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<br />APPLIChfiOB FOK PERKlT <br />CI'IY OF ZKt'UIKH II.T.S <br />BUILDIliG DRPAKnurJftrl' <br /> <br />OWNER'S RAME re.'E1D e-~ A <br />OWHER'S ADDRESS ~4'~lJ f3I::6 <br />~ft1'Y!~ A-7 1jIht!e <br />'I eBZi2 <br />I..EGAL DESCRIPTImI: LOT(S) II f 27.... BI.OCI{ \20 SUBDIVISIOl!ilTaeNofZtZP"yQ.hdrs P,~ <br />PARCEL I.D.f~l.:.l'OIO- 0"0-00 - OZIiJ <br />WORK PKOPOSED:_Bew Construction ~tiOll _Alteration _Repair, _Inst:all <br /> <br />AIJ~.Jit~PIIOe-7BObIf:q <br />5~ <br /> <br />JOB ADDRFSS <br /> <br />_Sign <br /> <br />__!!love <br /> <br />_Deaolish <br /> <br />PROPOSED USE: <br /> <br />>< Single Faaily <br /> <br />_KIF <br /> <br />_, of Units <br /> <br />_K/H <br /> <br />_ec-ercial <br /> <br />_Indust. <br /> <br />_Stria. Pool <br /> <br />Other <br /> <br />_Restaurant &: Health Depart:aent Approval <br /> <br />BUILDDiG SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDEHTIAL : <br />COItIIERCIAL : <br /> <br />ATTACH (2) PlOT PLAliS &: (2) SEIS OF BUlLDDIG PLAJ!iS &: (1) SET ENERGY FORKS. ** <br />ATI'ACH (3) SILTS OF BU.iLDIIIG PI.MS &: (1) SET ERERGY FORKS. ** <br />**COPY OF COJrrKAct JUlI1(DIRED. <br /> <br />""ERKTTS KEOUESTED <br /> <br />_BUll.DDfG <br /> <br />$ <br /> <br />Y'aluation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />_AKP Se~ce <br /> <br />Flori,ja Power Corp. <br /> <br />W.K.R.C. <br /> <br />--1tECHABICAL <br /> <br />$ <br /> <br />Va111Jation of Kechanica1 InstalJ.ation <br /> <br />~DfG GAS ROOFDIG SPECIALTY <br />TYPE OF COlfSTRUCTIOB: _Block Fra.e _Steel \c.l:tJD ~o02cl~ Other <br />FIRISHED FLOOR ELEVATIOlNlS:~CfPlel.le~ PKO.JECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />**************************t:*************** <br /> <br />COWI'KACIOR SECTION <br /> <br />COl!IPMUY <br />State Cert. or Regist. I <br />City License Registration I <br />*****t************************************ <br /> <br />RmT.DF.R <br /> <br />Signature <br /> <br />SiPl1::1ture <br /> <br />COl!IPMY <br />State Cert. or Regist. I; <br />City License Registration I <br />****************************************** <br /> <br />ELECTRICIAN <br /> <br />~AJ!iifl': <br />!!!:3!::e (".p........ _ or Regist. I <br />Gi~ License Registration I <br />**********************~******************* <br /> <br />n.gmER <br /> <br />Signature <br /> <br />CO!'lPAiIY <br />State Cert. or Regist. I <br />City License Registration I <br />****************************************** <br /> <br />KEa:IAlIICAL <br /> <br />Signature <br /> <br />flT'ffRR <br /> <br />r <br /> <br />~ IXIIIP&'IY_~ (!oU'~ <br />;f)tat~" f'..ert. or Regist:., " <br />City k.icense RegistratiOn. , <br />********* 'I'H1:*********.'.t******************* <br /> <br />. <br /> <br />Signature y <br /> <br />/,?~ <br />/ I' 0 <br /> <br />APPLICATION APPROVED BY <br /> <br />PERIITT OmCER. <br />