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as�aeo-0a a City of Zephyrhilts Permit Application Fox Bi3 784 0i321 <br /> Sui.dng Cepartm Pit <br /> i <br /> x <br /> Date Received <br /> Phone Contact for Permitting <br /> kuc <br /> Ownor's Nome `f " ara�t •''�"''� Owner Phone Number <br /> Owner's Addmss((" ` 1 Owh IT Phone Number <br /> Fee Simple Titleholder Name Ountgr Pitons y.tea; , <br /> i <br /> Fee Simple 171%holdir Address <br /> c g <br /> JOB ADDRESS a ` LOTS d� <br /> SUBDIVISION sty,,` `�t ' �;�.C.�—. PARCEL {Q$TAtiPeD FROM PnetERTY TAX N071ee! <br /> WORKPROPOSEsD ' <br /> t <br /> ; �I NEt.VCol6TRR AMALT Q SIGN Q Q DEMOLISH} <br /> QINSTALL REPAIR. <br /> PROPOSED USE t Q SFR Q Cr144er Q oTis L„ <br /> TYPF OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> r <br /> a <br /> DESCRIPTION OF WORK <br /> BUILDINO Safi SQ FOOTAG HEIGHT <br /> QBUILD)NG VALUATION OF TOTAL CONSTRUCT)ON <br /> QELECTRtcAL tSs ��._� AMF&WiCE Q PROGRESS ENERGY Q W.R.E.C. <br /> �LUMSMG r am • (,.S��.J�C� „� <br /> OMECNANICAL is VALUATION OF iinECHANICAL INSTALLATION <br /> 4 � <br /> QGAS b. Q ROOFING Q SPECIAtTY = OTHER <br /> FINISHED FLOOR ELEkATIONS � FLOOO ZONE AREA =YES NO <br /> go <br /> BUILOER COMPANY --��;�� <br /> SIGNATURE REGISTERED t�"` ! FEECURREN YIN <br /> Address License S <br /> ELECTRICIAN �— COMPANY <br /> SIGNATURE �7 � � REGISTERED I YIN I FEE CURREN LILN <br /> Address UCertse S 1 t <br /> PLUMBER qq�'+ �/�'^/� COMPANY <br /> SIGNATURE r�..'r" HetS'SI EAETt Y!Y!1 1`� FEE cuRaEN YJ <br /> Address LtCensB'It <br /> l4t'sCHANtCAL { COMPANY <br /> SIGNATURE REorssetEo Y t N FEE CURNEEW <br /> Address $ LicenselT( 1 <br /> OTHER COMPANY i <br /> SIGNATURE �° REGISTERED YIN FEE CURREN Y 1 N <br /> Address 11 a License# rt <br /> tirt / 1tt / 1ltrirlrllttyrtlrtitEtttitiltttrirtriittttltlrrrttrttrttrt <br /> RESWE4T1AL Aneoh:(2)riot Plans,(e)Sets Or building Plans.(1)set or tnergy t-orms;H-u-vv Permit for new constntcbon, <br /> ""ffimum ten(SO)Von'days after sit xnittal daM. Required onsde,CanstruCt os Plans,Stormwater Plans wJ fii12 Ftrnt�installed, <br /> $..itaiy Facn!ttes&1 dumpstor,Bite Work Perm tfor subdiWsions/large proJacts <br /> COMMERCIAL Attaeh�(27 csmpieie sets of E)uitdmg Plans plus a Edo Safety Page;(1)set of Enargy Forttis.R O W Permit for new cdnstruchon. <br /> M4nimUm ten(iO)quit rig days afiersutsmittal aata Required onsite,Constructon Plana,Starmvatar PIanS vvl SiR Fancy installed, <br /> Synth y Facilltres&1 dump5ter Site Work Permit for ail nawpro}Ects Aii cOmmarciai requiwments must meat campiiance <br /> SIGN PERMIT Attach;(2)sets of Enoneered Plans. <br /> —PROPERTY SURVEY required For all NEW Construction. <br /> r; <br /> - 'i./i.i./d./4.4ea/3oLm.1 / / ' 41 ' 1 !/ /e 1■Id/n/.I�i�e.i�irii.wi,.i:�.�., <br /> Olteetlnosc+ <br /> Pitt o4K apt=-vn xtriFta'aty, <br /> Owner&Comraetorsign back ofapellcation,rotanzed <br /> it over$2500,o Natice of Commencement is required. (AIC upgrades over$7500) <br /> A <br /> .• Agont(tor the contractor)or Pomr of Auomey(fortne oYVner)would be someone)Wh notarized letter from owner authorizing some <br /> OVER THE COUNTER P6WITTINO (copy of contract required) <br /> Romots if shingles Sewara Samoa Upgrades AtC Fences(Plot/Survey/Footage) <br /> DrIvewaWNot over Counter If on Pubhc iowways-needs ROW <br /> t4 <br />