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813.780.0020 City of Zephyrhilis iPermitApplication Fax413-780.0021
<br /> Bullding.Department
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<br /> WORK',P,ROPO E 5 W'.
<br /> S D. l wT0 STIt D/ALT:c :SIGN
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<br /> INSTALL:,- .�i IR':
<br /> iP R P E •?SFR���• :_�.O M�':-' 07HER
<br /> .�.. TYPE�Ot=:frONSfiRUOT10N'�-• �: _: ....,..:•=$L •K _��:;.
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<br /> i• : .�' OC :�, FRAME: �"STEEL` <;'".-''..�'•'-�' ':_` °: -
<br /> �90�`' �• ,P_GK • : .. � ,..- ,-...�� . ./S•. :, _ ..,. 1,,
<br /> BIIILDING•SIZE :SQ,FOOTAGE o�W /r4 :HEIGkifa;F D
<br /> '•1" .F:_ -r;. _ y:. '✓, :,r• - ..,..;ram .:{; �- T���T,�,1.f2.., J
<br /> �•-;-.� BUILDING ':.`.;";_ - - •
<br /> :. ® :VALUATIONOFa'OTAL':CONSTRUC'f10N�
<br /> AMP'SERVICE DUKE ENERGY`
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<br /> =PLUMBING .
<br /> =MECHANICAL $- VALUATION-OF MECHANICAL•"•INSfiA[tATI'ON•
<br /> ,=GAS ROOFING...,` ,,,,SPECIALTY,-:=.,: „OTHER-:....
<br /> FINI H •FLO Rc .. ,..,:...:,.. :..a. ;•. - ;,.. .:-..,. :• _.. .
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<br /> S:.ED _ O ELEVATIONS: r: '"PL0Od�W EsAREA'.
<br /> .BUILDER, COM.pANY, -
<br /> SIGNATUE �,;,:.RiEGisrEREo =:' ->Y'/:"tl1' F�EiGUitREfiw ;i '�tcl T-+,L' si l•'
<br /> ELECTR"I,CIARI' ..COMPANY:
<br /> SIGNATURE
<br /> Address
<br /> :PLUMBER'
<br /> `SIGNATURE `R bis pE D; r`(rY%
<br /> Address: i'- LtZ@Ii59: ,
<br /> MECHANIC 'COINPAidY
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<br /> =;REGI31fRtD '•,' YX-iN FEE:Cf1RREK" :: --•Y-:/.N ::
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<br /> �11A�nIPl iirrr ten?•1'0` rkingidays;aft rsilbS itt3i' ai :^R$ h'1re ons."te:;Cons`trUcdisri?Plslrrs: wo oy fPf ti ; +/;Sili`Pt nco�frlsfaiisd=;'
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<br /> Sanitary.FBcilitles:8a�d-umpsterSiCe.:Wtirl'PeiritiitOr subdivfsroi3d .i�g prgjbcts?
<br /> h'2` m"letesets oAc®u ldl :Phan" fusz�lcl `f; "Page•'=(1)'3 °of?Energy-Porms-,R=O=W Perim7t;for;neuv pgAisttuctlon.,:,>,;
<br /> COMMERCIAL. :AttaC,..( )CO .P .. I rag, spp._ r ;
<br /> affe�° 'fiia' ed`%nsite;=Con° :B wls i'teusaalleH;•'
<br /> Mlrilmum"tern°'(10)yuokfng,�al: ;f{eaq!1r,�: Q stiuctPon +l nsj�3:torriiw@limp' 13I -e .'
<br /> Santtary;Fai;9lttles 8,.1'ilulit I n_Sl e:(fVorkas ri9tilt;foi:a11 new projectsi Alf commerclal;rbgp rem:ants mu'sfiile8f -
<br /> SIGN PERMIT Attacli'(2�sets�Of?F,ngiikeAre�dPIa71S
<br /> •••'pR(jp,E�,�!NS��1R1/EYrequlfed for aItNEW cohstruc6on _
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<br /> Directions:
<br /> :Fill out application'completply.
<br /> Owrlb�&CorAtctorsfgnack,ofwappl(oaffan;,notariaed
<br /> •• If ovbr$2d0tf;•a NdtlEei:6fCoiriineni'ii iin!`.te iequlred.- '(A/C.upgrades over:$7500)
<br /> Agenf:(for•_the contracto)or•-Powec�ofAttompy;(f6r,the.oWner):WduldtieaomAone.wlth notsliied.-fetter fttm-bWh l-auth6riiing§ame:-
<br /> OVER,T"E:COUNTER_iPERMITTING-- . _, .(copy�of cOntt i
<br /> Rerods if shingles Sewers SerViee Up�radels A/C. Firt6es(piot/Survey/Footage)
<br /> Driveways-Not over Counter ifon;publio roadways..needs,ROW
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