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<br />APPLICA'TIGlIiI FOR PERl!tIT <br />CIn OF Zl!;puYKH IT.J.~ <br />BUII.DIJiG DEPAR'lfHHJNlT <br /> <br />OWNER'S RAKICEe.l:D,anda..Lo..v.e.r..iJJ.g-=-Co.tp I <br />OWNER'S ADDRESS 59 Norway St. Berlin. N.H <br /> <br />PHONE (603)75?-3?77 <br /> <br />01570 <br /> <br />JOB ADDRESS 6648 Junippr Court <br /> <br />7pphyrhill~, FI 11~4n <br /> <br />LEGAL DESCRIPTION: IDI'(S>'122~..1./L 12L 8I.OCK <br />PARCEL I.D.# 02-26-21-021D:00000-l?20 <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED:---X--lNlew Construction _Addition _Alteration _Repair _Install <br /> <br />_Sign <br /> <br />_l!f.ove <br /> <br />_Deao1ish <br /> <br />PROPOSED USE: <br /> <br />X Single Faai1y <br /> <br />_H/F <br /> <br />_' of Ulnits <br /> <br />_K/H <br /> <br />_~rcia1 <br /> <br />_Indust. <br /> <br />_S~. Poo1 <br /> <br />Other <br /> <br />_Restaurant &: Hea1t:h Depar~t Approva1 <br /> <br />BUILDIRG SIZE: <br /> <br />x <br /> <br />1735 <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL : <br />COftKERCIAL <br /> <br />ATTACH (2) PLOI' PLOS &: (2) SEI'S OF BUllDING PLUS &: (1) SET' ENERGY FORKS.** <br />A1TACII (3) SEI'S OF BUII.DI5G PlAIIS &: (1) SET' EIlERGY FORMS. ** <br />*"'COPV OF CONTRACT RIlQllIIRED. <br /> <br />PERKITS REQUESTED <br /> <br />..L.-BUILDlliG <br /> <br />$ 17. 7nn nn <br /> <br />Va1uation of Total Construction <br /> <br />~ELECTRICAL <br /> <br />AKP Service <br /> <br />Florj.cIa Power Corp. <br /> <br />W.R.E.C. <br /> <br />~KECHAHICAL <br /> <br />$ <br /> <br />Va1uation of Hecbanica1 Installation <br /> <br />~PLmmlliG GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF COliSTRUCTION/: ~Block _Fra.e _Steel <br /> <br />Other <br /> <br />FTIO:SHED FLOOR ELEVATIONS: <br /> <br />FI' . <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES liO <br /> <br />....................................~...****....*............*......*...*...*.....................** <br /> <br />mJrI'RACIOR SECTION <br /> <br />BUILDER Kevin T. Roberts <br />Signature -I;;S:. ~ r:~.,..,., ~ .El <br /> <br />CDHPANY bPneri'll Homp n€,v~ lopltlent Corp <br />State Gert. or Regist. trGC005695 <br />Ci1:y License Registration' ?') <br />*.................................*....................................................................................... <br /> <br />ELECTRICIAN Robert H. Martin Jr. COIIPANY Martin Flprtrir <br />y;J /J 2 ViA ~ j State Gert:. or Regist:., j t ROO 11111 0 <br />SiPn~ture ~ U IY~' L. City License Registration I 158 <br />.........**...~;;.......*......*..................**................................................*...... <br /> <br />PLOKBER <br /> <br /> <br />tin~ <br /> <br />OOIIPMY-StlYORQt PlliAlsillj ~ <br />State Gert. or Regist:. C d~2-7~ j <br />City License Registration I 9 <br />..............................**..............................~.............................................*......* <br /> <br /> <br />Signa <br /> <br />KECllANICAL T 'l5''Jljl s LaC h a n ce./ /' <br />Signature ~ ~ <br /> <br />z:DIIPANY Snlltnern Comfort ERt9rpri ggS <br />State Geet. or Regist. f R J11. 6 0 /.> 0 L <- <br />City License Registration I i 7 <br />.................................****....*......***...............*....................................... <br /> <br />0'T1I"RR <br /> <br />CO!IPANY <br />~. ". R-~~ S~t,~ <:ert. or R~gist.-' <br />~-~ ~ C1ty L1cense Reg1strat1on j <br />...**.........*................~..*............~...............................*............*......... <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />PERKIT OFFICER. <br />