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ata lea�W City of Zeptiyrhiils Permit Application t:ax�st��ao ao2� <br /> sr;-Rog Department <br /> Do Received p�amCitrltaettorPermlt8 <br /> Ovmaes Name + goamcrFWD Nampar <br /> Owner's Address Onst Phone Number t <br /> Poo Simple Iftbofdiir Nama i _ i O Pbrtt!!iuurstL:r <br /> Re Simple Titleholder Address <br /> or <br /> JDD ADDRt;SS a. hh <br /> $Ut@DNtS[ON Y+�'V' '�yP PARCELID! iCSTAMID FROM FACIP6atvTA%F1C1tClI <br /> WORK PROPOSED NEW <br /> CON R 8 A FAIR 0 SIGN 0 (n MMOUSti <br /> INSTALL <br /> PROPOSED use j3 SpR <br /> TYPE OF CON$TRUlir(ON 0 BLOCK Q FRAME Q STEEL II C .�.• <br /> ONSCRIPTIONOr WOW <br /> GUILDINts61zQ � SCIFOOTADE H81GHT <br /> r—IBUILOI1vG S <br /> VALUA owrp::TOTAL CONST'RUCTTON <br /> =M=TMOA 7 AMP SERVICE Q PROGRESS ENERGY Q W.R.E C. <br /> UMBitd4C1 'a{. �1 <br /> �tI' <br /> =MECHANICAL $ 71 VALUArONOFW150iWCAL'INSTALLATION �! <br /> I-71GAS Q ROOF)NG Q SPMAt TY r--1 OTi ER t <br /> FIMSHED FLOOR ELEVATIONS FLOOOZONEAREA YES, NO <br /> BUILDER COMPANY <br /> itONATURE 3 REGISTERED YIN FEECUflREN <br /> Address Unnse# <br /> ffirtYCTRICIAN COMPANY <br /> 81oNATtlRE ..�.�...a REGISTERED (YI FE£GURRBN Y N <br /> Address ucense# <br /> aLYtI�OR COMPAW w t C. <br /> S20tdATURfi 116451ERED ) FEECURREtd���/ fir <br /> Address �. tiCen58# ii�C3c� -r;i <br /> MYCHANICAL COMPANY <br /> 810NATURE REOIerEREo I Y1 NJ MECURREN ! <br /> Address <br /> OTHER COMPANY <br /> StOtATURP. REGISTERED YIN RECURREN i r <br /> r�iari r.r.a. a r <br /> Address t t.icerr9e# <br /> IIIIlt111lIIIIII11/ i1l111 !! ! /1! 1 ! 1! ! !! 1 !1 !!!tl /t! ! t! !ff !!litiltifti <br /> HISIDENTUIL Atteoh.(!)NlotYlMe,TL)rAM of tlultaing Plane;(t)Set or tneray Norma w-1-W lJorma Tor new ConeAUCtran, <br /> MinimUm ton(10)woridng days after submidal date Raculred onaite,Construction Plans,Stormuater Plane tW SIR Fence installed, <br /> Sanitary Facilities S,t dumpster,Site Woric Permit for sabdiv4el0n9arg0 projects <br /> COMMERCIAL Attaohf(2)complete We of Building Piano plus a Lfto Safety Page:(t)set or EnoW Fomis.R-Ct W Permit for now construction. <br /> Mlnim(im tan(ia)woricno days DRer aubnldtal data. Required onaRe,ConstnlCton Plana,Stornw ater Plane vd 32 Fend Installed, <br /> Sanady Facilities&i dumpstec Site Wodc Permft for all now projects.All commercial requirements must meet convii nee <br /> aION PlrAM)T Atrach;(2)soot Enyirieared Plans. <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> ireslidna: <br /> was an sppNcatioa essi++tr- <br /> Owneta Contractor Ellin back ofappireotion.ratawd <br /> If over Y2500r a tdaflCa of Commencementis required. (AtC upgmdn oesr$764o) <br /> Aeart(tor the contractor)or PaMr o!Attorney(rorme owTisr)would be someone with natariaaaad tottarfrom=nor authorizing name <br /> DVBRTHE COUNTER PLRMtTrING (copy of contract required) <br /> Remote it shingles Sewent Sorvlce Upgrades AIC Fences(P oilaunreylFcmte¢e) <br /> OttvewaWNot over bunter o on pubfic roadvays..neeaS ROW <br />