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4 , � , <br /> ' '" ai�-7eaoozn Cityr cF Zephyfiilis Permit Application Fax���-�eaoo2� <br /> euildYng oe�tmenc <br /> Dacer Received Phw�e tivtrtad 1br i <br /> Owr�"5 t�ne � _„� i3`^". ^�r Owner Wlonelhmdler _./,L�'/i/7111� E'�Lj'?A <br /> �,��'�5 L�a v�, 2/%� �' o��c� �•�'" �v57 �5�s1,� <br /> �s-��naa�r� � � —1� a�r�r�r � � <br /> , <br /> Fee Sin�pMe rmehaaer Address <br /> J08AUDRESS O L/ (t , LfI�I� U� LOT� �� <br /> sue�o,vis�or, �t� l,b,� Pa�n� 1 �! O� �4�/�t <br /> ,,�,/'� (OBTA(ME{i iROM PFi0PF2t�Y TAX KOTiCE7 <br /> , WORK PR�'?PQ6ED e NEW Wtatrt(„�' ADDlALT 0 SIGN [� [� DEMOLISH <br /> INSTALL �,_� REPAIR <br /> PROPCJ6ED USE C] SFR Q GONIAA [� OTHER <br /> � 'CYPB OF C4MS7RUCT10N Q BLCrC1C � FRAM� Q 3TEEL Q <br /> oEscr�Pnw,i oF wa�c S�"fC �j �"��a% � oN �C ! <br /> ' s�nt.�c scr� �—� sa fac�rnc3E �oKr �� <br /> E QBU(LDING (�� VALUA714N OFTOTRL t�NSTRt1CTidN <br /> � �'�----� <br /> Q EtECTRtCAt. (S—`'�I MI�SFFtit3CE [= PROGRESS ENERGY Q 1N.ftE.C. <br /> �_. .__{ <br /> QPWMBtNG (— � <br /> ��� <br /> pnnEcw�ruca. r a���b r�� va.un�au o�n�cwwica�irrsr�noN <br /> l. <br /> Qr�+s � F200FING p s�cw.Tr p, oTr�� <br /> FiNiSHED FLOOR ELfYATt�1S (� � �LOOd ZdNE ARFA QYES NO <br /> . L ..r,! <br /> su��� � � coa�PaNr � <br /> SIGNA7URE � Y.�CUR�Et. Y/3t1 � <br /> +4ddress Licease�j �—� <br /> 9!�RE � � :�Ea � �cu�Et. Y/N <br /> ` Addrrsss Lteet�se#�_ � <br /> � PWMBER �� � CdMPANY � <br /> SIc+NA7URE' �GisTt�D Y J N F�E txrR�n Y J N <br /> � Addte!ss Llcense#�---� <br /> � .! / ,q,� <br /> I SIGNATttRE � ��/'ei� OlDR/1/�L(SH'u�'t"'j'�'�Ti+'�G' <br /> MECHr4NSCAt. c_,.,,p' ���,, t�#tRANY <br /> �„���� REOW�'lF3tBb Y/N FEE cui�6. Y/N <br /> ' � '�/� / !�lje�!�, 2�Hi�.y„ uc�e# L'��,`�`«� .. � <br /> OTHBR �� COMPANY ( — .^.—.,--� <br /> StGNA1URE ' REotstE�Ep t.FS r�e attu�. - Y f H <br /> Addmss Ll�nse#�—. ! � <br /> ItII`i11iIl ��t � ilt�iilif 1l�1'1-It-P11-13ti1'!l1�Iitlttlltl1111_I!_1 ! ! il11l1.1lIA <br /> RESIDEPtStAt. ACach{2?Piot Pians::{2)Set§of'BWldmg P'fa�es:(i}'set of Energy Forms:R4W Pemut far riew ootr�u�3ion. <br /> l4�inimum ten(!0)wortdr�g days efter submipal date. Required or�ite.G�on Plans.Stqrmvvater pians w/Si�Fence inst�i2d, <br /> Sanitary Facilitles$1 dumps�';Site WoAt Pertnft fw s�to�s/large Pmjects <br /> COMMERCIAI. A#ach(2)Wmplete sets of 8cafd[!i0 Pians P�a Lite 5afaiy P�a:('1 j set of Ener�y Forms.R-4W Petmii fa'new�Srut�itn_ <br /> Afinimian tart t1o1�daYs after sc�nit�i dade.°Req�atsd ar�sife.c.oFsstsstt�on Plans,SlacrtYwater Ptans wt.3ilt Eence ksstalled, <br /> Sas�ary Faali�es,&1 d�nRster.b'de Wak PesmR far ep new pra�_A!t wmme�ria!�aqu"veme�rts must r�et complPm�ce <br /> SIGD!P'E[�MIT Anaclt(2)sets of F.ngi[�ee►ed Pians. <br /> `""PROPERT7 SURI/EY reqtured for ad NEW aonshrudton. <br /> , .. . . . . . . . . . . . . ._. . ._. . ._. . . . . . . . . . .. . . . . . <br /> DlreeLarw: <br /> Fitl ouY application c�npleYely. <br /> Owne�'&Coittractw sign back of appGcadon,'notatized <br /> I(ov�er f2500,.a Notke of Com�nart is raquired. WC upprades aver i7500) <br /> " A9eni(for the aonLact�w Power af Attomey(for tlte owner)would be sCunearte witF�nomrved Ietter from ourtter autho+iz�9 sam9 <br /> OVER'CHECtMJNlERP'ERN!'CfINa - (copydt.aut�t�adreqtirgdj - , <br /> Reraots if shingles Sewers Servit�Upyrades A/C Fertces�Y/Footagi=) - - <br /> Drivew'ays-Not ot+et t:dtnter if ort pnbfic roadways..need4 RQW <br />