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s 4137804)020 City of Zephythiils Permit_Application.. Fax-813.78"021 <br /> - <br /> Bdkftoqwbmd <br /> Date Received Plioiw Comet for l- �? <br /> Omafs lfame..; + ..Ownbr Fitort tMaabe> . _ <br /> Ownws Anse - <br /> - <br /> , <br /> Nana;: <br /> aiw;ei•Paon.:Fivr <br /> _FeesItlilptCTldidAddi;f'_ - -- - - - - - - - - <br /> Ste- <br /> VYCRKPROM!O.SED'. NEwcoffS AS}DlALT '��� Si `DEMOLISH<' ' <br /> <IN8fAGC ,.;REPAIR <br /> PI�PDS�USE ,- _ ?- :Ci:-> <br /> TYPE El <br /> OFCONSTRUCiK1N`3`a[_ - :'BLOCK" :,p FRAME" ;:p'.._ S1EF1'.C]- •����- - j��Q <br /> DESCRIPTSOl1,OF WORK:> S: <br /> -41 <br /> DUi6DA+I sm. .S4FODTRGE µ- NEICiFi1`. <br /> pt3UiLD1NG 3'-"'': -,VALUATIONOFTOTALrONSTRUC71 . <br /> AMP SERVICE PROGRESS ENERGY '.[_ r' W:RE:G <br /> pF'LUMBING vALuAnoN OF MECHANICAL INSTALLATION =- ' <br /> pcAt p ROOFING ❑_ :SPECIALTY 1_ OTHER <br /> -77 <br /> FiNISHEt}FLowELEwnONS.:Y,"'.;:- `t: FLOODZONEAREA YES ,. _ NO. <br /> NINI <br /> BUILDER C.Ol1PANlf - .. � <br /> SIGNATURE Y1 N' FEEcxIRREA' ""Y!N' <br /> ,Address _ lltse#' <br /> ,ELECTRICIAN, t:OMPANY. , <br /> SiGNATt7RE' ` totsteRl Y!N ' FEEcure.' Y!N <br /> ;Addis Llome# <br /> `PLUM iSER .�_ �.. COMiPANY <br /> Sit1NATGRE `seAissatsD; - Yt ':•FEDCUMM•,<= .:YIN <br /> ,: Y <br /> Addrass' <br /> a <br /> MECHANICAL M COMPANY.r L(S; rye <br /> SIGNA7UR8':;`: REotFirENEv, :.Yt FEECUfs{EA YIN <br /> GiHER.. ,COMPeiNY.:.- <br /> &FflNA3URE, .; �. :Y:,iG>sr ,• Yt FEeatr+aEn �Y/N= <br /> - <br /> t C I !,!-!s!t l:1.-l: .!i l! l•/ !-1 1'!,!-l;a l„1,1 1,1''l!_! fJ`1 1 !1-.1 1 1,1 !:1!•1:'!,!!1;1 1 l 1:! 1,11 TN_ <br /> lr-.I 1 Nil.1 <br /> RESIDENTW. AtkaCh(2)Pbt Pt ;(2)sets oLBuildeig Plans:(1)set'ot F.neryp Forms:R O W Penivt t� <br /> tllnimtun tEti(10}wotluig days attar s ,tlaln Req red ae ite,tbnslnulipty Pia siamster Plans w!Silk Fence ft Uied,, <br /> s.rorry Fqe a 1 sikb WoMe aomeit.tor sil6divWo a projects <br /> ' N ' Ivmdt(2}oorripMte rsts.d 8t�ldrrg Penns Pies a t3fe Sah3Y. ➢e:L1?set of Enerpy Forms.R-0-W Permit Tar new won., <br /> Meunun tex�'(10)wo�laty-days'dMarsukrttal daa Req�drad ansite Car�an,Pl�ns .$tOflflWatal PW45 MY Siff Fence insfelled;-- <br /> Sarr[tay Faoifbs d f.drrnpstec Sit9 Watk Perrrut Sct aY n®w projeals.ASS cariirrterdat requlretiwais.inrrst itieat txr6pGanrs'• '." ' <br /> SWIM <br /> "PROPEIZTYBURYEYrequoedtoraEt.NEWcatsn.' - <br /> Dlreetlotes: . <br /> F!I atu appkgon cmpletsiy <br /> owner ai'Cm s r�c7c dappG ion"c end.. -._:.... ." <br /> t!over sm,aNatice al ttt Mc iequk d..(AIC uppredes pvw.$7500) <br /> "Agent{(ef tltB a�tracxor}or Fower.aFAttomel+{fafltM oy+ifar}.sieutd be Same0n8 Wdh troiet6sd I from ow�tar anthanarg same <br /> `DYER[lIE:CQtArtMERPEJiYt77iNt:_.;_ .,.(copya[c¢Ttact.eequlred)--r_.,.,,.. - <br /> Rerw?fsifstbrvs,, Senors'::,;,:..6erylraaUpgades AIC=>> Fer�es'(PletlSarveylFoofape) :. :, <br /> Drtwways_w'aver counter if on P"A roadwrys..needs ROW . <br />