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813-7W4M City of Ze0hoills P innit Application Fax-813 7sauo2l' <br /> !' Bw1ft Depwbnent <br /> oateRtvwd` PI 'Coiftaetfor' / <br /> 3T' . <br /> Ownerft <br /> 40 <br /> FRI simple?itlehot�rilau+." <br /> Fee SItIQICTpidixAddlasa. - <br /> .1O8ADDRES.S�`, � -_ •IAT#`;C�'=.:" <br /> -..+(OBi'ANE�FROUfAM'SITYTitX. OTHM.�'y:�,!�"�/.�L.fp- _... - <br /> wow PRO OSED NEYYEOlKiit ADDIALT' '[� SIGN"' '[� [ ', ' <br /> rr <br /> ,REPAIR T <br /> PROPOSEDUSE. ,Q; ..SFR=. -YO., _,COIMA'" [�.. OTHER,. • " ; <br /> TYPE OF GON57RUCT(ON.:zi C] :,;BLOCK... ';�Q+ ;,....,FRAW: . <br /> DEScWPTGON OF.WORK+--± <br /> aWLDI G aiS ` SO FOOTAGE MMON';:.C::~ <br /> BUtLDINQ S:._:;.... <br /> VALUATION!OFTf)TAL CONSTRUCTION"' <br /> QELECTfttG4L. 5 AMP SERVICE <br /> OPU.jW1NG:-, 3r. <br /> btECFlANICAL S VALUATION OF MECHANICAL INSTALLATION .- <br /> y�- . .AM <br /> (micas 0 ROOFING SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS , :,FLOOD ZOPIE AREA C3M NO <br /> FRlILDER SKMIURE —_- COMPANY NELUI�tET Y! �� <br /> ELECTRICIAN ^' ;..: COMPANY. <br /> SIGNATURE .REMSTERM I Y!N FEE Cutate.',. YLN s <br /> Plddttiss LiLEcensa#"(" <br /> PWMBER3. . w COMPANY' I <br /> SK3NATURE_` ;REorst�Ea< Yt N' FRECuRtEK Y!N <br /> Addirsss V IJCense#.1. . . <br /> MEcliali al`` COMPANY <br /> tzr�zt ' Yla�n <br /> StGNAT1lRE`= __ [ 31s3EREQ <br /> Addn�ss; ! .5 Ucense#- <br /> SIGNATURE, iiEoisr i�Eo.•. t FEecu; n�Y`!N� <br /> ,Address �- ,t.fCer}se <br /> I I I VI 41.1••11:ti 1 1 -14-i 1 l4-fl;11;1'1.,ur !-! I;/I I ul 11,1,11;11,.1,1.,/11 11,Lfl.l'111;1;1 1'1"I 1 <br /> RESIDERnA4 Attxli(2)Plot Plans,(2)sets d, Pia ;(1)set Enaryy Forms;R(J W Pennfit_iq'new ciQti . <br /> ljhl"ssnnm ten{10}yigkirr{I days aftm'subtnitlai date:Required ati*ata.'C�nslnidiote.Plans,Shmowater Ptatrs wt Stit Persia instefled;; <br /> aw"wy Feamm a 1 dunp ,,S&Waft Pam*few siiidivj ppjircts <br /> OOMMU RC L Auaoh'(2)compleWsds otBuBdba Plans On a Lifs SdeW Pape:(1)set a(E[i w Forms.R-O-W Pamit for r-%y o-nstnrct!—.. <br /> Nlsutium ten:(1�),!sgtiaill days.aAw afbmi date Reqtruad arPite C� tsl Puns smrtnwa FRans_w/'Sut Fonoe+rriited,. <br /> Sarltasjr F 6.1 dus ar !Node Pairri!C;i k't iv Oidds.AU wffi ial rierRiU�ards`must inset coinjrGar e <br /> SiOM PERMIT /1llaCF1"(2)6Bl6.Qf E11I�CtOd 1?Ia1�C,;;>,.i - <br /> ""PROPiYSIVEY tequiied laaN.NEW f. <br /> QiraWotfs: <br /> R1 out application aompAately. <br /> Ownei6'Corlbactoi-sigfba*,d_aWG l,, .- - '- <br /> a ovfrr i?tf00,a tlotke of is fe**4fi (AIC,tggrades aver i75(10) <br /> "- Ag�d"(far ttte oonbaf'10f}Of Paner•of AC�rey{fortbe�f)ritlutd be SOtneOne!wdtt nelartmd(�ftOm oxmet'antiswizing same . <br /> OVER THE.(SOUMI'ER PERIIPnwa,_",__(cOpypfjwb3d nwhw)- <br /> Rerobfstfshmples Sews' ' Seniicaa'UpyradeswcC :`Fences'(PiotlSo+veY/Faofsge) <br /> 'W~Ws-Not ove Courtbfr if on ptibrm wedways..needs ROW <br />