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813-780MM City of ZephyrhiNs Permit Application Fmc-813-7sa4)021 . <br /> Buiking tkpatbrtant - <br /> GatD Raaeitied Phone c=11 act for ; <br /> owrrra!s Mane- ":J;::;.' 0ii oar pho-' a V anbsr'::: <br /> ownersAds L OrierPtioiieaiumbw , ' L <br /> Fee SfiiiPla Mal wkier ltarea owner PUone Fee SM grdMwtderAddress <br /> SUBONIS N:: <br /> . . - - HteitplM�EJfTYTArtNOflCQ <br /> DEMOt ISti . <br /> INSTALL:>•: REPAIR.. '.: C�. 0 "' . =.MYORfGPROP'OSED t9tWG�LSfA'.:- <br /> PROPOSED USE Y [ : :SFR' ..::.:Q ..;LIJM r C� EITHER•: -.. <br /> [1fPEOF:O4HSrRt[CTtO►I.:''.C7. SIa�:K', ..Q`.: STEEL —�:.. <br /> DESCMVrvQN of wct* i <br /> �} 1vX tr'1 map' <br /> 8011DiNQ SRE, SRFQOTAGE •• . '. _• :HEt6Ft1' .r .:t:'' _ <br /> BtnLDING;'. <br /> 0 VatuAqart oF.zarni carasiiitictioN: - <br /> QELECTWCAL'' _ {t;��,�',��`�� ,ANP SERVICE PROGRESS ENERGY �] W.R E.C: # <br /> QPf_UM81N6 <br /> OMECHAMCAL i VALLIAMON.OF MECHAMCAL tkS*tALLAMON'' <br /> .5b b . . t ; <br /> QGAS Q ROOFING 0: SPEClAlT7'� OTHER., <br /> FINISHED FLOOR ELEVATIONS (�� FLOOD ZONE AREA AYES NO <br /> L i <br /> SWLDER COMPANY' '.' ' <br /> SIGNATURE REGi6TEnED. Y/N FEE CuRM,: Y!N <br /> Address Lrcersse# <br /> SIMTUREI COMPANY _ : I <br /> REatstEM :. YIN FEEcuaREn, -Y/N � <br /> Address Liceiwe' ( ' <br /> S[QNATURE REO�sTEto YI N. FEECtlgREA Y/N' <br /> Address <br /> MEMING64L :. :: . CCWANy <br /> SIGIiATURE' ; pEgSiEREo y.�:N,: ..-.FEECUFMM_:: :.:Y.y.N <br /> Add— (J�f' ll) <br /> -71 <br /> 4c' ;�-%f�`G+'/,�;9... T .. License#,- <br /> OTHtcR COMPANY . .� <br /> SIGNATURts �' -^, • , 'REtST� Y!N:' .-.FEECtfRRB- :. Y7N <br /> Address License# <br /> f'! /-iT'1! 11'.!';li:,l�1"1'!ra'1'li:l:/,'1 /��".il:;Li L:! !! ft 1,1 Ii_:/.a,i�CiI,1;! ii,i-G.f 1;1.-41.1!_!:•! !.!'I`!,_1`.1`I I,I . j <br /> RESIDENTIAL Attsci(2)PIoEPs*(2)s9ts'bf$srtl6rigPlans;(1)setoFEnetp)!Forms:RO-WPeinutfmresvroanstrudron <br /> Minuirurri ten{10)worlan9 dayx efler sidrmitlat data. Required attsb,"Construckin Fans.Starinwater Plans wl SlOfFerx a instatied,,: �• <br /> $aft"Faa7ales a I d—wst ar,sits wait Permit far ab vtsior�sllarge pmiects- <br /> COMMERCUIL Attach(2)oampate serfs a8dkIbV-PIa Wpb!s a ffe Safety Faye;(1)sat er&MW FoRr�.s.R-o-W Pemtft far flaw easstrurtian.. . <br /> W dm an tan(10)vmrb�Gays* S,ubmt-mt data.'Regii .,onsite,Coristiiicdbn Parts,S*n-- w Purls w/SUt Fen-ittstslleck <br /> - Saritary:Fa ,B'3 dtmpeter:SitaWaAc Permit Eor.aU itawi prtljeelS.AU'oonar teyirhsr�terttsmust mast atmplat>ce <br /> SIGN PERMIT' Attach(2)sus of Ergiteaed Pterts..: .., . :.:._.. ..::.. -. .,.:..: .... , <br /> "TROPERTYSt1RVEY rwp*W for aU NEW oos%wcdon... I <br /> lNrr�aw: <br /> Fill out appi aWn=nplet*- <br /> Oww 8 Contractor sin;bads o►appticaUort,rtoWwd. <br /> t[;otier 52500,a"tiotlae of CorrartNr�srbrrt bt required. (AtC ttppwdes aver 37500j _,_. -.._ .- . <br /> 77 <br /> " ' Agerrt(far tfte coritractiorj`or Power Attomoy(forihe'owmer)WoM be somearre with r*Wrbid tatter from owner auumdzing same <br /> OYERTHE COUMgR PERMf Tjj#G` `.(oppy.ofcorttreci )-_ i <br /> Rerao[s Hshi� Sewers'. S�v3ae. A/C " -Fer"s(PtsJ&wmy/FootW9) <br /> Oftvewayrs-Na(over Counterit on ptibfic naadxra} -rsseds ROW <br /> s, <br /> j <br />