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913.780 0020 City of Zephyrfift PeTrWd Appficeflon Fa*813-7804 t <br /> Building Department <br /> Data Rhteelved Phone Contract for Peagtttin <br /> l/dillI r t114/ <br /> O meft Name n J Jt Owner Phone Number 1 <br /> OtsneftAdd. a p owner Phone Number <br /> Fee Simple Titleholder Nme Owner phone r <br /> Fee Simple TltlehedderAddress (� .� t ! 1— 12— <br /> JOB ADDRESS 0 rr`` <br /> SItBDMSION AARCELlDO l�a U' lJ O <br /> tasreaaeotnON PRorarrrYta7tttdneat <br /> WOiKPROPOSED B NEWamwRe ADDIALT SIGN ❑ �] DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR ❑ CMW OTHER <br /> TYPE OF CONSTRUCTION ❑ BLOCK [] FRAME STEEL = <br /> DESCRIPTION OF WORK EMTXI <br /> BURRING SIZE SQ FOOTAGE HEIGHT <br /> =SUILDING S VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE PROGRtc�'uS ENERGY = W.R.E.C. <br /> =PLUMBING $ �� <br /> =MECHANICAL S VALUATION OF MECHANICAL INSTALLATION <br /> GAS ROOFING SPECIALTY= OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SfONATURE ��' REGISTERED LciyN I FMCinRRE, N <br /> Address IMSD aWdY <br /> r Llta.#le-Mgato <br /> ELECTRICIAN =P� <br /> COMPANY I tNk- <br /> SRiNATORE RROW(EM YIN FaccuFF n N <br /> Address License# ' <br /> PL9MMM COIIRPANY <br /> SIGNATURE 1 IMMSrERED YIN FEEC*RaiQ I YIN <br /> Addnits l Lioensa it <br /> MECHANICAL COMPANY <br /> 91611ATURE pEplstB+ED I YIN I FEECURREP YIN <br /> Add. license# <br /> OTFIER I COMPANY r-) <br /> SIDttA7(!1!E ItEGISTexla I YIN FEEC*lltRen -YIN <br /> Address License it <br /> 1111lIIII1lIt11111111tlllllltilllllllllllilllliillllllllll1111lIlll <br /> RESIDE NTIAL Attach(2)Plot Plam;(2)sets of Eaiidmg Plans;(1)set a1 Energy Forms R-O-W Permit fornew,om 11ron, <br /> Mhhnum ten(10)woeft days after submittal date,Requbad anslte,Constmcft Plans,Stamnvater Plans wl Sift Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Walk Permit for subdWlaianallaMe projects <br /> COMMERCIAL Attach(2)complate nits of SuRding Plans plus a Ufa Safety page:(1)®t of EneW Forms.R-O-W Pemul for now construction <br /> fduttmunt ten(10)working days aftersubmittal date Regtpred ottatte,Construction Plans,Stom+water Placts wl Sr7t Fanco installed, <br /> Sanitary Facilites 81 durrgLdw.Slte Want Permit tar all new projects.Ali commercial mquirelnm*ts must meat compfalcee <br /> SIGN PER MFr Attach(2)sets afEngirmated Plans. <br /> —PROPERTY SURVEY mqulmd farad NEW consbucdon. <br /> 4616 l.t ilil 1 t.A.Y •.i./ii I I I . • •i l l l t i <br /> Directions: <br /> Fill out application completely. <br /> owner a Contractor sign bad*of application.notafted <br /> It over$2500,a Notice of Commencement is requires. (A/C upgrades aver$7500) <br /> Agent(Ior the Contractor)or Power of Attomay(for the owner)would be sumAwn With notarized letter from miner aulihor*whg same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Remofs 11611ingles Sewers Service Upgrades A(C Fences(PIoL'Survayftowge) <br /> DdvewayrNot war Caunterif en publia roadways_needs ROW <br />