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<br />APPLICATION FOR PERMIT <br />CI'l'J( OF ZEPIIYRJIILLS <br />BUILDING DEPAR'lMENT <br /> <br />DATE RIlCJi:XVED q Ii t,~. <br />PLANS IUIlVU:If I'D <br /> <br />Pasco ~r.......;'~ ~5erv' (,.e.,> <br />7g'g -531 t./ <br /> <br />.' <br /> <br />OW!"ER'S N/\ME -.-JQhVl of- B~t-tJ 'f~( k~r <br />JOB AIJDRESS...3Q70{?, it me+h<j sf- IV~ <br />LEGAL DESCRIPTION: LOT(S) ;;to?; <br />PARCEL IIJ" ;:{'I-:;'&-;;../- 0050-0oo00-~ogO <br />WORK PROPSEIJ: ~W CONS'1'HUl:'1'10N <br /> <br />PHONE <br /> <br />j I <br /> <br />BLOCK <br /> <br />SUBIJIVISION <br /> <br />~ meralc1 Po ~ vet- <br /> <br />108TAIN FROM PROPER'l'Y TAX NOTl:CJlH <br /> <br />I!J 1\UIJ1'1'10N <br /> <br />o 1\L'1' EH1\T 1 ON <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />Os 1 GN <br /> <br />PROPOSEIJ USE: ~~ F'1\MILY UWIU,LING <br />OCOMMEHCIAL <br /> <br />. , <br /> <br />o MOV!!: <br /> <br />o DEMOLISH <br /> <br />DMULTI-FAMILY <br />o lIWUS'1'IUAL <br /> <br />Oil OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE IIOME <br />o OTIIER <br /> <br />IJESCRI P'I'ION OF' WOHK <br /> <br />o RES'1'AURANT ". IIEALTII UEPAHTMEN'I' APPROVAL <br />R V POR'-T <br /> <br />BUILDING SIZE <br /> <br />SQUARE F'OOTAGE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: A'I"l'ACII (2) PLOT PLANS". (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS." r' <br />COMMERCIAL: ATTACII (3) SETS OF BUILIJING PLANS & (11 SET ENERGY FORMS. '~ <br />PROPERTY SURVEY REQUIRED F'OR 1\LL NEW CONSTRUC'l'ION. <br /> <br />PERMITS REQUESTED <br /> <br />~UILDING <br />ifELECTRI CAL <br />~LUMBING <br />o MECIIANICAL <br /> <br />$ <br /> <br />VALUM'ION OF TOT1\L CONS'l'RUC'l'ION <br /> <br />" <br /> <br />I. <br /> <br />AMP SERVICE <br /> <br />o E'LOIUDA POWER <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />I I, <br />I' <br /> <br />$ <br /> <br />VALU/\'1' ION OF MECIIANCIJ\L INSTALLATION <br /> <br />:Ii <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECI/\L'1'Y <br /> <br />o OTIIEH <br /> <br />'l'YPE OF CONSTRUC'l'lON: 0 BLOCK <br /> <br />o f'IV\ME <br /> <br />o S'1'EEL' <br /> <br />o OTIIER <br /> <br />" . <br />, <br /> <br />FINISHEU FLOOR ELEVM'10NS <br /> <br />IS PHOJECT IN FLOOU ZONE AREA.O YES' 0 N~ <br /> <br />p~ <br /> <br />" <br /> <br /> <br />BUXLD&I\ > <br /> <br /> <br />~ <br /> <br />COMPJ\NY .:.T-erefJ'\..it;'~ <br />STl\TE CERT OR REG T <br />CI'l'Y Pll.OCESSING ft <br /> <br />SIGNATURE <br /> <br />.................................................... <br /> <br />SIGNATURE <br /> <br />COM.MY Z4.~,I 45'~e0-/c . <br />ST1\'l'E CER'l' OR REGIS'r fI . ") tf I ~9 I <br />CITY PROCESSING tl .~51 <br /> <br />,; <br /> <br />PLUHBBR ,.A r!3~ <br />SIGNATURE (.. >>,4/fJ <br />, <br /> <br />...........................................*....***............... <br /> <br />COMPJ\NY V)I1E (fo// /Jh/7?j;dJ <br />STl\TE CERT OR REGIST 11 <br />CITY PHOCESSING II 2. /! 2. <br /> <br />....*..**..~.*.*...*...*....*..*.........***..***.***.....*....... <br /> <br />MECIlANI CAt <br /> <br />COMPANY <br />STATE CEnT OR REGIST II <br />CITY PHOCESSING " <br /> <br />SIGNATURE <br /> <br />OTHER <br /> <br /> <br />COMPJ\NY ?As~t? .Efx#.t!/t)~ <br />ST/\T!!: CEHT OR REGIST II C B - c.oSCj 4) 3 <br />CITY pnOCESSING If . <br /> <br />" <br />" <br />