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<br />I, <br />. I, l <br /> <br />ArTT.xCATtnw Fn1l I.'1mtfIT <br />C'lTY OF ZEl'IID:IIJ..LI <br />B1Jt:I.D111C DEI'AlttHmrT <br /> <br />0IfIIEIt '8 IIAtII <br /> <br />Gt..O&I.p CH I PoNt'"- <br /> <br />ftIOItB <br /> <br />~04 -5& .1- ~!'+ ~ <br /> <br />onJDl'S MDt_it.. ,37.3~o. Q~fWCH: I JA/ LF V LA:t"4 i:. <br /> <br />.f01 ADDUSS <br /> <br />. "">."-.L ~ 1::1 -r H ~;R-' <br /> <br />UGAJ. DacRIftIOI~ urreS) . . ~uaDlnSl0. <br />PAIlCRL t. n.' II - c1 " -;;( l - (1) 1(;) - I c> ~ 19 0 - 00 ~ 0 <br />WOK PItOPOSBD.---.Jev OOIlAtructiOll --.Addith"'l ----..Altere.tion I I ~epair <br /> <br />TftataU <br /> <br />PRDPOI'W ... <br /> <br />-1it&n <br />; ~lft&le ....UY <br /> <br />~e <br /> <br />~lUh <br /> <br />.. <br /> <br />If/F <br /> <br />_' 0.1 Units <br /> <br />-.JC/R <br /> <br />_~reW <br /> <br />Tndr.st. _S,d.ll. Pool <br /> <br />other <br /> <br />....tew:nt . RMlth Deperbleo.t Approval <br /> <br />IUILDIlIG SI.ZJ:. I <br /> <br />x <br /> <br />. <br /> <br />$quare ref!:t. <br /> <br />lff!:t8ht <br /> <br />.RP..SIDEIf'tIAL. At'lAaI (2) PLOt' FtAJIS Ie (2) Sag OF 8UllJJIHC PlANS' (1) SKI' bERCY PORtIS... <br />COItItItRCIAL. ArrACII (3) SB'I'S OF "DlJ..Dl" P1..MS I: (1) SET EIIERCI f'OlttfS..... <br />..00", OF ~cr RIqUJJUID. <br />! <br /> <br />-'U1lJ)I10 <br /> <br />.. 1 ~~q~. tJ7iI <br /> <br />PDIIlTS ~RfU1It~rtm <br />VAluatiOll of Total C"..on9t.rdrtion <br /> <br />Rl.I!:Cl'I.lCAL <br /> <br />. <br />. <br /> <br />MIP 5ervle:e <br /> <br />Florida Power Corp. <br /> <br />If.R.II:.C. <br /> <br />~CAJ. <br />~DfG <br /> <br />.. <br /> <br />Valuation of Heebaniea1 Installation <br /> <br />CAS <br /> <br />/" JIOOFtIIG <br /> <br />SPECIALty <br /> <br />. nn or OOJSUtUCtIOW. _____lock -JrM4!! _Suel <br /> <br />Other <br /> <br />PI1IlSIID FLOOJl ItLItVAUo.s: <br /> <br />Ft. <br /> <br />lS PRD.JEcr IJf noon ZOME AREA t <br /> <br />.............................................. <br /> <br />. YES NO <br /> <br />JWl'RACfOIl &ECTlQ. <br /> <br />CQfPANt: _ <br />State Cert. or Reei9t. . <br />City License Regtstratioa , <br />.....~.................................... <br /> <br />rr <br />\" X <br />\'1) <br /> <br />. IJTII.DER <br /> <br />Slgnat:u:r.e <br /> <br />IWtCI'RtCI.AII <br /> <br />aNPAItt, <br />StAte cect. or Regist.l , <br />City License Re81otrotion , <br />.............................................. <br /> <br />Sill'RAture <br /> <br />PLtIIBER <br />S ignatnre <br /> <br />aJ!Il'AJIY <br />" StAte! C".4!Tt. or R...~h;t:. . <br />city Licen~~ RCAlotretion , <br />............................................ . <br /> <br />1lltaWlICA\ <br /> <br />CUlIFAft <br />Sbkte cert. or Re~5t. f. <br />. . City Li~~e Reci8tr~tlnn , <br />.......................................... <br /> <br />~ <br /> <br />S iRlUl ture <br /> <br />- <br /> <br />fJI1fP.R - l<OO1"~N I~/~;." C(JftPAlly (}L.A~5IC ~om~~ f ~/J. ~'''I c..A2Xuv. <br />. /II State C@rt. or Reg15t. , ~ c..c;. co o.J ~ B loCo <br />Sipatt...J:f: . .. ~.. / '"'7 City Lic~~e RegIBU:ttUOn. , ,q .Q. <br />, ............................................ <br /> <br />APPLlCADO. UfIlO~ZiU BY <br /> <br />I, <br /> <br />PEItIUt OFFICBIt. <br />