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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPIIYRlULLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NArtE 7-/J J, /) ;t1 LJ /' / e f. <br />OWNER'S AUDRESS 7 9 J- 5 0 ?1' 'f h It 1./ I <br />JOB ADDRESS 5/f Nt ~ C7 7 rt h /J V' ~ <br />. <br /> <br />PHONE <br /> <br />78?-- Jll(5 <br /> <br />LEGAL DESCRIPTION: LOT(S} , BLOCK SUBDIVISION <br />PARCEL 1.0.# J].. - J- 6 - :;/ - OJ/ 0- OOOo,/} - O'J 6 0 <br /> <br />(OBTAIN FROM !ROPERTY TAX NOTICE) <br />WORK PROPOSED:____New Construction ----Addition ____Alteration ~Repair ____Install <br /> <br />PROPOSED USE: <br /> <br />____Sign <br /> <br /> <br />J'Single <br /> <br />____Move <br /> <br />____Demolish <br /> <br />Family <br /> <br />____M/F <br /> <br />____# of Units <br /> <br />_MIll <br /> <br />_Connercial <br /> <br />_Indust. <br /> <br />_Swim. Pool _Other <br /> <br />_Restaurant & Health Department Approval <br /> <br />DESCRIPTION OF WORK: I< e. /J ).4 C.f. A; /' U-1 j (if j' tJ /) / /J 4} 5" 11 s1 e ~ I <br />I / I <br />BUILDING SIZE: X Square Feet, Height <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />ATTAL11 (3) SETS OF BUILDING PLANS & (I) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REOUESTED <br /> <br />~UILDING <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />\ ZCTRlCAL <br />ECBANICAL <br /> <br />_PLUMBING <br /> <br />TYPE OF CONSTRUCTION: _Block _FraJlle _Steel <br /> <br />Other <br /> <br />FINISIlED FLOOR ELEVATIONS: <br /> <br />PI. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />CONTRACTOR SECTION <br /> <br />Signature <br /> <br />COMPANY <br />State Cert. or Regist. t <br />City License Registration' <br />****************************************** <br /> <br />BUILDER <br /> <br />ELECTRICIAN <br /> <br />Siana.ture <br /> <br />COMPANY <br />State Cerl. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />COMPANY <br />State Cert. or Regist. f <br />City License Registration f <br />****************************************** <br /> <br /><<r <br />// <br />Signature <br /> <br /> <br />COMPANY /" <br />State Cert. or Regist. t <br />City License Registration <br />****************************************** <br /> <br /> <br />MECHANICAL <br /> <br />.Ul'.ImR <br /> <br />Signature <br /> <br />COMPANY <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />