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City OfZeohYrh\\ls Permit ApplicationFa�818�8O�O21 <br /> Building Department <br /> Date Received Phone Contact for Permitting <br /> ' m 7 <br /> Owner's 1447ame upckm il n r . . . Owne:Phone Number �Nk 3 ct� <br /> owner's Address ro M*pm DODO, 3 Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS LOT# FZ11(0 <br /> LQ4 Z,� �-1 W 3-0 C�'k QXZZ SY7 ID <br /> SUBDIVISION PARCsLID# <br /> . . __-(OBTAINED FROM PROPERTY TAX NOTICE) <br /> vxomK PmmPoaEo E5womcoms�x Aoo�o�' F---1 o\8N �—� F—1 DEMOLISH|0GT�LL E <br /> REPAIR <br /> PROPOSED USE = ' GFR F—� COMM �--1 OTHER <br /> TYPE OFCONSTRUCTION � BLOCK F—� FRAME �--1 STEEL [--� <br /> _-__—_ -__ ' <br /> 124 <br /> =BUILDING VALUATION OF TOTAL CONSTRUCTION <br /> �--lELEC�R|oAL ��poEFn/cE �--� P��G�E8o�NERGY �—� VK�lE.(� <br /> �_� <br /> =PLUWBiNG <br /> �—��ECHANk�AL ON <br /> �_� . <br /> �—�B8S ���' ROOFING [--\ � 8PECALTY F OTHER <br /> FINISHED FLOORELEVATIONS FLOOD ZONE AREA =YE8 NO <br /> BUILDER COMPANY Irk <br /> SIGNATURE nsomrsneo L��_1�_| rssc«ne'^ LY/N_J <br /> Address License# <br /> ELECTRICIAN o, COMPANY <br /> SIGNATURE n�m/mrceso L��_�_� reTEouRns^ L_22 N I <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REumrenso pssounF�IAx L`YINL� <br /> Address Ucense# <br /> MECHANICAL COMPANY I)-Ir <br /> SIGNATURE REGISTERED " �^�i��_� pEscunnex -[�����] <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE nso/arsnso L��_� \ pEsounneN i_LLN_J_J <br /> Address License# <br /> xmxxxxnmxxxxwmxxxumunxn`mmxxxummm III III xuKUVuxU1 1nxKKm8xxUN1nxUUVuxx <br /> RESIDENTIAL Attach(0 Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten V0 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 AU se <br /> ts 4w <br /> yFonns.R,OPennitfurnmwnonsunouon. <br /> Minimum ten(1O)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1gumoabr.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> "°°PRQPERTY SURVEY required for all NEW construction. ' <br /> Fill out application completely. <br /> Owner&Contractor sign back nf application,notarized <br /> |f over*2snu^w Notice vf Commencement isrequired. (VC upgrades over*?5on) <br /> � Agent(for the contractor)or Power of Attorne�(for the owner)would be someone With notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Romofsifshingles Sewers Service Upgrades /VC Fnnces(P\nVSumey/Fnotago) <br /> Driveways-Not over Counter ifnn public modvays..neodaROW <br /> ^^ <br /> ' <br />