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813-780.0020 City.of:Zephyrhilis'Permit:Application Fax413-780.0021' <br /> Building:Depaflment _ . <br /> :Phone,.Coptaet;for'P®rinittin <br /> ::•Own . . Nam rn ��;GwneK:plioi�`�iumb§r. •Z:�>. :Z �Q::.: <br /> Owner'ti= <br /> Adaresg <br /> �,OuVrisr<PN�rr��Numbe't <br /> duiir"r>ah onbs mti®f" <br /> - .ti ,r� ,:k": .t:' ::ice•' '1::LCT' .�"� <br /> ;StJBD11lISION: . PARCELIDl�' � <br /> - - r-, <br /> -: ..•f :._,: .-,. ;.-. . ....r..; ROIVIxP.RQP,; rQTI g).l;.��. <br /> ::;`(bBTAIHED� �'LtT16'tAX; <br /> W POS pROEb•. �a.r.'' <br /> - _ :'NEWCONS.7tt '},.• :'ADD/ALT.;�•t:-. :-SrGN' - :� <br /> NS1'ALLi: :aft',p A <br /> , <br /> :o. <br /> p �.;. <br /> R P O OS D:US -r: <br /> ... -.rC.OMM�'.;. O'TIER�s ` <br /> S ••yy <br /> - <br /> RU�`TION�'' •BLOCK :F Ri41iAE: ''S'1?EEf"�` <br /> ''DESf21pTI0I 0i=1N3RIG'' i <br /> :BUILDING.SIZE i S [FOOT Gi� <br /> - �`l. �.J.ko•:i}'Si:,:>=r•':, <br /> t l-, _ <br /> ci <br /> , <br /> VALUAtION.01=7<TAIs' NS7�tU N. <br /> _ „ . o co Crl .,. <br /> E'E RCA AMt?'SERVICE. DUKE}ENERGY, .E:C:. <br /> =MECHANICAL $: VALUATIONOFMECHANI�-,.i4L'INSTALIAT,ION <br /> =GAS -ROOFING.: SPEOIAI TY; ..OTHER:. <br /> F fix, :: .. <br /> WISHED FL'OOR;ELEVATIONS:: �' aFLOC1p..,ZbNE;�tREA .":`-" '`tS=. <br /> BUILD COMPANY,.. awl-Q? ;.- <br /> SIGNAT RE .:;: _.;:REG�s'TEREO: <br /> 41' <br /> Address <br /> ELECTRICIAN' :COMPANY; t:.•+t-' <br /> SIGNATURE� _ _ `aEcisf�ROq�' _ ;� Y;i/;a1t•".' ': ­.,c�..FEE;Cl/RREt ;-:. <br /> Address- <br /> P:LIjMBR :.COMf'tiidNX" <br /> SIGNATURE :t,;.i � <br /> � �YA%FI�I <br /> MECHANICAL _COMPi4flY' s: <br /> - ',' <br /> :'1sC <br /> ,,,,... <br /> dde„ <br /> E'1't LD` xYr c?Nc ;;r: E'EURREN`' <br /> SIGNAYU�E'. :R cs,Ea - / .,. ,, <br /> ::Adages :.... <br /> .} �. :{: ,fix, ti. >.,R ., :v. 'o.` - = :-�,,• _ - <br /> i a t tNvR' a"YaccrisN o <br /> f `id 'PI����' 1 e'e:oftEti +iir'n's'�. e"` �fol�^i� '•c�tt ;N... ..�t: - <br /> RS�IGE�IYIAi: d.�1 t ,.�(.) .t9 _ ,,�- ►1+. 1A;. .c ,.`,`• ,yJJ ark,, <br /> �4,51:",+'(?K jA.^•1'i.�lat 7 I ��� ?P_ i' 't .l : <br /> f <br /> r i;f•' �r <br /> YC <br /> .. <br /> u <br /> nAllinPiFiudrteA=�A)�Ark:tig.da�is;a�ter's� late.,tq�6'ite�ogslt�:�'Con�otibti�� ns;SSjor��`aCe�. '.�, <br /> Sanitary Facilities B tJumpst�r Sit W,6tk�Peit►lit'ftir sutididtsltin3/IWd,projeEts` <br /> COMMERCIAL Attach:.(2)co�itplete,s8ts,o�ei�l(dpgt?Ians; Ris':a�: : fPaigA,'(7j'$eY`oftErtergy.Fo'rrns;R-tW Renriitforriewrgtisquctlon•,,., <br /> MlNmum=tBM,(10);wgikin �doy, a ergs lei ffel tla"is tB R ' ;'.i�nsite ConsGvcti0.44g"ns�,Stormv(etbri 'i n yV% IltrFeilCer irl taller: <br /> Sarittary:Faollities 8 1_lluili ter I�eW.)WOim'106k A new?leots:Alf:coinmer eL`.eauCrer`n nts`mu�t'nteef compl(anre':':; <br /> "'SIGN PERMIT'' AttabFi(2)' etsrofaEngin'eeredrPlariS:r:':;«�r: <br /> H1f 'fir - <br /> PF20PRT1X�' 'IY:`riequired=fa�alt:'Nt:W`cbfisfruCbion.:, <br /> Directions: <br /> Fill out appllca0on completely. <br /> OwriA' $'66, tor: ign��ack',ofa RliCation;notarized. <br /> If bv+�rS2 OO a Nof1 ®of Comm®riciinenl;Is requWdr-:(A/C'up&,,4des.over.$7500) <br /> •• Agent(forlhe contractbi)ortpowe�'of Altomey(ibr:the otiVner)wcutd 6ti`someb�iekwlth`ndtBHgd;letter-from;'awner autlidriiir�g'eame: . <br /> OVER:TMEa;OUHTER:PERM1TsTING,._ .,.(cgpy,�of co htrareiquired), <br /> Reroofs if shingles Seweis Seri►i col'Upgra'des'i4lC' I?eh'cas(Plot/Suwey/Fobtage) <br /> Driveways-Not over Counter if on.public roadways..needs ROW <br />