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".^',""_V"4v City OfZeohYrhU Permit erRlit Application ��1���� <br /> Building Department <br /> Date Received <br /> Phone Contact for Permitting <br /> Owner's Name A O��P��N�hm <br /> owner's 7--omn*r Phone Number <br /> Fee Simple Titleholder mamo Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS a16�o cyL hC, 2 0 V'AUVIN, f i 3S"0 LOT <br /> SuoDm|Smm �o� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED � L�_J NEW oomsrnL_J xou/*cr L � u/Gm L � L_� DEMOLISH[-1 INSTALL |l REPAIR <br /> PROPOSED USE r--1 aFR �-1 COMM [--� OTHER <br /> TYPE OFCONSTRUCTION [-2- BLOCK �-1 FRAME F---| GTEEL <br /> DESCRIPTION OF WORK swcm_ 2--,8.± <br /> BUILDING SIZE F_ SQ FOOTAGE 1 LO�S-SR r'J-HEIGHT <br /> =BUILDING VALUATION OF TOTAL CONSTRUCTION <br /> =ELECT0CAL AMP SERVICE [--1 PROGRE8�.ENERGY �-� YY.R.E.C. <br /> =" <br /> =PLUMB\0G <br /> =MECMANkCAL VALUATION OF MECHANICAL ON <br /> �--|GAa ROOFING F--{ � SPECIALTY F---] OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YEG NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED ` reEooRnEx � � <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE r RaeIarsnEo ^ pE <br /> Address <br /> PLUMBER COMPANY <br /> SIGNATURE Fq esG/STsnEo <br /> Address deo S7�e /Om 46 License# <br /> MECHANICAL COMPANY <br /> SIGNATURE nEG/mrEnso <br /> Address <br /> OTHER COMPANY <br /> SIGNATURE nso���nso <br /> FEE CURREN -___- <br /> xudmns Uoenaa# <br /> wEm0EmTkA- Attach(q Plot Plans;(2)sets of Building Plans;(i)set nf Energy Forms;R­O4W Permit for new construction, <br /> Minimum ten(1O)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&I dumpster;Site Work Permit for subdivisions/large projects _� <br /> COMMERCIAL /��oh(2)complete e�sof Building Plans plus oLVeGn��Page;(1)set of Energy F��ma.R,O4m-Permit for new construction. <br /> Minimum ten(1O)working days after submittal date. Required nnn|te.Construction Plans,30zrmwmhar Plans v/Silt Fence inshd!od. <br /> Sanitary Fa�|iUea&1dumpe�r.Site Work Permit for all new pn�e��.All cnmmenjo|mquirbmontamuat meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered P>*ans. <br /> °°°°PROPERTY SURVEY required for all NEW construction. ' <br /> Fill out application completely. <br /> Owner&Contractor sign back ofapp|ioatinn.nu**rizod <br /> |f over$uSo0'a Notice of Commencement|srequired. (A/C upgrades over$75OO) <br /> � Agent(for the contractor)or Power of/ttorne�(Ibrihaovmer)wnu ld be someone With notarizedletter from <br /> e.- <br /> OVER THE COUNTER PERMITTING <br /> (copy cf contract required) <br /> Rnmofs if shingles Sewers Service Upgrades A/C Fences <br /> ` ---'-'' ---"-' <br /> Driveways-Not over Counter ifon public modvayo-needuROW <br />