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<br />: ;; <br /> <br />:.:': Jr. :) I (";~ F- ~<-~ I~r-' r i_ i,_.'~1 ; in! ill. ,i: ::.; , <br /> <br />')c-j." <br /> <br />tl:.:a:v' F'i I) <br /> <br />APPLIcAnOIC PCiR PmUfJ'T <br />CIn OF ZEl"IIYJUIJ:LL <br />RIJUDllIC DEI'AKDIEltCT <br /> <br />_, __~o --1 y <br />....) <br /> <br />OW~EA . ~. <br /> <br />~:r~~4:)~hr#T~~ /L///-/i//~Y fUoME 3501-,)67 / y'~y <br />..ko_,~~---.L7JL''''d.d~/4-r;T' .r.l.. 3~ s-~ b <br />J.L2LL_...k~ /:4/ /() <br />3t. <br /> <br />0WIfER '5 ADDRRSS <br /> <br />~J08 ADDIlRSS___ ___~ _ <br /> <br />Ul'.("-'L DRSClUPTIOIII~ 1.Dl'(S) , <br /> <br />_.___~OBDIVI.SIOac <br /> <br />o.;;..?D <br /> <br />PARCF.I. 1. IL . / ~ -...l b - -2. I. - Q.d.flP -:.(2 t;!!/2..t!!P - 0 -' ~ 0 <br />WORK PROPOSED: 0ev COO8tructiOll _pJdit,j,.,,. -.....Alterat.ion ~Repair _lDstall <br /> <br />-.fiign <br /> <br />--""ve <br /> <br />---'>atollsh <br /> <br />PROrmilU) Wl,SL....Dinale r_ily <br /> <br />., --.Jj/F <br /> <br />_' of Units <br /> <br />-Jl1 B <br /> <br />_('~tc1al <br /> <br />_Indust:. <br /> <br />_svt.. Poul <br /> <br />Otht"r <br /> <br />_ _JlesUtttant: II lIf'..a.l t.h Depar~t: Approva1 <br /> <br />BUILDIHG SIZE: ._ ..~_---^--, <br /> <br />I't? h3 ~u.are. Feet, <br />/ <br /> <br />Height <br /> <br />. RBSIDENTlAL; A'fT^aI (2) PIDI' PLAlIS &: (2) SEIS OF BD1lJ)I>>C PLANS &: (1) SET ItIIERCY FORMS x U <br />cottHERC'IAL: A'nAaI (3) SB'I'S OF BUTLDDG PI.MS &: (1) SET ERERCY fORKS.** <br />~. 4COP'f' OF WRTRACT REQUDED. <br /> <br />PEJMlTS RblUF-C;TED <br /> <br />--lJUTLDno <br /> <br />$ <br /> <br />3,2' cO <br />J CJc.c; , ------ <br />/ <br /> <br />VAluation of ToU~ Con.~r::nlrt:ion <br /> <br />P.T .ECl'RlCAL <br /> <br />.NIP Service <br /> <br />/ .Florida Power Corp. <br /> <br />__W.R..E.C. <br /> <br />_..~CAL <br /> <br />s <br /> <br />Va1uatioo. of Kccb.anica1 lnsta1.1.atioo. <br /> <br />_ltl..llf{9TIlC <br /> <br />_CAS <br /> <br />,HOUYl.Nc; <br /> <br />SPECIALTY <br /> <br />. TYPE OF COi'{;;nmcnOll: ----.Jloclt. ~ _St.eel <br /> <br />Other <br /> <br />PDlsmm FLOOR RUNATIOIIS: 0 <br /> <br />FT. <br /> <br />IS I'HO.JECT IJ( FLOOD ZOME ARY.A 1 <br /> <br />YES NO <br /> <br />--.., <br /> <br />\. <br /> <br />*......*.*******.........**********....*.. <br /> <br />CW'J1L\L"tOR SEf;J'J..W{ <br /> <br />/lJIWlQ! ~ WltPANY~~ ~ ~(/O?////) / <br />State Ceet. or Regist _ t~<:!:;;; - -;-/"") 3G 5:1..1- <br />Sjgnat~'tt<;; ~ . __ City LicE'nse Registration t /93 - C(5 c 0 .J~ $I fJ <br />*....~...*.~***...****.t..*..........tt <br /> <br />~1.P.cTR"(CIAIf <br />Sivnarure l~~ <br /> <br />aJlfpAXY Mkl1.!~___ Clee-.>f/"'l C / <br />/) lil /J 5t:aU Gen.. or Kegist:.' el...t::o{X 'ftl'7 V <br />r. {/"'-z./' ~_ City License Registration f qj <br />...........................~~........ ,I <br /> <br />{mPAJiY '/l.l/. _Jfll1..t.5 [!C--vlt ~'v,1.. <br />State CA!r1:. or Ilkgtst./ ,_ _ /f/- <2ak (; '-16 '7 __on /' <br />..-___..____ City Lic~e RCAlstra'tioo , / t.. (, <br />***......*****........******.**........** <br /> <br /> <br />WVAft___. ;;1';1# Z ~~. ~ _-_____ / <br />SLate Cer.... ur Regist. t. . if. i)h;l d <br />City License Registratinn t /~/ <br />........*.*........**...........*.**. ' <br /> <br />t.r.IJU:;B. <br /> <br />CO!(PANY <br />SUte (;fort. or Regist_ , <br />City Lh:e.aae Registrat.ion . __ <br />.....***......*..*........................ <br /> <br />:; i gUllture <br /> <br />APPLlCAnOR A'PPROVED BY ____. <br /> <br />PElUur OFFICER. <br />