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~­v City of ZephVrhU ��� P8�� AopUCati F�0���2 <br /> OO � ao <br /> Building Department <br /> Date Recei�ed Phone Contact for Permitting 190 enyc�a i ac(V�CA ek or�m C-0 M <br /> ' T OwnerPhoneNu' be, ct, <br /> Owner's Name �QL - <br /> Owner's AddressFH-t,(am,' :t�:'JCCOMIY- 7-PADA 330�L Owner Phone Number <br /> 'Fee Simple Titleholder Name -sn yviz— Owner Phone Number <br /> Fee Simple Titleholder Address <br /> (OBTAINIED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW ADD/ALT SIGN DEMOLISH <br /> [��| INSTALL | \ REPAIR <br /> PROPOSED USE F--1 � aFR [—� COMM F--1 OTHER <br /> TYPE OFCONSTRUCTION - BLOCK �-� FRAME �--� STEEL <br /> ' <br /> =BV|LDING <br /> VALUATION OF TOTAL�—'�ELECTR|��L �--1 pROG�E8�ENEREY F-- VY�.E.�� <br /> -__' <br /> =PLUMBING �� <br /> =MECHANk}AL ON <br /> F--lG/V� ���' �]DF|Nn F—� � SPECIALTY OTHER <br /> OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YEo NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED LY/ N_ psI'-ouRREx LYLN_� <br /> Address P. Uuanen# <br /> ELECTRICIAN COMPANY <br /> SIGNATUREFC_0� I _y/ N I ' pssconmsN [_Y1 NL� <br /> Address Lioemee# <br /> PLUMBER COMPANY <br /> SIGNATURE Fo REG/STERED p0_Nl 'rssooR_R�t^ L)!/N� u' <br /> Auumms License# <br /> MECHANICAL F COMPANY &)-1,( 4� <br /> SIGNATURE REGISTERED , [��/lV_1 pEEconnsx -�,M,N_] . <br /> Address License# <br /> OTHER7 <br /> COMPANY <br /> SIGNATURE nea/orsnEo `A1N_ FEEouRRex 'I 'yiY�_�; <br /> Address Unonan# <br /> x u III x x x x m m u u x u m m x x m x n n1 u x n n u-x 1 K III u x n Kill u K u K o u x K 11 n n 11 u 11 m m x x x x x m <br /> KGG|OENTuUL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;F-O-W Permit for new construction, <br /> Minimum ten(1o)working days after submittal date. Required mnai0a.Construction Plans,Gtomnwoter Plans v/Slit Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdiAsions/large projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(1O)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Slit Fence installed, <br /> Sanitary Facilities&I dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(z)sets of Engineered Plans. <br /> ^°^°PROPERTYSURVEY required for all NEW construction, ' <br /> Fill out application completely, <br /> Owner m Contractor sign back nf application,notarized <br /> n over*usoo^a Notice o*Commencement|srequired. (AIo upgrades over$7n0o) <br /> � <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 pERMD � <br /> PERMITTING (copy of <br /> Romofs if shingles Sewers Service Upgrades A/C Fenmm(P|ot/Sumey/Fuotag6) <br /> Driveways-Not over Counter ifon public madwayo..nnodmROW <br /> ' <br />