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<br />crr.rY OF ZEPH)~ILLS PERMI~ APPLICATION <br />8unS;'Uf(;1 r},!,i;1;'M'fl-mNT 1313-'788-'6611 FAX: .U3.-'188-1!S16 <br />DATE RECElVED---~,~,~- <br />PJ..hN3 R8V I EW FE E <br /> <br />~WNE!~." s NANE..12DJ:J..J?t~BQ~.~..2li~?_"_.___".,,_._.~__" PHONE.$l Q . 7<g<g. Ilc.[-S <br />10/3 A.L:DPf~:::"5l>~~g,#?.$t~,"...~pb!fhLU2~_..EL_L_~~f2.qQ~_~.__._...,.____.__.___.. <br /> <br />LSGAlJ DF.:3I:;RIPT 1 on :LO'f I 'S..I BLOCK <br /> <br />STJBLIIVrSION <br /> <br />P l\~GE, LID # Jl.:.;!;lt?..:..~: O12L Q.~..~J~..~..91.l.Q_.___.._.._._J.Q~U"I,.N. __E'B.QM...eBI~.a!L~.....NiU:.I.CEL_ <br /> <br />o q ~./'l>l\" <br />'w) .1. ',1. j <br /> <br />t~J ~I ()1"ll: <br /> <br />~ALTERATION <br />CJ DEMor,lSH <br /> <br />o REP;1\IR <br /> <br />o INSTALL <br /> <br />'fORK PROl?Sfm~ O!:,fli.W (:~.::PSTF.UCTI()N <br /> <br />[] i\DDlTION <br /> <br />PROPCSED USE::: )Kf:3Gr, ;'Ar-~U~Y 1)\~r.L:,i.,iG <br /> <br />[lHULl'I - P'}"MILY <br /> <br />Un OF UNITS <br /> <br />o HOB I r...E HOME <br />o OTHER <br /> <br />o c.c\<'m:HC 5)."-\., <br /> <br />o INlJU5TFIAl, <br /> <br />OSWIMMlNG POOL <br /> <br />C:J RE:;TAlIHJ\J'i; ':- HE;ALTH DSFARn1ENT l\?PHiYoJAI" <br /> <br />ct~'~~; i~~~ALcio_3,'dc{LJd~.!11L~~-Lfu~UJant5 eJq5li'1j <br /> <br />13L:JLDING SI::'Ji; __~._._,~__~~_.._,"..~,_A,___n.... SQU,i~.RJ{ F'(lO'l'AGE: ^____.__.~~_, KEIGHT ~ <br /> <br />RF.:~~IN:NTJ:AL~ .7-1.'1'T1"'.C1'; ('2) ?J.//r".,.",H~:~ !; U) S::<:'TS OF RUILJ:)IN(') PI,f'.\.l'i'S & (1) SET ENERGY FORMS. <br />'~\:",'\- 1AL ; AT"ri),1~'H ('3) 5[';'1'2 CW -P,,! I U) ING iL!\N:3 ,~< (L \ SET ENEP8YFORHS. <br />;;--B.CPb:r"'TI SUiWF.Y F~F,(::UTFid,) E'OP I\l,L NE~~ CC)NST?UCTION. <br /> <br />~ERMITS REQUESTED <br />~"""""''''.~'''''\I''''J'....._.,~._".........."........._h.....,.-.................~..-,,,.~'"'T~ <br /> <br />[] BUILDING <br />o E;LEC'1'RIC,~L <br /> <br />$,,~.~---_~_~_.._>~_".~~",_._.~, VALFATION or TOTAL r:.:O!"STR(K~TION <br /> <br />.,_~_~_,.,,,",~,"l;.N'P' :5FPVl C::S <br /> <br />[J FLOHIDh PC.HER <br /> <br />(] W.R,E,C. <br /> <br />LJ FL~1t.1P:rl,;r:; <br /> <br />~ HECH~\i\HCAL <br /> <br />;E;_...~~l~."_"__""~_.._".._ VAJJU},\Tl<JN OF :tl'YClll',lJCIAl, INS'T.ALhl\.'l'10N <br /> <br />[J GAS <br /> <br />Cl Roon Nl~ <br /> <br />1] s p~::,:' r ri..;!U <br /> <br />Lj C',fl"HEP, <br /> <br />TYPE:; OF C"t,j~;rp.Ll~':J'"J)N: U i:~L\XK <br /> <br />CJ P'B.ANE <br /> <br />[J STEEL <br /> <br />[1 OTH'I<:;R <br /> <br />F all SHED t,J:,OOP ~~ L:E V}!,. 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