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I313-78U-ouzo city of Zephyrhius Permit Application rax tlT3-rnu-uuL ,a <br /> • Building Department <br /> 4 <br /> Date R®calved <br /> Phone;C.anfactfbuPermittin ar: ��' --' <br /> Owner`s Name 4 S O Z!7b Owner Phone Number 3 4_ <br /> Owrner's;Address 5-�► i�J.� Owner Phone Nbmber <br /> Fee SimpleiTrtleholder'Name •: : Owner Phone Number' <br /> Fee Slr4.Ie' itleholder Address <br /> JOB ADDRESS t JT," �f LOT# <br /> SUBDIVIS11 ; PARCEL'ID#;, <br /> (OBTAINED FROM PROPERTY:TAX NOTICE) '� � <br /> WORK PROPOSED NEWCONSTRf7E. ADD'/ALT SIGN Q Q DEMOLISH' <br /> 9 INSTALL' , :REPAIR <br /> PROPOSED;.USE. Q SFR -COMM: OTHER <br /> TYPE:"OF{II CONSTRUCTION Q BLOCK [ FRAME STEEL [ . <br /> DESCRIPTI'rON'OF,Wbkk CA i t � t"G e- rjoo4 t7 U r n <br /> BUILDIIdC:'SIZE SQ�FOOTAGE .. , ttEIGHT <br /> k.-I <br /> BUILDING. VALUATION'.OF TOTAL CONSTRUCTION <br /> .`'ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY W:R,E.C. <br /> QP"LUMB.ING $ , <br /> QyMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =!6AS 0. ROOFING F. SPECIALTY. O OTHER - <br /> FINISHED FLOOR ELEVATIONS rr FLOOD ZONE AREA =Y.ES NO <br /> .BUILDER; COMPANY G QUIVA, <br /> SIGNATURE REGISTERED I Y/ Ni :FEE:CURREM <br /> Address 'iaeense:# <br /> „':ELEC,TRICIAN .;.COMPANY <br /> `SIGNATURE REGISTERED Y/ N , :T `fEE+EURREA: c; Y//N <br /> Address'` License;# 1.'• :° � � <br />