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' --' uity OfZaohYyh\\\g Permit Application Fax-8 3-780-002 <br /> Building Department <br /> ` <br /> Date Received hone Contact for Permitting <br /> . . . . . . . I 7117_1�L_�l I 1111111111111-1-A all III & I a I I <br /> Owner's Name )nc- Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS LOT# 9/LAS' <br /> SUBDIVISION <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT SIGN DEMOLISH <br /> INSTALL R REPAIR <br /> PROPOSED USE SFR COMM OTHER <br /> TYPE OF CONSTRUCTION BLOCK FRAME STEEL <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> �--lBV|���� <br /> �—� v�LUATONOFTOT�LonwsT�usnom <br /> =ELECTRCA' ' AMP SERVICE F---\ PROGRE8GENERGY [--\ W,R'E�� <br /> =PLUMB\NG <br /> �—l�E�A—�� <br /> OF � � <br /> �__^ VALUATION — —_— � <br /> ° <br /> =GAS r�� ROOFING �—l � SPECIALTY OTHER <br /> OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =Yss NO <br /> 8u}uzER COMPANY <br /> SIGNATURE nEa/orsneo L�L�_�_� rEEou«^E^ <br /> Address License# <br /> ELECTRICIAN CoMp/wN, <br /> SIGNATURE nea)orsnsu L_lI_N_ Fescunnex L_l/l�� <br /> Address 32Rk. i License* <br /> PLUMBER COMPANY <br /> SIGNATURE nso/orsnEo LY/_N } peEnunmsN L71NL� <br /> . <br /> Address Uc�ue# <br /> MECHANICAL COMPANYGim0AJU8E -0 Reo/STEeso ` L Y/*N_ I Fssoupne^» L_Y1N_| <br /> Address License# <br /> I CA US 33 <br /> OTHER coMpAmr <br /> SIGNATURE Y_LN_J pssounRs^ L_2INL1 <br /> Address License# <br /> cc- <br /> RESIDENTIAL Attach(2)Plot Plano|(2)sets of Building Plans;(1)set of Energy Forms;R-Q-W Permit for new construction, <br /> Minimum ten(10 working days after submittal date. Required onaite.Construction Plans,Stunnvetnr Plans wV Silt Fence Installed, <br /> Sanitary Faci\itisn&1dumps\or;Site VVorkPermit for subdivisions/large po �4e� } ` <br /> COMMERCIAL A�aohU400mp\�oa�sofB�\d\ng Plans plus oU�Sa��Page;(1)s,�ofEne�yFo��_o,R'O4N Permit for new construction. <br /> Minimum ten(18)working days after submittal date. Required onohe`Construction Plans,8tannwmter Plans vl q8t Fence installed, <br /> OandoD/Faci|itias&1dumpater.GihsYVorkPnnnitfbroUna*pnojedo.AJ\oommnnds|naquirbmantsmuntmeotcnmpUanco <br /> SIGN PERMIT Attach(2)sets of Engineered P|anx. <br /> °~^°PROPERTY SURVEY required for all NEW construction. ' <br /> Fill out appUcatinncompletely. <br /> Ownor&Contractor sign back nf application,notarized <br /> If over$25no,*Notice of Commencement isrequired. (AC upgrades over$75VO) <br /> � <br /> Agent(foxUh000nbaotor)orpnvercf/ttornm�(foxthonnnohwou|dbenomeonowithnohahzad|attorfrnmownorauthndz|ngaeme <br /> OVER THE COUNTER PERMITTING (copy uf contract required) <br /> Remofs if shingles Sewers Service Upgrades A/C Fenneo(P|oVSumey/Footage) <br /> ' <br /> Driveways-Not over Counter ifon public madvayn..nwedoROW ' <br /> ! <br />