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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRIIILLS <br />BUILDING DEPARTMENT <br /> <br />~p rrJ <br />/00' <br /> <br />OWNER'S NAME <br /> <br />. ~'2.~)' /: L /~~-1AI v. A7? ,/!~ <br /> <br />PHONE If/.? - 7 /. -\- .- 0/.3 9 <br /> <br />OWNER'S ADDRESS <br /> <br />/' /- , - <br />.....) f] / / <br /> <br />,-t) <br /> <br />( ,(/l'(, <br /> <br />J.J') /.) <br />'J/t . <br /> <br />-> 'J~J<// <br /> <br />/-/~'/h.,'.;.r(' /#t'./ <;' <br />0' <br /> <br />JOB ADDRESS ;5'; '-I <br /> <br /> <br />AClz, . '[ :" :~':_.f 5-:-?";']/ <br />/ <br />BLOCK SUBDIVISION S/i..vC"C 1']/.7 Kf::. <br /> <br />LEGAL DESCRIPTION: LOT(S) 3/1 v' 3/.J <br /> <br />PARCEL I.D.' ~ ~~ <br /> <br />/-J7"7'/ (((0J <br /> <br />::-';(,,((,!L?, <br />/ <br />_Addition <br /> <br />(OBTAIN FROK PROPERTY TAX NOTICE) <br /> <br />.' <br /> <br />WORK PROPOSED:~~w Construction <br /> <br />----Alteration _Repair ____Install <br /> <br />_Sign <br /> <br />_Kove <br /> <br />_De.olish <br /> <br />PROPOSED USE: _Single Fa.ily <br /> <br />/' <br />I/HI F <br /> <br />_' of Units _K/H <br /> <br />_C~ercial <br /> <br />_Indust. <br /> <br />_Swia. Pool ___Other <br /> <br />_Restaurant & Health Department Approval <br /> <br />DESCRIPTION OF WORK: fit."..._) /li"_(_/~ II, 1//."0' ~ 1),,-/ ,,:'<-< .l'. /;';,( /-.,1 <br /> <br />BUILDING SIZE: <br /> <br />0L/ X Ie), <br /> <br />7. - 'n <br />)'J~L) Square Feet, /\ <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />/ <br />~BUILDING <br /> <br />~ELEGTRlCAL <br /> <br />~CllANiCAL <br />/ <br />V;LUHB~NG <br /> <br />PERMITS REOUESTED <br /> <br />$ <br /> <br />;( l) c) <br /> <br />AMP Service <br /> <br />Valuation of Total Construction <br /> <br />~~rida Power Corp. <br /> <br />W.R.E.C. <br /> <br />If. ~ ,,' ~ <br />$ t-'<" Yt,-)D' - /b.:. J//16 Valuation of Hechanical Installation <br /> <br />GAS <br />l~lock <br /> <br />,/ <br />/'--/ROOPING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: <br /> <br />____Fraae _Steel <br /> <br />Other <br /> <br />****************************************** <br /> <br />YES <br /> <br />/ <br />GV <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />BUIIJ)ER <br /> <br /> <br />c; <br /> <br />CONTRACTOR SECTION <br /> <br />OOKPANY Au u:~.reL;r./' ~ /c _ <br />State Cert. or Regist.' ~/ //t? EJ6 32,.6' <br />City License Registration' /~;t <br />*************************** <br /> <br />Signature <br /> <br />I. <br />, , ) <br />~:::::IAB~~' COMPANY .t/,() ({(.~ kbw,e') LqP> f- rr/; <br />h ~ State Cert. or Regist. t . <br />e ~ City License Registration' :J. (I) 'f V''- <br />****************************************** <br /> <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />Signature <br /> <br />COMPANY ...:5i-V.1/ 5 ..5" <br />State Cert. or ai'gist. , ,.,-J,1! 00/<2 </t/ <br />City License Registration' (}.{J(. <br />*..************************* <br /> <br />/) <br />OTHRR A-"rJ 4.: ,;} <br />/f7 <br />Signature <.:/(1:'.,--, <br /> <br />COMPANY /ji..-'Z~::'7r{A" f..-v~ <br />.f ~~. / .) State Cert. or Regist. , ~ i171?~3z6 <br /><,If!2.1~. '/~<~,/.oIi~~ City License Registration' /3";;z.. <br />. ****************************************** <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />