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<br />APPLICATIOINl FOR PRRtIIT <br />CI'IY OF ZEPJIYRllILLS <br />BurII..DIINlG DIlPARTHE'.1NlT <br /> <br />OWNER' S NAME eaA f /L J- M /17l :t.- <br />,hTj;t\,~~ <br /> <br />PliO~E if/ 1)/1'2 --5/95 <br /> <br />OWER'S ADD~-: <br /> <br />.1OB ADDRESS .__ <br /> <br />LEGAL DESCRIPTION: LOT(S) - '"2....0 H'-.oc:K Sm,OIVISIOINI s"fufA IDA;"" <br />PARCEL I. D. # ,",? - .:Lt,-.:L. / - (J 1..5-0 .... CJ C:J C) 6J () - .9.!J. If <br /> <br />WRK PROPOSED: f--1(ew Construction _Addit.ion __AJ.teration _Repair _Install <br /> <br />__ _.._Sign <br /> <br />__no !I~ <br /> <br />De.-IO..li~ ,h <br /> <br />PROPOSED USE: <br /> <br />~le FaDlily <br /> <br />_KIF <br /> <br />_, of Units <br /> <br />_H/H <br /> <br />_CoIaercial <br /> <br />_Indust. <br /> <br />_Swi.. Pool <br /> <br />Other <br /> <br />BUILDING SIZE: <br /> <br />_Restaurant & Health Depart:llDent Approv.:U. <br />~ 0 ~!J-a. <br /> <br />x <br /> <br />Square Feet. <br /> <br />/..J ( <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COKHERClAL : <br /> <br />ATTACII (2) PLOT PLANS & (2) SEIS OF BUILDING PLMI!S &: (1) SET ENERGY FORMS. ** <br />ATTACH (3) SE.TS OF BUILDING PLMllS &: OJ SET ENERGY FOR!'IS. ~~ <br />':!-':!-COFY OF CONTRACT REQ'U1Il:RRD. <br /> <br />PERKITS REOUP~<)TEn <br /> <br />_BUILDING <br /> <br />$ <br /> <br />_ELECTRICAL <br /> <br />AMP Service <br /> <br />Valuation of Total Construction <br /> <br />~ida Pm..'er COrp. <br /> <br />W.R.E.C. <br /> <br />_HECHARICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />___.....:1:00F.I'HG <br /> <br />SPECL.\LTY <br /> <br />TYPE OF CONSTRUCTION: _Block ~r<Jllle _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIOlWS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />~~~~~':!-~':!-**~***********~*~*****~*~~***~*~*~ <br /> <br />RUILDER <br /> <br />COJIn'RAcroR SECTION <br /> <br />') '~ CDfPAIfY W. JJ. ~/YIIl"~ C",1. h-' <br /> <br />State K,;;ert. or Regist. 4# CJ QIZ@';>c . <br />(). .01 ~ City License Registration #: t./ <br />':!-**~***********************~******~******~ I <br /> <br />Signature <br /> <br />EI.E.CTRICIAN <br /> <br />a\'fPAN1' (hIt\Ih t-A- C/. / Si=-I\...I/. < (l- <br />I Stat.e Cert. or Regist. 4# ~ ~~"'A S, OOlt. N I <br />) City License Registration f ~ ~ ~ () ~ <br />*~*********************~******** <br /> <br /> <br />PLUMBER <br />Signa t.m:e{A~ <br /> <br />COHPAfi /1. c' ~ ~ -im_? <br />// Si:;;>re Cert:. or Regist. 1#_ { <br />(A-eu..,?<-r--..- City L,:...cense Registration I a'~n <br />*******~***************~**~*****~******~** <br /> <br />MECHANICAL / roo C'O'!fP~ K f'~s (-'1 ~A-;y1 ~~ <br />~.. i' 1 i~/ State Cert. or Re ist. f t? t!JSY- (X. <br />Signature L / - b .. / .-----?.-------. City License Registration t ? / <br />~/ !"***********':!-*****************.lt~******~*~** <br /> <br />/~ c;,o~ <br />\. ____/ ,,~ roJIPANY fJ J I -V /L-o d T, ""c. <br />// Stat.e Cert. or Regist. #t 7 rR,( ,(;ot/t~ </'/ <br />Signature' -' ,City License Registration IF '31) <br />, ***********~*w****************~***~******* <br /> <br />0TlIER <br /> <br />APPLICATION APPROVED BY <br /> <br />/}aMJla ~ a>u--,.,..y <br /> <br />PER.~T OFFICER. <br />