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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPIIYlUIILLS <br />BUILDING DEPARTHENT <br /> <br />jO/krv'''/ 7l't' - b 1 :>- 1.- <br />1.0 /..d~-'YI +c:lu--- i6f/I"'€- PHONE? f'bl ~ ( P 26 <br /> <br />&uvt &. Lqait;rA/I/J ,F! ift7~1-908'/ <br />I <br />2~ j, <br />rY /J... .~.;=: r'N +-~c.:: ~~.J(+6 loT del <br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION 'Lf;I ~g:;l J'A..'!:<f <br /> <br />PARCEL LD.' /~ - 76 - J.-' -LJ 0 / b - I ~ g- Z'6 _l5~~BTMN FROH PROPERTY TAX NOTICE) <br /> <br />OWNER'S lWtE J!~ bey{- It <br />OWNER'S ADDllESS 116, f 3 <br />.'09 <br /> <br />JOB ADDRESS <br /> <br /> <br />WORK PROPOSED:~ew Construction ~ition ---..Alteration ---....Repair _Install <br /> _Sign --'love -Deaolish <br />PROPOSED USE: ~iog1e Faaily --It/F _' of Units ----1I/H <br /> .-A...ec-ercial _Indust. _Swill. Pool _Other <br /> <br />----Restaurant &: Health Departaent Approval <br />DESCRIPTION OF WORK: 01/ t.k/fVf~' ~* .du,.'lc/ 0,1/1 \ /fp./er .e..-X/~f- ;(ppJ:- <br />/ - F /~1 .// <br />BUILDING SIZE: t;'v X /J.-? . no'-D Square Feet. It> Height <br /> <br />RESIDEIITIAL: ATTACH (2) PLOT PLANS &: (2) SETS OF BUILDING PLANS &: (1) SET ENERGY FORMS. <br />cotIHERCIAL: ATTACH (3) SETS OF BUILDING PLANS &: (1) SET ERERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CORSTRUCTION. <br /> <br />-BUILDING <br /> <br />$ <br /> <br />RT.RCTRI.CAL <br /> <br />W.R.E.C. <br /> <br />---llECIIAlIICAL <br /> <br />$ <br /> <br />Valuation of lIecbanica1 Installation <br /> <br />---...PLUllBIMG <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY . <br /> <br />TYPE OF OOIJSTRUcnOR: --Bloclt <br />PIllISBBD PLOOll BLBVAnOIlS: ?1 Fl. <br /> <br />-LFraae _Steel LVH4i-,41/LJu ~ Other <br /> <br />IS PROJECT I.R I'L()(){ZONE AREA! L <br />YES <br /> <br />NO <br /> <br />.......................................... <br /> <br />BUIT.DER <br /> <br />CONTRACTOR SECTION <br /> <br />/ // L'~;;' "=~!?!~t-:-(1;;;;Jf;Jr <br />(7{ I N . ,A'1, /T ~, _ City License Registration' '17 <br />.......................................... <br /> <br />Signature <br /> <br />RT ,RCTRICIAII COMPANY t) 0 V C.-C-M ~ ()J E. sf- ':i.1'-<. , <br />./ () () . ~ State Cert. or Regist. . <br />Simuaturei..' ~~2..: City License Registration' '1."'71 <br />.... ..................................... <br /> <br />PLUllBER <br /> <br />COtIPANY <br />State Cert. or Resist. . <br />City License Registration . <br />.......................................... <br /> <br />Signature <br /> <br />IlECllANICAL <br /> <br />COMPANY <br />State Cert. or ReSist. . <br />City License Registration . <br />.......................................... <br /> <br />Signature <br /> <br />OTRRR <br /> <br />t';} ~ COIIPANY J"k/f/,flite. A/Luh 1~~/F1-1 <br /> <br />ie . ~ State Cert. or Resist. . <br />"k ,UP City License Registratioo . 7'7 <br />.......................................... <br /> <br />Signature <br /> <br />APPLICAnON APPROVED BY <br /> <br />.PEBHIT OFnCER. <br />