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<br />APPLICATIOII FOR PERllIT <br />CIty OF ZIl;mIICH I T.T_C; <br />JmI.I.DllIG DEPAImImn' <br /> <br />_'5_ ~eV\Y-~ c@, W;,'-hJ <br />OIiRER'S ADDRESS to (() U 0 W \' re' ~ <br />* <br /> <br />lBXIE <br /> <br />7 8()~ d57 ) <br /> <br />JOB ADDRESS <br /> <br /> <br />LEGAL DESCIUPI'IOII: IDI(S) <br /> <br />~SOBDIYISI <br /> <br /> <br />PARCEL I.D.' ./ <br />IIJORJ{ PROPOSED:__ew Construct:ion ~j t:ion _Alterat:ion <br /> <br />RPpffir _Inst:all <br /> <br />PROPOSED USE: <br /> <br />S' <br />- l..gD. <br /> <br /> <br />) ~le F..uy <br />- <br /> <br />_lIove <br /> <br />_Deaolish <br /> <br />_fl/F <br /> <br />_' of Uoi1:s <br /> <br />~~r <br /> <br />_~rcia1 <br /> <br />_Indust:. <br /> <br />_~. P001 <br /> <br />Rpsbmrant: & Rea1tlJ. Depar1:.eo.t: Approva1 <br />BUlLDDfG SIZE: dD X '8 . (/ cP () l ~ Feet:. <br /> <br />If' <br /> <br />Height <br /> <br />RESIDENTIAL: <br />aJItIIERCIAL : <br /> <br />A'lTAaI (2) PLOI' PLAIIS & (2) SETS OF BUD.DllIG PIAIIS & (1) SET EllERGY .FOIULc;... <br />A'lTAaI (3) SETS OF BUD.DllIG PLAIIS & (1) SET EIIERGY IIORIIS...... <br />..OOPY OF mJrUACT JOlQUIlUID. <br /> <br />~>>IRG <br /> <br />~ BEOIJR.c;nm <br /> <br />$ <br /> <br />Va1uation of Tota1 Construct:ion <br /> <br />_ELEc.nnCAL <br /> <br />AKP Service <br /> <br />Florida PoIier Corp. <br /> <br />V.ll.E.C. <br /> <br />~CAL <br /> <br />$ <br /> <br />Va1uat:ion of ftechanica1 Inst:a1Jat:ion <br /> <br />_PLtIIBIIIG GAS llOOFIIIG <br /> <br />SPECIALTY <br /> <br />TYPE OF OONSTJWCTIOlI: ---.JIlock _Fn.e _St:ee1 <br /> <br />OtlJ.er <br /> <br />FlIISHED FLOOR. ELEVATIOIIS: <br /> <br />Fr. <br /> <br />IS PROJECl' D FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />...................................................... <br /> <br />aJIIITRACIUR SECTIOIl <br /> <br />~ll ''!'-'' ~ =.,MY Cert. or ~1;. , Di'I11 n u rY) <br /> <br />Sigoat:ure ~~lV} City License llegist:rat:ion . <br />............................................................. <br /> <br />RI.JI'-CIKICI.AN aJIIPAIIY <br />S1:at:e Cert. or llegist. . <br />City License llegist:rat:ion . <br />................................................... <br /> <br />Rml.DRR <br /> <br /> <br />Si....J11:ure <br /> <br />PI.DIIRKR aJIIPAIIY <br />State Cert:. or Regist:. . <br />Sigoat:ure City License llegist:rat:ion . <br />...................................................... <br /> <br />IlltalAllICAL aJIIPAIIY <br />S1:at:e Cert:. or llegist:. I <br />Sigoat:ure City License Regist:rat:ion . <br />............................................................... <br /> <br />OTIIRR CDlPAIIY <br />State Cert:. or Regist:. I <br />Signature City License Regist:rat:ion . <br />.......................................... <br /> <br />APPLICATIOIl APPIlOVII:D BY PERIIIT OFFICER. <br />