Laserfiche WebLink
Aug. 2, 2018 9;34AM No. 0075 P. 1/11 <br /> s1s Sao 002o CIty of Zephyrhllls Permit Application Fa*813 Leo-0021 <br /> GWIdrng Oap nmehl <br /> Date Recelved /z ZJ phone Contact For PermiKin <br /> -Tin <br /> owncier, a �el1 l b 1 �S�Ca tl owner Phone Number <br /> owner's address 3-t 3 H Q j C(ta}�S M► l �'v�- Owner Phone Number <br /> Feo SlmpkTTlflehoider Name Owner Phone Number <br /> Fes SIMpJt TLUeboTder Address <br /> ,foe ADDRESS 7-7:5 4 b Pf t k-o_4s ^! v-e- LOTH <br /> SUHDIViBION $i v�r Ga.kar PARCEL.ID@ �—04.Z0 <br /> IWTAmEo FROM FROFEM TAX 1,10710s) <br /> WORK PROP089D NEW CONSTR n AOD/ALT Q SIGN DEMOLISH <br /> n <br /> R INSTALL a REPAIR <br /> PROPOSED USE = SFR Q COMM OTHER I n^ ♦� <br /> TYPE OF CONSTRUCTION Q BLOCK D FRAME Q STEEL ---� <br /> DESCRIPTION OF WORK `'al G d✓� f-F.f pr.r 14X$ 8 <br /> BUILDING SIZE Stl FOOTAGE HEIGHT <br /> UIt plNt3 8 .� '� VALUATION OF TOTAL CONSfRUCTION <br /> =ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.ftE.C. <br /> =PLUMPING S 2/6I L/ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING = SPECIALTY= OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA [ YES NO <br /> BUILDER CO p�(NY J �JN <br /> SIONATURE REGreTt3n 0FEECUAftEA <br /> Address (_113 T IJoensefs c.9 G«-a 414�3 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE RE0I9TEREb I YIN FEE CURFI>:T Y J N <br /> Address Ucenae# <br /> PLIUMBER COMPANY <br /> SIGNATURE RMSTEWED I YIN FEECURRB YIN <br /> Address Lk6? efI <br /> MECHANICAL COMPANY <br /> SIGNATURE ` KdlgrEREO I Y/N FEE CURaen Y J N <br /> Address tlCenseFR <br /> OTHER COMPANY <br /> SIGNATURE R6GIS15REp Y!N FEEclxam I Y/N <br /> Addrese Litenseo <br /> • 11111111111! lilt [IIIIIIIIIIilIr11t1111I11111ILI17ll11t11liLIti11111ty <br /> RESIDENTIAL Atibru(2)Plot Pl*m;(2)sots of$011din9 PtDmi,(1)sot of Energy Forma;R-O-W Permlt for now oonstruadon, <br /> MInlmum ten(10)woddAg Jaya after aubmlital date. Regmrad onSita,ConSIr401Lon P10S.SWMWaler Plans w/Sal Fence iramllea, <br /> Sanitary FsCUldea&1 dump.Ter,S�Te Wmk PerI�F IcreuDdivi,iensJta�ge pmjnds <br /> COUMERGIAL AaaC4(2)complete sets of Bullo(ng Plane pkw a Life Safety Pepe;(1)act of EnalW Pomm R-O-W Perms ror newmnstaaan. <br /> Wnlmurn ten(10)worwng days Oiler submittal date Regtdred onstre,Conat�uttion Plat>:,Stormweter plans w/SI�t Fsrtee vtslaVed, <br /> Sanity FapITr,S&1 dvmftvter.$its Work Psrmll ror all nowpmjesle.All Commercial roqulmmorM moat meat colt poenca <br /> SIGN PERMIT Attach M sale of Engmsewd Piare. <br /> —PROPERTY$URVEY required for all NEW cwtnteftm <br /> D,ree(ieri9' <br /> Fill out;vPltcgGop completely. <br /> Owner&Contractor algn bark of appucalloh,nolsdzed <br /> If over 60q,a NoGoe of CommoncsmQnf is roqulrod, (AfC upgrades over MOD) <br /> Agent(far the ooniraotw)or Power of Attorney(for the saner)World be aomeons with notartzad lener1rom ownerauthodztng same <br /> OVER THE COUNTER PERMITTING (copy Of oontrael requrred) <br /> RerW$It ghtnglee Sewsot SeMw Upamdos AFC Fenws(PbW0rveyfogtay9) <br /> Driveway.--Net aver Coupler it an public romdwwA-neads ROW <br /> i <br /> i <br />