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sty 7s4002o City of ZephyfiiNs Permit Application Fauo-staaso oazt . <br /> Btukfng DepattrTtent <br /> cam Rama -.. .. .• _ . <br /> Phone Cortbletfar <br /> Owneft Now Gil" C�n1' - 'Ownor Fi�arTe ibanber;. <br /> Ownet!'SAd*M --5t or r rriuiint >[�":--';.- • ,.^`� '. f . <br /> Fee s6nplc T[(Ipliotda tiEviie i : owner,;"Nina: <br /> Fee shnple rdww w Addr ss " <br /> i <br /> ,waaDDRsss �0.� 7 oil,P ltl arJ. LOT. <br /> �- -1 <br /> .: ...... .,... <br /> sum . : C1 �a �i PARCM of <br /> " (OflTAttB?FX=FROPEWTAXNO=M _ - <br /> SIGN QEMOIJSH <br /> YyORKPRCPOSER. .: . :, : ::. , ;'.tiEwCOt(S[R _A[MJIN.T Q:_;: - .. ..~_..;.;C�_ :." -:..: C�" "-"-.. <br /> iNSTA►l,.; -- '',. REPAiR, <br /> PROPOSED USE [ .'_.'$FR'` "":`'Q''. CONLN= '.:.C�:.°:fJTHER• .. <br /> TYPE. C'Offb"(RUCTTON. .Q BLOCK.' .�`'"'`FfZANIE^. :' STEEL - <br /> DF3cRr of WdW, `wr <br /> S WING SIZE ._ .sa FooTac HE off" <br /> YALUATiON OE-TOTAL CflNsrRucnoN' <br /> [-JELECTF2SOAL' S' :. AMP"SERVICE Q :..:PROGRESS ENERGY 0 W.RE.C. i <br /> =PLUMBING (~ <br /> MECHANICAL S VALUATION OF MECHANICAL INSTALLATION i <br /> 0 U <br /> ';' QD i <br /> 0 ROOFING 0 r. :.SPECIALTY Q,•„OTkiER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA AYES. NO <br /> �� <br /> i <br /> EUILOER COWANY::. <br /> SttiNATURE• WGisTEREn I Y l N. M CMIE1` Y/N <br /> Address ticeitse#177 <br /> ELECipICiAH COMPAN1f �_� i <br /> SIGNATURE l.:REGlSTSlW_,: Y/N- EEECitRRE?, 'YtN <br /> Aadeess Waine#� r� <br /> SIGNATURE .:.REct(SfER® ` "Y L N. FEr CUR ta." Y/N" <br /> A _ LiCe!>Se# i <br /> COMP <br /> SIC�tiATURE Rec;is Tim.•' - --Yt=N <br /> Willi =COMPANY <br /> SIGNATURE tzE : Y!N:' -:.FEECUAFiFA Y1N <br /> Address' °.: Llcerse# - �^ <br /> f i 1f Hi tl 1 f.Isi;tFl,i'1.1'!;•1'I la'.1:1!'h•�il:�la.L'1;=1.1`a.I L.Iy1l..L1..1,1-Ir1�i<I;I,�;.l-_1_./_1-!a I_I,,I;L!-i'f'!`!„1"I I i /JI` ! <br /> RESaDEHT1Ai. i d,tZi «) s of Berns Pins;tt)setoff Erierpyr Forms R O 1N,Pesrtdt for neiv constr+id i," <br /> Ninnaimi ten(ft)}woamtg days alter sitbmltla!dais: Req�ed'ansite;OOnstototion Plans;SEainv+atarPtaT>s w/SIIfFericeinstalled„-- <br /> Samiffiry Facititlas 8't Sits Work Permit�3�VZSIpiSlfa!!�a poJects - � . <br /> COIIMERCWL /lttadt(2) sus d•6t(Idktp.4?14tspkis•atifaSeflYPaee;(9}setofEmwFams.`R�WPermitfewnewconstruction. <br /> M�fi1an ten t18}wuridnp""hays sttersubgittml date.Rest�ed_ar:slta,C,a�hiTctlort Firs,Stortrntia�r'Fr4ans w!Silt Fi�ice,Insmled,' <br /> Sar+il y:Factstiis.8"].rat r:etaWorkPWffdI*-.alnSWpojects.A0'aomtr :must meetaxnpliance. <br /> SKIN PERUff Attach(2)sets of EripiTaeTed Pfae: :. .. <br /> " PROPEFnYSURVEYregt6edtocailNEWmnoucon; _ <br /> OEraetiorts: , <br /> FRI'out.appkatione mpteteiy... <br /> Chviier&Cwbactor sign bads of applt�tian,m t dzod <br /> IT Omes$25K a Noose of CoriTrrrttpnwd ts..agWnd.(AIC uP4!ades Over$75tt0) _ <br /> Agent(far,the OonhaoWrj'or POwr of Attorney(font Owner)would be someone with notarizad latter from amer aut wddM same <br /> OVER THECOUNTER-PERMfIIHIt3 (capy.ofconhitt1requke ._..._ <br /> Remafs'dshmgles =' "Savrers: 'Fet>ces-(PWVSWvey/FootaW) <br /> Driveways Not ova Cotlntar if on WWic►oadrv*s.:ioads ROW <br /> i <br />