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<br />APPLICATIOJil FOR PERHIT <br />CI'IY OF ZEPBYRllILLS <br />BmI.DDiG DEPAR'DIENT <br /> <br />_'S_ '&h:.. Li'!i: <br />OWNER'S ADDRESS 3'6 ?ia C!/fU 6~€.L <br />JOB ADDRESS ..::5~L-- <br />LEGAL DESCRIPTION: UJr(S)--1.:1 <br /> <br />PIIOO I fl3-7J'2 -2Z7-6' <br /> <br />BJ.OCI( <br /> <br />SUBDIVISIOJil #//Af;i. ~- 2:~ <br /> <br />PARCEL LD.' t7'Z -zr; ,-.}-I -bdl L - dOf.I<w- (J/(,&.() <br />WORK PROPOSED:-*"lIew Const:ruct:ion ~t:ion _Alteration _Repair _Install <br /> <br />_Sign <br /> <br />_Move <br /> <br />_Deaolish <br /> <br />PROPOSED USE: <br /> <br />Single F3IIily <br /> <br />_KIF <br /> <br />_, of IIfnit:s <br /> <br />'~K/H <br /> <br />_~rcia1 <br /> <br />_Indust:. <br /> <br />_Swill. Pool <br /> <br />Other <br /> <br />_Restaurant: &: Heal1:h nepan:.ent: Approval. <br /> <br />BUILDING SIZE: W X Z~ . <br /> <br />/eoz:, <br /> <br />~e Feet. <br /> <br />/ Sn~ ';1 <br /> <br />I' <br /> <br />Height <br /> <br />RESIDENTIAL : <br />COtDtERCIAL : <br /> <br />AtTACH (2) PIm PLAlIIS &: (2) SEI'S OF BUILDIliG PLUS, &: (1) SET ENERGY FORKS. ** <br />ATI'ACH (3) SEI'S OF BUILDDIG PLOS &: (1) SET EMERGY FORKS. ** <br />**mpy OF COrrrRAcr~. <br /> <br />~BUILDING <br />~ELECTRICAL <br />~ KECIIAlUCAL <br /> <br />$ <br /> <br />PERIITTS REOUESTED <br />d! .( 75-"2) Va1uat:ion of Total ~TUCtion <br />/SZJ AtIP Service:i-f: F~~m.t~~' <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />/ /i.;"" 0 <br /> <br />Val.uat:ion of Kechanical. Installation <br /> <br />~PLUKBING GAS BOOFDiG <br /> <br />SPECIALTY <br /> <br />TYPE OF mNSTRUCTION: _Block _Pralle _Steel <br /> <br />Other <br /> <br />FIKISBED FLOOR ELEVATIOHS: <br /> <br />FI' . <br /> <br />IS P.RO.JECT IN FLOOD ZOO AREA? <br /> <br />YES NO <br /> <br />**.**.......***.****.*....******..*..***** <br /> <br />BUILDER ~7~ L~ <br />signat:ure4. :Jt-;Z;~7{;;:; 4u-1 <br /> <br />COIID'RACIOR SECTION <br /> <br />CO!IPAft #~/t ~~ A4~.tc.b ~ <br />Stat:e Cert:. or Regist:. I <br />City Lic<ense Regist:.ration I ,g",~&;, <br />..*.****..**.**..**.***********.*******.** <br /> <br />ELECTRICIAN <br />e C~-iL4-'-""<"-- <br /> <br /> <br /> <br />~~~2 <br /> <br /> <br />~,// .,--=-- <br />CDlPARY ~-',4 d-':uu- c~~,h<.~ ~ <br />State Cert. 0 eg1st. I <br />:1L4ei1:y License Registrat:ion I ~?' <br />**************************** <br /> <br />Si <br /> <br />PIDIBER IP CO!IPARY A~~ ~/1-J <br />c./7 ?:%11. State Cert:. or Regist:~ I <br />Signature~V.t~ ,~<-- Cil:y License Registrat:ion # /c?f/ <br />..*...*****...***.************************ <br /> <br />IlEClL\llICAL~ / lDIIPAIIY bw6'> ~_ 6A!> -II<- <br />-,..-- ,12, / # d Stat:e Cert:. or Regist. f <br />Signature ~ ~'1 ' l.u.'; ~ City License Regist:ration I 7j/ <br />/ ***..*.*......***..*..**.**.***.******.*** <br /> <br />Signature <br /> <br />COIIPARY <br />Stat:e Cert. or Regist:. , <br />City License Regist:ration I <br />.*.*****...............*.*...........*.*** <br /> <br />OTHF.R <br /> <br />~CAnON lm=-"1~~-eA~~ <br /> <br />r-' <br /> <br />.PF.RJITt,OF.FI.i' <br /> <br />, <br />i <br />"I~,~,j <br />