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• i <br /> 1 <br /> 84780-0020 City of Zephyrhll1s:Peimlt Application Fox-818.780-0021 <br /> EUllmnppepaMlenR , <br /> i <br /> Data Racetvod Phonr.Contact for Pormlllln <br /> Owner's kame onl a asp a ep yr _1 s 7 Owner Phone Number <br /> Owners Address a V .; ep yr 1 S; Owner Phone.Number I <br /> t <br /> FeaStmpto.TiUehotdorNsme Ownerphonrkliiilbar <br /> Fos Simple TiUeholderAddrdso <br /> J06ADDRES3 a v ., @p yr 1 S, LOTH <br /> SUBONIS(ON ��� -PARCEL IUD <br /> (ODTARM FROM PROPERTY TAX NOTICE) <br /> WORKPROPOSEO NEWCONSTR ADDIALT M SIGN M MOVE 'M DEMOLISH <br /> e INSTALL e REPAIR <br /> PROPOSED USE SFR COMM Q OTHER <br /> TYPE OF CONSTRUC110N Q BLOCK FRAME Q STEEL 0 OTHER] <br /> DESCRIPTION OF WORK )r@WQr s display for Hollqay I re8 I J Dg December 2,2018 <br /> i <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> VALUATION 0FTOTAL.CONSTRUCTION <br /> BUILDING <br /> ELECTRICAL (S AMP SERVICE Q PROGRESS ENERGY W.F E.C. <br /> Q PLUM91Hb .�..� . <br /> [] MECHANICAL S VALUATION OF:MECHANICALINSTALIATION <br /> O i*S Q ROOFING M SPECALTY:[,-1 OTHER <br /> FINISHED FLOOR ELEVATIONS �� FLOOD ZONE AREA AYES MNd <br /> BUILDER COMPANY <br /> SIGNATURE ` REOISTeREO YIN FEeCURR(E�W /N <br /> Address License ( <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REOIETEhED I YIN FEECURRIMr /N <br /> Address r Ucens4lF �� <br /> PLUMBER I COMPANY <br /> SIGNATURE REOIeTERED I YIN FEECURRErrr I YIN. <br /> Address License! <br /> MECHANICAL COMPANY <br /> SiQNATUit REGISTERED YIN PeEMIRWIT�1?t — <br /> i <br /> Address. UoensoY � i <br /> OTHER. COMPANY Pyrotecnico Fireworks ! <br /> SIGNATURE PAGISTERID I YIN FUCURlrEN'r�Y''IN <br /> Address ' New Castirg, PA 161 ucanso''# 1 <br /> RESIDENTIAL Allach(2)Plot Plane,(Z).sele of SWlding Plans;(1)set of Enew Forms;R-O-W Peril fornewconsWction, <br /> Minimum ton(10)wailing days rllo'r submittal data.Rogt*od omsita,Construction Pigs,Stonmvater plans w/801 Fence Instolled, t <br /> Sonl1my Facilities a 1 ddrfipstat;SAO,Wark Pemdt for ubdhArionsAorgo projects <br /> COMMERCIAL Attach(3)eormpiete sets atBulidiTgPlana tuaatira Solely Pagol(1)set of Energy Forms.R.O.WPemgt for now eonswefilon. <br /> Miroirriurdtett(10)wtiftg'daysli(tarsub Rai dale—AttitAredonsite.ConsWcOan Plans,StomlvralarPlansw/$Ot Fence tnstaaod, <br /> SonitinyFgo0l0od a,14tiprpster.Site Work Porm11 for eli'gow pro(ecls All cammefdal roquiremenls muslmeal cwmp0ance <br /> SIGN PERMIT Attach(2)ails of F.rip(naered Plans: <br /> •"'PROOFIft SURVEY requhaii for elf NEW construction. <br /> i <br /> Directions: <br /> F01 out applkallop completoly. <br /> Owner a Contradoir sign back of sppBcagon,nalarized . <br /> It over S2500,atvoucoofCommoncomentIsrequttod.(A/Cupgrade$over$6000) <br /> Agent(tor tho contractor)or Power of Altomey(for the owmar)would be someone with notarized loiter from owner authorizing soma I <br /> OVEATHECOU_NTERPERMiTTiNG (Front ofAppOcaOanOnly) <br /> Retools Sewers SeMce,Upgrades AR: Fences(Plot/Surnay/Footags) <br /> DHvoways•Nol.over Co.01of if on pub0o.roadvoys.rleada ROW i <br /> F <br /> 1 <br /> 1 <br />