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<br />APPLICATION FOR Pi:lUaT <br />CI'n 01' ZJ!:PHnUiILLS <br />, BUILDING DEPARDa:NT <br /> <br />DA~ RECEIVED 51 L~ 100 <br />PLANS REVIEW FE:&: <br /> <br />OWNER'S NAME -SCSe.P h ~ ~ Ie. <br />JOB ADDRESS 5b5 l SL.\.""",~\...k' (l bf2.iu '( <br />LEGAL DESCRIPTION: LOT(S) \~ - BLOCK <br /> <br />PHONE f1l 5 -1064- <br /> <br />PARCEL ID # <br /> <br />lL-2..~, 't..l-O\.OQ - COCoa -0\50' <br /> <br />SUBDIVISION <5LlMMCfl.,n, t I <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br />DSIGN <br />PROPOSED USE: ~AMILY DWELLING <br />D COMMERCIAL <br /> <br />~ADDITION DALTERATION o REPAIR D INSTALL <br />o MOVE D DEMOLISH <br />DMULTI - FAMIL Y 0# OF UNITS o MOBILE HOME <br />D INDUSTRIAL o SWIMMING POOL o OTHER <br /> <br />(ORTATN FROM PROPF.RTY TAX NOTTCF.1 <br /> <br />~ <br /> <br />o RESTAURANT & HEALTH <br />DESCRIPTION OF WORK KooYY\ f\:col +-f~ ~ <br />BUILDING SIZE 2..4..~ 2.."l.. <br /> <br />DEPARTMENT APPROVAL <br /> <br />SQUARE FOOTAGE <br /> <br />5~~ <br /> <br />HEIGHT <br /> <br />~s. <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. ~~OD <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. 'I (p,/..... <br /> <br />V . <br />L< ~o~ <br />W'R'E'~;f <br /> <br /> <br />D BUILDING <br />D ELECTRICAL <br />D PLUMBING <br />o MECHANICAL <br /> <br />$ ZI, ~OO <br /> <br />PERMITS REQUESTED <br /> <br />VALUATION OF <br /> <br /> <br />AMP SERVI CE <br /> <br />D <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />o OTHER <br /> <br />o GAS 0 ROOFING 0 SPECIALTY <br />TYPE OF CONSTRUCTION: ~K <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES D NO <br /> <br /> <br />-~ _I~ <br />SIGNAT~ _ <br /> <br />COMPANY. RYMAN ("ONS'T'Rn(,,'T'TON .TN(". <br />STATE CERT OR REGIST # ("'!=l("-O':lI::;, iLl <br />CITY PROCESSING # 2 7 4 <br /> <br />****************************************************************** <br /> <br />ELEC'l'1UC~ <br />SIGNATU~ ",-- '\) ~ ~ ~ <br /> <br />****************************************************************** <br /> <br />COMPANY. MA R'T'TN RT,R("'T'RT(" <br />STATE CERT OR REGIST # ER 013449 <br />CITY PROCESSING # d-'l , <br /> <br />. <br /> <br />PLtnmER <br /> <br />SIGNATURE <br /> <br />~ ~)IOQ~,.(~} <br />, <br /> <br />COMPANY DENNIS WILLIAMS <br />STATE CERT OR REGIST # RF-nl:i?nO <br />CITY PROCESSING # / 1 <.o'J1. 0 <br /> <br />****************************************************************** <br />MECHANICAL' COMPANy: BARR '. S GAS AND 'A1C <br />~ e ' STATE CERT OR REGIST # CAC-043948 <br />SIGNATURE .. 4"----c":, 1 CITY PROCESSING # 1'7. <br /> <br />***.~******************************************************** <br /> <br /> <br />o~ -.--:: ,- COMPANy RYMAN CONSTRUCTION, INC. <br />STATE CERT OR REGIST # RC-001f?148 <br />'SIGNATURE CITY PROCESSING # <br /> <br />***************************************************************** <br />