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<br />CITY OF ZEPHYRHlIJLS PERMrr APPIJICATION ~1J:~13
<br />BUILDING UEI?ARTMElN'r 5335 8th S'rREIlI'r ZEPHYRHII,I.S, P'L 33~SO 't .:-- , c;<-15
<br />J?hon~1l B13 -780 - 0,020 :h~ 1813 -780 ~ OO:U Ll- 1(; __ .~
<br />DA'rlll RIllCIlIIVIlJ ~_ ~7?_.02_.
<br />PI,ANS RlllVUl Fall ,.
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<br />OWIlER' 8 IlAME ___-_m~~ItL M 4~___ _____ _.____ ._______ PHON CON'!'A' "!'!Y0::.~~~.: ";:~'('i
<br />,TOB SITE ADDRm8s,3~Q2~~~.~.L_j;dr_~_._.___.__..________u___. <>
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<br />SUSI)IVI S J()tl ~w..9:..1f..d.W{ ~__
<br />PAR""', n< # Jt{ -~ & - JL()jJ<'():J2_Q6 00:9 '-fS:-O__~__!O~TA~N!R(~~-,,~()p~R'rY'I'A~~":~I<"_J__
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<br />IJ81GAL DBJSCRIPTIOll: LOT(8)
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<br />SU)(!K
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<br />WORK PRUPSElJl ~mw CONSTRUCTION
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<br />USHm
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<br />[) 1\r)J)I'rION U AI/rERA'I' I ON [J REJPAIR [J INSTAl,!,
<br />[) MOVE [) DElMOI,ISII
<br />[h1UUI'I ~. FAMIl.Y 0# OF UNITS )<n108 II. E l{of~1ll
<br />o INDUS1'RIATJ [JSWltIJMING POO I, [] OTHER
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<br />PROPOSED USEI: []SGL FAMILY DWELI,Ilm
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<br />[J Cm~MElR(! JAT,
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<br />CJ REJ8TAURANT & HEAI,TH DEPARTfIJElNT 1\PPROVAL
<br />IlElSCRIPTION OF NORK Mu..; ;J5:LX':l8...---LJ1Q!QI!.e h.t.J/y1.IL, ,.(L$i~9.4f_~_~___________..~..u___.
<br />SUu'DIN(; S UEl ~~Y.fi_..______
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<br />SQUARE FOOTAGEl --.....LL~__
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<br />HElIGH'r
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<br />REBIDRlNTIATJ I
<br />COI'-1MBlRC!I JH, :
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<br />.~.._--_.~- --- --....-..--
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<br />A'l"l'1\CH (2) PilOT
<br />A'l"l'AC!H (3) SETS
<br />PROPERTY SURVElY
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<br />~IILIJIN(~
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<br />$ __~{!)QO
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<br />PTJAllB & (2) SEll'S OF BtJII,IHN(1 PLANS & (1) SEl'r ElNElRI1't'
<br />OF BUILDING PLANS & (1) SElT E:NElR(~Y FORMS.
<br />REQUIR'O FOR AI,L NEW eON81'RUC'rHm, vfI ~ ~
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<br />
<br />FERMITS REQUESTED ~
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<br />FORMS,
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<br />VALUATION OF TOTAL CONs'rRUC'I'I0l1
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<br />l,J--1!TLIllCTRICAI.
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<br />----J&QO__ Mlfl? SElRVICEI
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<br />G--FI.oRIDA POWElR
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<br />[J...1rI,utIfBING
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<br />LiHfmc m\.N I C! AT J
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<br />$._._/~OO _____ VALUATION OF tIfECHANCIAI, HIS'l'AI,I,ATTON
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<br />[] GAS
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<br />[] ROOFING
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<br />[J 8J?E1C!1AI/I'Y
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<br />[] OTHER
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<br />'l'YPEl OP' CON8'1'RUC!TION: [J BLOCK
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<br />[] FRANE
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<br />[] STEElJ
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<br />Lq.....eT II El R
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<br />FINISHEJ) FI,OOR mrJEVATIONS 113-,2/1 ::.____
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<br />18 PRO,TEC'f' IN noon ZClNEl AREA [J YElS ~)
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<br />Bur IJnlllR l'otIfPAN y-J;gf..'Y:J1.n~1!1tt.._~:fV/?._..__... ___._____ _._
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<br />8"lUATURE __&_=-c)~______ ~'~*~. P~~~~8~;~j~~;~::~:~;~:
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<br />*****~**********************~~*******~*************v*** *******~1,r~~~~.K.
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<br />ml,lllCTRIC!All . CO!-1PANY _ /-....,/ ~Q~___________....______.._.__ ______
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<br />~ STATE e'ERT OR RE~TS'l' #_~-'@-QgJQ>-?,J____.___
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<br />81"I1A'I'IIR8 ---,-~,_____ erl'Y PROCE88~K#__-2_1.____~__
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<br />PI.l1MBBlR
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<br />COt.1 P ANY -.~..lli~'f2-1IJJL~.~0':-?._._.__ ._.....__.________
<br />_J:d ~ STATE CElRT OR RElr1rS'I' # _.;F"1t.!20f2.c}(,)...I...._._.___....
<br />----~_-::~_:--- -------.--- erry PROCE88IN" # ftI?--~~
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<br />*"*********************~~~*****************"***c;******"**********
<br />COI'-1PANyJft.__~s '_~"__"__________._ _____
<br />STATE (~ElRT OR REGIS'r # .cttc tJ.L8.'i..(p2._.______.
<br />--------!..-- ---_ .____t!. _..._._____ Cl'1'Y PR()CES~~--L21...-._--..----_---- .._____.
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<br />MBlC!HANICAI,
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<br />S IGHA'I'tJREl
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<br />O'fnER .------.----.---- .A:21____________ ~~~~:N~ERT OR R~-----..-.-------,_...--. _""______
<br />SWHA'l'UREl ____...___._______ CITY PROCESSING # _____.________._________
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<br />****************~****~**********************"**************~***~*
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