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813.780=0020 City-of 2ephythills.-Permit Application FaX-613ae0-0021
<br /> Bullding Department•
<br /> ^� P t0ne,Contaetrfor;Perr„Ittin
<br /> _RCO �"L L ��:.,�• -
<br /> CZ WiEI' R P�`R:T/F�-" �� ��owrier:'pion ' '
<br /> S;°r• MARIE MARS,EC
<br /> r�.t=+Owner,a Address .TrJ j— O •y.:
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<br /> PATRrcE'MARsi�ctst
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<br /> ...NEW,I;ONST4t ADD%At�T:z��4: : ::SCGN` ,.,.,.'..�., �-;a a•-;r.�' �
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<br /> �BUILDING.SIZE P. � X.oD ':SQ,FOOTAGE• :2.� �� `�HSI� •''•
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<br /> VACUAI N' t
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<br /> t.E. T.I AL.' �AMP'SEI3VICE. .>�-.-
<br /> •-�._,: ... .,., ., $'
<br /> MECHANICAL :$. VALUATION OFMECHANIODAL'.INSfAL
<br /> OGAS 0' -ROOFING.:.,SPE SA�.TM OTHER
<br /> FINISHEO:FL'OOKELEVATIONS'. r iFLOOF ZONE:�iREA t. `"':: YES f�t0- -
<br /> .BUILDER � - _ .,�ti..o.:.S.:TR. _ N,• �q.-.
<br /> SIGNATURE � rP :Y :� cWRREn: ^,.t j..:r,.;:. ,.. ., •�,;
<br /> 30 .- - WE LIC :ef"4 E� cicense BC aSD
<br /> ELECTRICIAN: A) COMPANY: :1; ;:t ,: :i ';- :;:;;•,:
<br /> sNATua A: ':Rectsr 'ivD' aM
<br /> Address. - � � se'•.#= ``�:;� _
<br /> PLUM9l5 It "
<br /> ,COME ANY'
<br /> SIGNATURE: WWttei '`
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<br /> •RECati5�1`�RED��;-'' �Y�:�N�^:` FEE`CURREAs' .Yh?N'
<br /> t :.zYr k FEE.C4JRREA:'t;
<br /> SIGNATURE' GI , _
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<br /> =G-611, e.Z oriti �r�n'..I r1 ofc ne"'
<br /> R�SIDENt1AL' 1�i4ttaol'.� ,la s •�y`3e � tdf ,d �..)s <R•, mot" �?- .l° -
<br /> „1,13E4/. .,,/�tE < •c •}art r -.� +�,n 'r -$ ''.� Lr_,;: .;,+AJ, c�+:ds+�{<-..'�X '.1;• »`k' e'^i: r=•r<, .i"�i
<br /> Y 11A�ntEtiurit:den f 0�t oriifpg�d8 s eftetst�ti i�( date: i ir`�e onsifeK500 7rUpttoti PlaErr ;`S�orh( `ate PC$Fil,"v� iit}Fegce;installed;
<br /> Sanitaryt=BcillOes&`dla'mpstr5tte W,tirk�Peitii9l fb5vbdfiiisibri3/1 .i jects' '
<br /> COMMERCIAL :Attach:2 complete,s ts'ofi+,Blijldtng P1anSRplus' S f ty P9gfQ',{1!)tseY`fEr eigy:Forms:RHO=W Permtt for;�euv��glistruction.;;.;
<br /> (.) ._ '� ���r 'st sfti , ,, form"ete :1' '`e7w/z Itt Fate
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<br /> Minir ium teit':(IQ),wo king'da:`" a e�; l ttsiE a y;R 'ec.: n, te:Coin � P:�� s SW:.. :a4:r ,�Ap, Sl,:
<br /> Saritta` FaCllities&1 tfuii�''�f�V'F&'�Nork't inilt�•for a1l'n projects:All commercial:requi'r"striaants;inu t riieeVcomplf
<br /> SIGNPERMIT- Attach=(2�'rsetsiofEngt�teredPlaris %s;;j� , ;;:; ,,:
<br /> '•"PRdP,RT1!�0ff1/�Ylrquife'd-for"altNYII''xfi3lnictign.;.
<br /> Directions:
<br /> Fill:out appllcatlon completely.
<br /> :Own6f5* qi1"_ or ign„clack_of spRl►,cation;notarized^
<br /> If"dvmrsZ5b0,a:Neti):obf`Ccmmenceritent.is-required .-:(AIC upgr4'des:over_$7500)
<br /> Ag®nt(for::the.contract rj,orPower.of,Attomey;(for:the-owner)ynould`tisSomebrlew(th'notiiized.-lettet.f rn-+'bivner.authdriiing:same<
<br /> ©YER:TF�E:000NTER�PERMl1TING',._ ..(oo(�};;of cohti;� .required).
<br /> Reroofs if sliingles' , ,Sewers Servi Upyia'd'e's +41C:"' 'Felices'.(PIbVSuniey/Fobtage)
<br /> : Driveways-Not over counter.lf on,public,roadways..needs ROW
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