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City of ZophyrhHfs Permit Application <br /> SulldkV DePRnment <br /> Dal*4-614" 'Phone Cooled for Pwnmng IF <br /> GwRWZ"xn* Owner Phone Nwobw <br /> O*7W%Ad4,nj330* EWje ,r,-,C1J6_ Pa-ck-Al Own@rPhwwNmtw <br /> F- <br /> L-4 t--J.r-i Oar Phone Number <br /> JOBADDRESS 7-.Ik- euilg Ff zsq I LOT! <br /> SUBUMBION I PARCEL IDS <br /> WORK PROPOSED SIGN CJ 71 OEMOUSH; <br /> E3 *,42wTALL"r4R fiEPAtR <br /> I PROPOSED USE Q SFR 0OTHER <br /> TYPE or CONSTRUCTION Q BLOCK 0 FWA STEEL = I <br /> DESCRIPTION OF WORK ro,4-,r to r faaiva 40 N a 6Lws 4*4%, 1-$(1 f.r <br /> BUILDING sum 80 FOOTAGE HEIGHT <br /> =BUILDING 1$6 5o, v 7 VALUATION OF TOTAL CONSTRUCTION <br /> 0 <br /> MELECTW.AL AMP SERVICE = DUKE ENERGY W.R.E.C. <br /> =PLUMBING Is <br /> =MECHANICAL is --] VALUATION OF MECHANICAL INSTALLATK) V <br /> [=GM M ROOFING F-1 SPECIALTY= OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO Su <br /> 1 M 1+1 <br /> rrT <br /> BUILDER C, COMPANY <br /> SIGNATURE rp. REGtSt&RW [ YIN I FEEWRF49. I YIN <br /> Address .4.30 j'--jvA+r4_1 81-vd. Ft U—v1C(rCOf611 <br /> COMPANY <br /> HIONATM REGISTERED YIN , Fwaoun% L-jLN-:J- <br /> COMPANY F <br /> SIGNATURE RM$tE= L YIN FEE UNMEN Ly N <br /> ' , j__j <br /> Add,.. <br /> MECHANICAL <br /> SIGNATURE RE I(YFN F1 L L-T—.ffl I <br /> License N TFT-5— <br /> oj6 F(WMM A—1q-� <br /> OTHER COMPANY <br /> SIGNATURE REOSTERM I YIN FEE L N�j <br /> rz _LL <br /> Address ucemet? <br /> RES= Attach(2)PM Plarls.,(24)Sets of Sufft Plens;(1)PM of Energy forms;R-O-W PemaN for new construolJon, <br /> UnImum ton(I0)wosWnq days after eubmIttaIda(& Requiredons4e.Construction Plans.Stcfflvaoter Plane w!SRI Fans Installed, <br /> Sardisty Foollibes 81 duanpatoc$%a Work Permit for subdhAllorafiargo pq)ecta <br /> COMMERCIAL Attach(2)complete sets of BdWft Plane Plus a Ufa Safely Page:(1)W 0(EneW Forms.R-O-W Permit for now consm4gon. <br /> NrJmurn ton(10)worift days after submillal date. Required crafte.Consinxtion,Plans,Starrawsw Plena wISUffenca WAwled, <br /> Sanitary Facilitles&I dumpster.Stto Work Pervill for 811 new projectai,AN commerdal riclutraments must meet compliance <br /> WON PERMM Attach(2)saft of En*worod Plans. <br /> '1-PROPERTY SURVEY required for all NEW combructim. <br /> olvecuorm: <br /> Fill out elap(lostlancomplaialIr. <br /> Owner Contracur sign back of appketion,notarized <br /> lf awn$2ftQ,a Mono*OfCommwtcwmntisrequired. (AlCuparsdas over$750) <br /> Arent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authartzing as" <br /> OVER THE COUNTER PERMITTING (copy of am toot te"hod) <br /> Rer00%If shlr4as Sawars S&V=Upwade5 A/C Ferwas(PkWS~omge) <br /> Orl~sys-Not aver Counter 8 an public roadways.xwods ROW <br />