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<br />APPLICA'l'IOll FOR PIOO([~ <br />CI'IY OF ZEPIIYlmII.LS <br />BUII.DlliG DEPARIKEIn" <br /> <br />. <br /> <br />OWNER · S KMtE <br /> <br /> <br />.- ;:;;::?:. <br /> <br />OWNER' S ADDRESS <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPl'ImI: LOT(S) <br /> <br />BI.OCK__SUBDIVISIOR <br /> <br />PARCEL I. D. # <br /> <br />, <br /> <br />/1-.2?~ ,-2/ -Db/D - ~/':5(] -c -- DO ;If) <br /> <br />WORK PROPOSED :_lIev Const:ruct:ion _Addit:i 'KI __A1t:erat:ion _Repair 4-Inst:all <br /> <br />S. <br />- 19D. <br /> <br />_lKove <br /> <br />__ne.o1ish <br /> <br />PROPOSED USE: ~ Sing1e Faa:ily <br /> <br />'"' _KIF <br /> <br />_' of 1Jfnit:s <br /> <br />_K/H <br /> <br />_~rcia1 <br /> <br />_Indust:. <br /> <br />_Swia. Poo1 <br /> <br />Other <br /> <br />_Kesbmrant: &: Hea1th nepan:.ent: Approva1 <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet:. <br /> <br />Height: <br /> <br />. RESIDENTIAL: <br />alttItERCIAL : <br /> <br />A'l'TACII (2) PLOI' PLAIIIS &: (2) SEI'S OF BUILDING PLAIlS&: (1) SET ENERGY FORKS. ** <br />ATI'ACII (3) SEI'S OF BUIIJ)IIIIG PLUS &: (1) SET MERCY FORMS. ** <br />**<DPY OF <DRTBACT 1UIQ(ITRIlD. <br /> <br />PRRKT'T'S REQUESTED <br /> <br />_BUILDIliG <br /> <br />$ <br /> <br />Va1uat:ion of Tot:a1 Const:ruct:ion <br /> <br />_ELECTRICAL <br /> <br />~CAL <br /> <br />AfIP Servic~ <br /> <br />r j',orida Power Wrp. <br /> <br />W.R.E.C. <br /> <br />_PLUKBIliG <br /> <br />$ ,;2~ 77" <br />/ <br /> <br />dV <br /> <br />-1a1.uat:ion of ltIecbanicaJ. Inst:allati on <br /> <br />GAS <br /> <br />KfroF::J1JG <br /> <br />SPECIALTY <br /> <br />TYPE OF <DBSTRUC'l'IOR: _B1ock _Fraae _St:ee1 <br /> <br />Other <br /> <br />FlliISIIED FLOOR ELEVATIOBS: <br /> <br />FT. <br /> <br />IS PRO..lECI' Di FLOOD ZOH:f; AREA? <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />C01I'I'RACIOR SECTION <br /> <br />BUTTJlER <br /> <br />Signat:ure <br /> <br />CO!IP4WY <br />St:at:e Gert:. or Regist:. # <br />Cit:y License Regist:rat:ion , <br /> <br /> <br />12 ~*****************::::::***** **::**~ <br /> <br />1 . !:ate Gert:. or R ist:. # <br />1,<1t.b!J ,- Cit:y License Regist:rat:ion f <br />/, / ******** ****************************** <br /> <br /> <br /> <br />~ <br />S1 at:ure <br /> <br />PLUKBER <br /> <br />Signat:ure <br /> <br />CO!IPARY <br />St:at:e Gert:. or Regist:. # <br />City License I <br />*..'*********"'*11:11:"'....."''''***'''**** <br /> <br />1lI!CHAIII~ aJI!re. . ,/i'~ <br />, . ~ SUre Cert. or R gis~. f <br />Signa~ ,(-. ~ City License Regist:rat:ion , <br />/ ****,**11:**11:***11:***11:****11:**11:******11:**11:*** <br /> <br /> <br />0'nIRR <br /> <br />Signat:ure <br /> <br />CO!IP..uY <br />St:at:e Gert:. or Regist:.. # <br />City License Regist:r-.at:itm # <br />*-!r*~*""*1I:1I:1I:**"'****1I:1I:1I:1I:i:of.:*******""'*1I:*1I:~1I:,*,"'*.... <br /> <br />APPLICATION APPROVED BY <br /> <br />)1,,~ ~a/k~ <br /> <br />PERHIT OFFICER. <br />