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<br />APPLICATION FOR PBRKlT <br />CITY OF ZEPRlRBILLS <br />BUILDING DEPARTKBNT <br /> <br />OWNER'S'IWIB J;.l"ry U.nQ...te.S- S,..... PlIONE 771-3"$5(, <br />OWNER'S ADDussY' (). l?ll X (,:;'I'J.. 2(p h'Jl"h~ 1ft-. 8. 3MC/o <br />I ./ <br /> <br />JOB ADDRES~~doj' l~a.NJ8.. ~cJf .74'f1~yt"t;fJ~ ('J. .13SL/O <br /> <br />I.EGAL DESCRIPTION: LOT(S) .J3-aJJd.3'f RWL'J. SUBDIVISION (J~D.rdLJI)JJ ntH. f~. <br /> <br />PARCEL 1. b.' JLI-). fL - 2/ - f) III () - () 00 () tJ -I , \ (OBTAII FROM PIlDPERTY TAX lOT ICE ) <br /> <br />WORIC PROPOsED: _New Cons tt'UcUon ---..Add 1 t ion --fil teration ---..Repai r _Ins tall <br /> <br />.....~-~_...:.,,:~._-- <br /> <br />---..Restaurant &: Health Depart.ent Approval <br />DESCRIPTION or WRIt: Se..t-lAp mob./-t J../cm~ <br />RUlIJHNG SIZE: :J. (p~X &t~, .J7J:4. Square Feet, <br /> <br />_Sian <br /> <br /> <br />PROPOSED USE: ~ngle F_11y <br /> <br />_eo..erclal <br /> <br />RPKf) LDElTlAL: <br />(;OttHERCIAL : <br /> <br />--"ove <br /> <br />---PeIIOI hh <br /> <br />--"IF _' of Units ----"/8 <br /> <br />[ndust. _Swi.. Pool _Other <br /> <br />Height <br /> <br />AtTACH (2) PLOT PLANS &: (2) SETS or BUILDING PLANS &: (1) SBT ENERGY FORMS. <br />ATrACII (3) SETS OF BUILDING PLANS &: (1) SET ENERGY fORMS. <br />PROPERTY SURVBY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERttITS REOUESTIW <br />$ /7/ COd) Valuation of Total Construction <br />- is 0 NtP Service Flodda Power Corp. <br />$-/1" O~O Valuation of Mechanical Installation <br /> <br />_RUIWING <br /> <br />~LECJ1tICAL <br /> <br />--"ECIlMICAL <br /> <br />-"LUHRING <br /> <br />GAS <br /> <br />W.R.E.C. <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />TYPE OF mwSTRUClION: ~loclt _Fn.e _Steel <br /> <br />Other <br /> <br />n. <br /> <br />IS PROJECT IN FLOOD ZONB AREA? <br /> <br />.......................................... <br /> <br />YBS NO <br /> <br /> <br />BUILDER. <br /> <br />CONTRActOR SECTION <br /> <br />SIRtlature <br /> <br />cottPANY <br />State Cert. or Regist. . <br />(;fly License Registration . <br />....................................... <br /> <br /> <br />V. <br /> <br />::::::- <br /> <br />COMPANY lk;~i,tJ' f.:h, hi J f ~ S' - . <br />State Cert. or Regist. .i' (!)().~%H /. <br />City License Registration' /v <br />....................................... <br /> <br />'~. <br /> <br />(.'OttPANY . s;. tv t- I \.e I~ IA S /N ;.,. <br />State Cert. or RegiBt.' ttI+ 114:? Z <br />City License Registration' .3 J? <br />.................................. <br /> <br />'-- <br /> <br />KECllANI~ <br />S I Rnature r~t.-::;~.v~ <br /> <br />COMPANY DtJlp,4,iJ IJlr Sj/[h(?r~. <br />State Cert. or Reglst.' ~<:!.9s. fF711S' <br />City License Registration' 7 / <br />.......................................... <br /> <br />V--. <br /> <br />UIJlER COttPANY <br />State Cert. or Regist. . <br />SiRnAture City License Registration' <br />.......................................... <br /> <br />^rrI.lG^TION APPROVED RY PERMIT OFFICER. <br />