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elaasc no t City at Zephyrftilis Permit Application Fax�st -�6g�razs <br /> suadrrg Department <br /> DaftRecelved nset a. <br /> Oym#M#Nam "� OmarRatio Number <br /> OwneNe Address Omer Phone Number <br /> Pat Simple TWehofdir Name <br /> Pat Simple TfUshofdir Address <br /> JOBADORESS <br /> $ 1;2LOTtF <br /> $U0D1Vt81ofi • ,�, 'tr(yCfr.�,i.�.� PAML ID1f <br /> tOePAltt£C FROM OROP#ntYTAX r!a'nC#} <br /> WORK PROPOS D i NEW C014STRM AMALT Q SIGN Q Q OcMOU8ti <br /> INSTALL REPAIR <br /> PROPOSED USE SFR <br /> TM OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL <br /> 0111SWUPTION or WOO urt <br /> BUILDING E1Z/ SQ FCOTAo19 Hg14M �� <br /> QBUROtW Is <br /> L�.. 7 VALUATION OF TOTAL OONSTRUCTION <br /> AMP SERVICE Q PROGRESS ENERGY Q W.R.E C. <br /> �UMBINO (�a�'aR4l�"► <br /> QMECHAN104 13 VALUATION OF MECHANICAL iNSTALLA44 ZO <br /> Q4AS Q ROOFING n SPECIALTY = OTKR <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA YES NO <br /> ( i <br /> c� 1 <br /> - -- - -- - --- - - -- <br /> sull.02a i COMPANY { <br /> ilaNATIORATURE 1 REGtsTEttEfl �!#�ECURtiEtt <br /> Address; Ltcenaa# �� <br /> 1tt)tCTIRICIAN COMPANY I �� <br /> SIGNATURE 11E313TEREO I YINFEECURREN Y) <br /> Address Licensa>#1 <br /> _; <br /> ' 81011ATURCs nrxCs;f.RED Y rEEctiattEnt" L.1�lt.t <br /> Address �. License# <br /> e91tCWwIOAL COMPANY <br /> SIGNATURR I YIN FEECURREN <br /> Addrnso Ltcarst30i3 I 1 <br /> OTHER !� COMPANY <br /> SIGNATURE . .. .. ( nEt MERED LIL_N_j FtE C lRREN I VIN I <br /> Address 1 <br /> L)canse#I <br /> Ilirtlllrlr / rrrrrl# r ! / Itlrt;trrlrirrlltlllttltttttilt [ [tt/! flitttll/ <br /> tirlfFlDENrtA4 Att"c Cd)MtHens,[t}wig ottsuno>ngMan&.(11 eta1:110vrarms:H-WWNermR tat newoonauucson, <br /> Wiinimyrn ten(10)vrnrkng days after aubnhtal date. Ramired onsita.Consuuctieen Plans,aw ma si>ar Plans 4 Suit Fence lnMlled, <br /> sannely FaeiAtles&t dumpstar,Site Wane Permit for snbdiWslon�Ige pro)e'ds <br /> COMMERCIAL Attaah,(2)camWato We of Building Plants plus a Lifo Safety Page,(1)set or Energy Forms.RWO W Parmit far new l onsttuofuln. <br /> MinirtlOm ten(10)Wdlkn0 daya DROP aubmittall dais. Required omene,Ccnatructan Piano,Slommater Plane yd SIR Fence utsMiled, <br /> Ssntaiy Facilfties&t dumpstet Site Work Permit for all new pmili s.All commercial requirements must meet Compiisnce <br /> SJON PERMIT Attach sets at Engineered Plans, <br /> P8M SURVEY required R roll NEW construction. <br /> Oinetlone: <br /> eat out awoften azlnptet�ty- <br /> Owner&contractor gr track ofappiicahmrota d : <br /> ifov&fSH00,8*0;#af Commencement Isrequired. (WCupgr#d#so+nr57600) <br /> ti Agent(tor the ooetraator)or Pourer of Atlomey(for the oitner)would bs somaona%vith notarized letter from owner authorising same <br /> OVORTHECOUNMRPliRMIMNG (copy of contract required) <br /> Rarocrs if shingles Sewer© Service Upgrades AfC Fences(Pial1survey/Footage) <br /> D?hlfW&WNot aver&WIl r d on public roadvsys..needs ROW <br />