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<br />IUlU)UQ SIZI; <br /> <br />x <br /> <br /> <br />Al'PLlCATI08 POR. PKIIKlT <br />CITY OF ZEPIIDtBIu.s <br />IUlLDUO DIPAl.1'IIBlr <br /> <br />OWRIR'S IWIB \-\l)~\- \\E>tl<;;l b <br /> <br />OWIEIl'S <br /> <br />JOB ADDUSS <br /> <br /> <br />LBGAL DISCIlIPl'lOll: LOT(S) <br />PARCBL I. D.' <br /> <br />BI.OCIL--SUBDIVISIO <br /> <br /> <br />Ift)RJt PItOPOSIDI____.. Coaatnctloo ---"'ditlon ----^lteratloo <br /> <br />.....ir: <br /> <br />---1Ji.... <br /> <br />--.JIove <br /> <br />--...0-0118h <br /> <br />PIOPOSBD USIa -8ln8le '_il.y <br /> <br />_ec-ercial <br /> <br />---.Jf./P _' of UDits _/8 <br />__lDclust. -Btd., Pool ~tber <br /> <br />DISCUP'l'lOI or lIOUa <br /> <br />"stauraot I: Health Departlleot Approval <br />\ \. <br /> <br />. <br /> <br />Square 'eet, <br /> <br />Relaht <br /> <br />USIDBITW.: A1'TACB (2) P1D'l PUlIS I: (2) SITS or BUILDING PLAIts I: (1) SIT IIBRGY 'OlUtS. <br />COMMIIlCIAL: ATTACII (3) SItS OF IUlLDllfG PLAIS I: (1) SIT BIIBRGY FOJUIS. <br />PROPIIlTI SURVD UQUIUD FOR ALL ... Q)lIS1'JWCT10N. <br /> <br />___t1II.DIIG <br />.-KLBCrllCAL <br />~CAL <br />---.J'IABIUQ <br /> <br />s <br /> <br />PEItKlTS RROtm8'I'RD <br />ValuatlO1l of Total CooatructiOll <br /> <br />., service <br /> <br />Plodcla Pvwel' Corp. <br /> <br />UlJ <br /> <br />rlf...B.C. <br /> <br />.. <br /> <br />Valuatioa of lIeclwnica1 IDatallatiOll <br /> <br />GAS ROOPIIIG <br /> <br />SPBOlALTY <br />Other <br /> <br />TYPE or QlI8DUC'nOllz <br /> <br />"lock -'nM -8teel <br /> <br />FDlISIIBD n.ooa ILIVAUOIS : <br /> <br />PT. <br /> <br />IS PIOJBCI' II FLOOD zon ADA! <br /> <br />YIS NO <br /> <br />.......................................... <br /> <br />RIf(I.na <br /> <br />m~(ilOR SRCngl <br /> <br />CDlPAIIY <br />State Cert. or _lat. . <br />Oit.y Licenae Ileaistratloll . <br />.......................................... <br /> <br />Si8l1Ature , <br /> <br />RI.Ilr.TIIT fiT .a.. <br /> <br />COHPAIIY <br />State cert.. or "aut. . <br />City Lic..... leaiatratiOA . <br />.......................................... <br /> <br />stDnature <br /> <br />Pu.... <br /> <br />00IIPAn' <br />State Cert.. or Beaut. .. <br />r Cit.y Liceas8 18ailtrat1oo . <br />.......................................... <br /> <br />Sipature <br /> <br />~CA.'. <br /> <br />OOIIPAtIY <br />Sbt. Cert. or Ileaiat. . <br />Oity Lieenae Realatration . <br />.......................................... <br /> <br />Sipat.ure <br /> <br />f'J'I'IIRR . <br /> <br />~ ' <br />MY ' <br />tate Cel't. or Ie,iat. . <br />. 1'''1:\ ~ 0 l'~ s;\J\~~c&S U- .....u.u... . <br />.......................................... <br /> <br />" <br /> <br />SiaDature <br /> <br />,.. <br /> <br />APPLlCATIOR AI'PIIOYBD It <br /> <br />PBIIIlI OrrlGBa. <br />