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� af�-7e�-oozo City of Zephyrtrfi#s Permit Applicatian ��-���-�p-0421
<br /> 6uliding Departii�enl '
<br /> � ' RatoRnce#ved �, �4t �.�t�' PhonoContactlorPormStttn 7'�? � 3�'=(�c C?
<br /> Qvrnor'a Namo CrS,� i}�S Owr:�r Phana'Humber � b"'�-y�.���
<br /> Owner's Addraas � t 3 � V� Owncr Phone Numbsr f ��
<br /> Foe Slmpin TItSeMioldor Name � � Owner Phono Nqmber ��i�
<br /> Faa StmA1a Tttlehatder Asldrosa �
<br /> ,�os anotx�ss i 3 �-� � l u,>(_ - �or x t�Q t(�
<br /> $V����${aK I . t ���.'�1.1�y�i '���7 �+.e'^,. S�,C�'t� O Ri�..��V�O�T a�C'1
<br /> � (087.6.IHEPFROMPRpPEATYTAXN0i10E) �
<br /> WORK PROP08E0 NE�V CONsitl . ADDlALT � SIGN Q Q DEMDLiStf
<br /> � INSTALL 8 REPA1Ft ,
<br /> PR4POSE4 US£ Q SFFt � COMM � 07HER _ -
<br /> rn£aF car+srRucnoN [� a�acx • � Fw�rn� [� s��i [� -
<br /> i
<br /> DE9CR{P-'17bN QF WORK t'.•�' 2,.«t`fLS'� }'"Q—S�..t-� �itt _ � '
<br /> , 6UiLO1NG SIZE �i 1 3Q POOT'ACiE�� HElCaHS
<br /> I .
<br /> I
<br /> QBtlILDING $� �—7 �V� VALUAT}QN OF'fOTAL CQNSTf2UGTtt7N
<br /> .iL_..
<br /> �]Et�.GF1tlf,AL ($��� AMP SERViCH Q PROGRESS ENERGY Q W.R,E.C. !
<br /> �]FLUMH1�10 '$��i `'��^'^'�''7( �l� l pry, /
<br /> 4�..�.�� �! r �j�`/�,,,� �
<br /> i
<br /> OM6CHAN1CAl $ VALUATICIlJ OF MECHANICALlNS'fALLA7lON +vY ��
<br /> g;�-J"s�
<br /> Qcas [� RaaFir�o Q; SPECIALTV�� arHER ��S�
<br /> FtNiSHfiD fL44R Et.EYAT10N5 ' Fl.OdD ZdNE AREA QYES NO - �� S�g,�.,�1h-�
<br /> �
<br /> BU�LDER .,.0 � �� y��'�����COMPAfiY � `t�' .�Ysvl�{'J`i�CJ�t&w �@-tt'UL'7.�
<br /> S14NATUR6 1 REGiSrERED �=�1 N� FEECURREn� Y/� •�
<br /> Asldreas� _ UCense#' ���� 5�. S S^�S
<br /> ' . ., �_.,. . . 1 y� � � �
<br /> � ELECTRIClAPa � ;t .���•'� COMPANY
<br /> 'S,IGNATURH `� `C ttEC�s�st�o Y/N r�cua:v. Y!fi
<br /> �tl Addrosa _ __ l+cense#( ��
<br /> �
<br /> t }�
<br /> { ,r� ' CdMPAMY
<br /> �� FLitMBER � iy' �
<br /> Sit3NATtsRE `� REii137ERED Y/N �cU9aEt. Y!N'.
<br /> �I, Addre�a lIcens�#� �����
<br /> �1u /� !� ;1 !
<br /> , MSGkANfr.AL r _.� -- I.,...�h� COMPANY 7-I i C"l...t , (�1`�'1��'1 i[l�'� l`�•1 ��NFCl�! J�uC•
<br /> StGHATURE � � . J. . ,"'n�.�[J �„ AEG�57EREv -.Y/N PEECURttE� Y1N~ T
<br /> I <�aa.�ss t�i.c.) .'3�^,� `� _ u��a G�lt:��:;Z.7�l'�J,�'
<br /> � o�t+�e �a�xaran � � �
<br /> I SlGNATUF2E � . � REssStEft�a Y i N �E cUaREr. Y!N
<br /> iAddrae9 Lkense.�•C� �: �
<br /> RESID8N7'lAI. Atlsch(2}Plot Piens;{2)strts oF_ButldMg Placu:(1)set ot Energy Fam's,R-q-W Potmif tor naw ewistntation,
<br /> MiNmum ten(10)waAti�g daye eflar au6m11ta!dele. Riaquired on�ite.C,anstruclinn Plans,Siottnwatei?lans wt Siit Fenea SnsfaNad.
<br /> SBnitary FeclttNes 8 7 dvmpster,Slta Wark Parmit Yur aubdnrisfonsAaege prcS;�ts
<br /> COMMERClAL Attech(3)cartipbta sets ot 8uildtng Pians plus a IJfe 3aSety Page:{t}astof Enetgy Farms.R-O-W Pamiit tor naw cnnshuciion. -
<br /> Mlnlmum ten(10)tvaking daytt after.su6m{ttal cl�ata.Raquirsd cnslte,CanslrucNoss Pians,3i8rmwater Pian>wt SNt Fenr,ts instailcd,
<br /> Sanit�ry fadtlites S 1 dumpskor.Slto Worlc Permtt#ar ef!new pmJects.A!t�.rommetc{til requtroments musi meot�ximp3tsnce
<br /> SIGN PERMIT Att�ch(2)sets of Englneerad Flons. �
<br /> •'•'PRQPE4t7Y SURVEY ret�ulred far ai!NEW cott&2iucUon.
<br /> ntrocclons:
<br /> Fill ou[eppUcatlon completely.
<br /> Ownar 8 Cqnkrecta slgn back of app8catlan.rrotar�cd -
<br /> If pver S25U4,a Not4co ot Commuricomont le eoqulzsd. (AtG npgrndoa over 57540)
<br /> " Agent((or the aonVackarj or.Pawei of Attomsy{for tfie ownerJ wDuld be someone wifh notatSzGd leltm'Bom owner autharWng same
<br /> DVER THE COl1NTER PERP.7ITTINR {Fm,nf ot Application 4nSy) `
<br /> Reroofs if shinglas Sew4rs Service Upgrades A!C Fences(PIoUSuneyC�oatage) ,
<br /> Drlveweys-No!ovet Counier i(nn pubf�c roa��ways..nneds ROY!
<br /> . . ,... - ., n ._. � ...- . , a _-.. ,. , -- . . i. , ... .. .. � _ - � -
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