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813-7$0•0020' City of Zephyt'ttills Permit Application Fax43-780-0021. <br /> Buildlrtg,Department , <br /> L•f i- <br /> 'Date Received .— ,t: - fir:+ .,,. ;x"� .. _ - ,_- _�� :�,,'•' <br /> s vL Phone:Corrtac t.far:I?erri�lttIn <br /> Mr <br /> j •S.'Owner.sN ;1�� >.fi' `.�;:�:,, ;� .,;.anie.- _ :� ;<< _ ,..>Ownert~'Pftorie=Nu��fi:-.� <br /> pl <br /> 5 . / 17 <br /> 1 <br /> Ow8$�•�Phon�Niirtialer' <br /> Fe e5 e::Tt b1dArfV ?,; <br /> �me, •} `-y;, 7. p, <br /> •'ner- rrt .' J,:�`' -Gl�ry Phb e�. 'um»or..: <br /> Fee�SimpleTitlehofderAdi�re§s` ' <br /> f <br /> t.... <br /> .ro ra.al� -ss E <br /> r <br /> Y <br /> 'l. <br /> SU[tDIVISIONc4". <.P%1RCEL0ID#, <br /> Sxa (08YAINE{}.FROM PROPERTY'TAX NOTICE} <br /> WO R <br /> 'k- s. <br /> i <br /> RIC;P Op'OSED . : N - <br /> l:w conisTR. �-aflD� r lAL. .=F� ,SIGN�--- •'LiETf'l1G)ItS <br /> .. �.�. .t nR .AIR, - <br /> ,�,N. ",P•• r;.v <br /> PR <br /> OPOSED r>`+=.SFI2':`=:=:;;.,_ .� comm"_. <br /> TYPE`QF.COIVSTFtt1t:TION° °BLOCIC, :t':•' f•-RAA�I�: Ir' <br /> _ <br /> :.. 4n; / <br /> DESCRIpT��1 OFF""V�0^RIC' ��1�5'' �}-Ii' :t�l'� f-l:1!� i�V11±G�:� .�ti� ,�": ,•: <br /> 3 ;: <br /> II:DI G SI2E O S. OT E.F G E�GFIT- �Y. <br /> � r <br /> BUILDING,. .' - <br /> . <br /> VAIYIJATIONOF+T,OTA CONSTRl1:CTI,ON <br /> :i w..# ri <br /> )=LEC7RiCAL'� <br /> •tom <br /> 1 <br /> _ VIC <br /> MECHANICAL : 77 <br /> :.:....::::.. <br /> $. VALUAIOIV.QF`M.EGHANI.CAIi+a�'i`�lif!?i ION <br /> =GAS [� ROOFING LI;', PECIAIzTY QTNE <br /> FINiSHELy PLO"OR ELVA 1`IONS '1=LOf�ti ()N1R:'Arz ►' _ <br /> BUILDER <br /> SIGNATURE <br /> A' dre' y{d Ss• �nse <br /> �r..,.._ Cie }F.,.F,e:':•,'+.._::�:fr.:. -..�'. <br /> ELEtrTRICIAN•-. .. . .. : •: .; ': � :. •::,. ';,.:;,�-,., tCOMt?�ANY;�:`=:..�,....;�'M��s __ �+.: '= e=', <br /> SIGNATURE / <br /> Ea;` <br /> ry 77 <br /> PLUMBER. :f'c'_:C.gMPANY'.,_ r # <br /> S` NATURE:'>: :n s co''RECi sTE D' `sY :r'':ftl=` : "FED CIJR.Er,'" <br /> _ ,� _�,:•'r.;,.z:..y. tea- «' <br /> ,Addressc:a'; LI <br /> C C P'ME HANK. M Ah:� D .AN..f`� - <br /> SIGNATURE, REG'srEu:; `Xl;"N;�.. t :ciil3ltEn <br /> p• <br /> i'ddresii <br /> OTHEi� - `COM�Ai�iY', :�#`'� <br /> a:.: rti <br /> IGNATURE" E 'Rt:GISTE El} 'S�J.i'`Y•/a;N=_F ^eFEE'C@RIiEfS'7'' dPi�%L�I:t <br /> Address r z' ;�$:_ <br /> .x <br /> =�'t¢G'u fi. ,r.' :,+rr^..f,.:r v, -':, ,,gs '•Y•� ,,yy',:: �: VV <br /> :;r.yf:.:,^,z;:,` <br /> �2 of� tl�'spa n'�,�'�:''�'�'€�h �P� ^%� s oFid.� <br /> RESIDENTIAL AttaChci(�`'Pto�l?iartsr.( ;`sets_ I3u)l �r�` a.s� ��.t;0 it ' . ,..� ;�� _h.,fo `eaar, � ,Zv.,,.;%�.�:;.:�'r`.{-;' '�y=:.:;'.r;r,. <br /> Minimum-ton.(10);working'ilays ftec submittal date::.F2i giiired:ogsit ;4brislniciton Plon"s;'Stoi`mwator.Pl rt , I"'Silt: isn i►�'s".t�illetil, ''' <br /> Sanitary FacI11ti6641-dumpsW,!Site.:Woik Perim#.for.:subd-,$16fiMl rg8.projects <br /> COMMERCIAL -�'�Attadh-(2'4corhplettsetss6f.B.uitdirtg,�?lans,ptus-a''L�ifo?S�fieiji����;(1.)�etbt•.Ertecgyifibnms.,W=,WPermIt=for;new�olistnrotton <br /> Minimum?ten'`1°0 woiin''1in :eRer' iftiihi�it!3it °f`R' Timh'siteoristncdoriPl o"s`StoVrinia^te1'tlafi'sr %'Silh`'n�cesitst8lledr:r`''' <br /> (I0), a .Ys I3 G <br /> San3 ry Fai iirtles°& I:dumpstei';:`pte;:Wotk peirKi t_o)' rfew:ptxiJects Aii'coneicletdaF.i ui(e�iterlisrmiast:rlieatjcsoin ]tatice'' <br /> S.iGNVERMiT Attach(2)sets�ol3Engineered Plafins <br /> """'PROPERTY:SURvtsY•fegUTred.foralFNEW�oonstr iction. . - <br /> DireCkitinsa. . <br /> Fill outc8ppiicatlon.completely.. . <br /> Owner&":Contractorsigr,;IJ Ibfapplfcation:rtctaft6d: <br /> 'If oirer$;g1gP;.a Notice:of Commencement red required,".,(A1G.,upgredes aver 5.500). <br /> Agent(for the contractor)or Power of Attorney owner):would be someone with'notailzed letter from ownei authopzing.same. <br /> OVERT <br /> COUNTER PERMITTING (Co�jr:of'ogr+tractregyliTiad);. :,.;}+.;,;:, <br /> Reroofs if shingles Sdwers Service Upgrades,A/C Pences'(PlotlSurvey/Footage)' <br /> Driveways-Not over Counter if on public'.roadWays.:needs ROW <br />