|
<br />L,:,t'l'i: OF' ZHlPUYRHIIJIJS l?BlRMl'l' APPIJICA'rION
<br />BUIl,IHNQ IHllPARTMBlN'l' 5335 8~h S'rREJBl'f ZBlPHYRHII.IIS, In 33Ei40 I ;:-/'(-.(13
<br />PhoneI81l-780-Q020 FaX1B13-780.0021
<br />l1A'rBl RBOBlIVSJD ;,.,.._:...__ .._. ...._ .~... ... _~..
<br />pr,lu'/s RIIlVIBlW Jl'BIll..c."".'IL
<br />'\" ' ..! .
<br />"''''"R' 8 IIAMO .....u.:s."'~~~"',-'-b~~l~""'~h "'~\ "HO~~ "()N'I'A<'!'~~; ~1\~.,*'11 C
<br />
<br />,lOB 8TTH! ADl>RBJ88 P' ....-~~":>.~.....~----~--_-.l-\..--.....,.-~-"''\--'c'=,..~-~';\-')t.~.L____._ .......<:1l.\-.-'h
<br />
<br />l,lill)I\L IlIllSCHIP'1'J()ll, IJO'1'(8)
<br />
<br />B flOC! K
<br />
<br />SUBIlIVfSlOt!
<br />
<br />P T\ R mn, IIJ It
<br />
<br />(OB'rAIN ]?'ROM PROPBJR'l'V 'I'A1< Nit'l'H1BI)
<br />
<br />"'-~---- ..-.-.-.-------.--.--.---. ..--- -.-- _._---_.~._~.. .._-_.-.~_... ._.. .--. ...._-~........ " ,.'-"-'""~',~ .-.- ---.---------..-..
<br />
<br />WORK PROl?BHlllt IJNBlW (I()NS'l'Rll(~'fI()N
<br />
<br />!~I)[)I'l'H1N
<br />
<br />[) AI/l'ERA'l'ION
<br />
<br />[1 RllJPAIR
<br />
<br />I] 1 Na'rJ\!;II
<br />
<br />Usrml
<br />
<br />!] MOVEl
<br />
<br />[J DElMOI,ISII
<br />
<br />PRO),lU8EJI1 USB: I [.lsm, FAMILY nWEJI.JI,Ilm
<br />
<br />[]MUW'I - FAl'UlIY
<br />
<br />[) cm1~1B1R(! J1\ I,
<br />
<br />[) INDUS'l'RIAJ,
<br />
<br />[J # (J P' lJIH 'I' 8
<br />[) S~lIt.1MIW~ pour,
<br />
<br />LJ MOBII,Bl lIot1m
<br />[J 0'1'Il BI R
<br />
<br />SUnDIN() SIZEl
<br />
<br />CJ Ral8'rAURANT & HElAI.JTII DBlPAR'l't.1ElN'I' l\PPROVAJ-l
<br />"DRK' ..,_.C ~~__-._~__ .__.
<br />I 3 '3 V. 0 SQUARE Ii'OOTAC3E
<br />..----r .. -.-... -.-...-..----.- -.-.. -----.-.-.--. ---
<br />
<br />IIElHUI'f
<br />
<br />IllllSCRIP'l'1ON OF
<br />
<br />RBl8IllEN'I'IAJ'1
<br />(XWIMBlRl!IAI,I
<br />
<br />A'j"l'ACII (2) PI tOT PIJAI1S & (2) SElTS OF BlIlI ,(lINei! PI,ANS & (1) SEl'I' ElNHlR(illJ Ii'OHMS,
<br />A'I"I'Ar!H (03) 81ll'l'S OF BlJILDlHG PLANS & (1) S8l'!' ENIlJIWY FORMS.
<br />PROPElRTY SURVEY REJ~JUIRBlD FOR Ai,l, NEW CONSTRUCTION,
<br />
<br />l~nJ,\Jnj(~
<br />
<br />FERM!TS REQ~ESTED
<br />. e--D
<br />$_.33....._.3SQ_'...__. _. VAl.UATION OF '!'O'l'AL CONB'I'R1JL:'l'ION
<br />/
<br />
<br />I) ElJ,B1r~TR] OAI.
<br />
<br />AMP ~ElRVICBJ
<br />
<br />o
<br />
<br />FI,ORlfJA POWElR
<br />
<br />LJ
<br />
<br />
<br />U l?l.lJt,1BIlW
<br />U HIlIUIl1\1n(~Ar,
<br />
<br />$.-
<br />
<br />VAl,DATION OF MEClIll.NC rAI, IlIS'l'AI,I,A'l'TON
<br />
<br />[J(3AS
<br />
<br />U ROOP'lW3
<br />
<br />LI8l?ElrJIAI,'I'Y
<br />
<br />[J O'l'HElR
<br />
<br />']'YPHl m' CUH8'I'RlJt:'l'HJN I [] al,OCK
<br />
<br />[1 1<~RAJ"'El
<br />
<br />[] STElElI,
<br />
<br />[] OTIIElR
<br />
<br />FIN LSHElJ) P'l,(,lOR BlI,ElV}l'!'IONS
<br />
<br />18 PRO,TE)C'l' IN FL.OOD ZONEl ARE/\ n '{8le
<br />
<br />o NU
<br />
<br />
<br />BtJILnBlR ~, COt1PANL..jj,.)..t2L2L_ .;;:Jh:l..~- ......___.___........
<br />~ /' S'PJ\'I'El ('E1R1' OR REHEBT #
<br />81 r]HA'I'llHBI u::.J'~I-'t~..=t:~~_ __ .___ __. ___.__ CITY PRO(lElS8IW3 _~._ --,.,J.t~~ ~ _. ~".~_~~.-_.'-.~-'~..'.:~-~-"-
<br />'*'*'**'*'**'j1'****"'*'**"**"*****'*'**"'*"'*'**'**'*""*'*;
<br />
<br />JlII.RlO'I'RIOIJIoN
<br />
<br />811HlA'1'IJREI(G...
<br />
<br />.. . H'" __.. ...__ .____. ._..~._...._ .,_,.__._______ __"__"'_"'~"'_ _"'___._.__
<br />
<br />CO/'1PANY _.____..____.__.__ _.____
<br />8'1'A'I'El ('ElR'I' OR RElen 8'1' #
<br />CITY PROCESSING #
<br />
<br />***'*****'**********.*'*****************************'*'*'k**'**'**
<br />
<br />PI,lJMBBlR
<br />
<br />"''''--'-'~ ,.-."- ....--......---.. -..----. -~ --------.---.- .~_.._._-----.~---
<br />
<br />(!()~'l PAN Y ---....--..-.-..-..--..-..-__ __._....._____....__..__. ...... "'_ _._.. ._ ..__~...
<br />
<br />STA'rE CElRT OR REll118'r # ________._____.._____._.....,_.__....
<br />CITY PROCESSINI1 H
<br />
<br />8 IrmA'l'llRBI
<br />
<br />..___._.....___ ,__u.. "'__.._...._..,___ _. ,_._ ~..;~.__.__....._ _.__._.______
<br />
<br />MSlC!JlAHr [JAr,
<br />
<br />'*""'**"'*"**'**""*'*"*'*"*""""""""'**'***"'**'"
<br />
<br />- -._~,-._ __4"'_'___~"___'_'_'__U_.__."".._____ ....________.________.___
<br />
<br />colvI PAN Y__.___..__.__.___.___.___.
<br />81'A'rEJ (!EJRT OR RElCH 8'{' #
<br />CITY l?ROCEl8SIW3 #
<br />
<br />Slf3NA'l'liREl
<br />
<br />--...._-~_.__.,.._.._._------~_..._..__. .--...-.--...--- ----- .- .,--.-.-----..
<br />
<br />***~*****..,.*.,**'*'"***'****'**'****.****',..,*',.,*'*.".,.*.,.
<br />
<br />O'l'lIB1R
<br />
<br />,-_.~ _..._._---------_....~~---..---~._._-_._"~....._--_._.--.-
<br />
<br />COI.IPANY
<br />B'I'ATE! CiiiRT-OR- REiilIsT"4"r---"--"'-"
<br />Cl'rV PROClElSSINI1 # "--'''''---'-'
<br />
<br />.'--"-'- .--., -. ---~-_..-... -- .-..-.. -----_.._-_..~._..~.._--_._--_..__.- ---.----..---.----
<br />
<br />S H~IlJ\'l'\JRHJ
<br />
<br />* . ~ . , * * . * . , . . , * * . ,. , * * . . "* , . ~ . , , , . , . . .. * . . * . , , . , * * "* ** "* * "* , * , * * * '" * , , ,
<br />
|