets of Eng3neeced Plans. <br /> ""PROPERTY SURVEY required-for atl,NEW canstruction. � <br /> D#r�c�E�as�: <br /> F(II out applicatlon completely. <br /> Owrnee 8�Contractor sign back of applicatlon,notarized "� . <br /> if ovsc�����,��1�41c���om��eec�c�t�n�i�r�qui�c9. {f�l��a�gr�c8e�avee�p504} <br /> `�` �`�:.�;:�€�S the cantractor)or Power of A4tamey(ftir the awner)wrould be someone wrlth notarized letter from ow+ner authorizing same . <br /> �� ,_�:'.•�-�-w�..��`3':�PERhRSTT1�G {Front of Appllcatian Oniy} � _ <br /> ".'�`�-�:� ��;r-r Se,vice Upgrades A/G Fences(Plot/Survey/Foatage) <br /> �- ,-- :��-- ;�; �'+�..^.a�;.'�'.����.�,l��.=�?y�.�e¢tis ROW '� , 1 <br /> x , . ; : - . - � <br /> !� �'iRV'�r��;�`�,�- �� � � � - ' , <br /> t - <br /> �""�-" ._ _.:_.��__'�...✓....,,�._=.ti...�. _ .,.._. .... _ � <br />