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813-7�20 City of Zephyrhilts Permit Application Fax-s»-�eo-ooz� <br /> - ' euilding Departmern <br /> DsU Recelved phone Contact for Permitting �f( 7 p <br /> Owner'a Name rd `` R �"' �'�[ / �OWner Phoire Number ��3`—1—� �` � !r <br /> Ownsra Address •V' W �a 1 � � Owner Phona Number <br /> Fee Simple TiNeholder Name 1"'�• Z� Owner Phone Number <br /> Fee Simple 11Nehdder Address <br /> JOB ADDRE33 ✓� ��"�}b ��'T° LOT# � <br /> SUBDIVISION r PARCEI IDk o 3 a H a i o�oo �,ayc� vo�o <br /> (OBTAINED FROM PROPERN TAX NOTICE) <br /> WORK PROPOSED � NEW CONSTR e ADD/ALT Q SIGN Q MOVE Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTtON Q BLOCK Q FRAME Q STEEL Q OTHER <br /> DESCRIPTION OF WORK �Ah.hG1�/ � !� �d/Y�c . li/°�/ Q Gt�'' � <br /> BUILDING SIZE SQ FOOTACaE HEIGHT <br /> Q BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> Q ELECTRICAL $ AMP SERVICE � PROGRE3S ENERGY Q W.R.E.C. <br /> Q PLUMBING $ <br /> � MECHANICAL �$��^ � VALUATION OF MECHANICAI INSTALLATION .�/` �C�� <br /> I u � <br /> Q GAS Q ROOFING Q SPECIALTY Q OTHER '� b 3� <br /> FINISHED FLOOR ELEVATIONS � FLOOD ZONE AREA QYES QNO <br /> BUILDER COMPANY � <br /> 316NATURE REGISTERED Y/ N FEE CURRENT Y/N <br /> Addresa License# �—�� <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERE� Y/N FEE CURRENT Y/N <br /> Address License# �—� <br /> PI.UMBER � COMPANY <br /> SIGNATURE REGISTERED Y/N fEE CURRENT Y(N <br /> Address Licerne# <br /> MECHANICA COMPANY A(� 1�N SE RV��� O F P� <br /> SIGNATURE REGISTEREO Y/ N FEE CURRENT Y/N <br /> Addresa P-0• U[f}� �ZC� License# K l.� / � • !'� I <br /> OTHER � COMPANY <br /> SIGNATURE � aECistateo Y/N FEE CURREN! Y/N <br /> Address License# <br /> RESIDEN7IAL Attach(2)Pbt Plana;(2)sets of Building Plens;(1)set of Energy Forms;R-O-W Pertnit for new construction, <br /> Minimum ten(70)working days eRer submittel date. Required onsite,Construction Plans,Stortnwater Plans w!Sitt Fence installed, <br /> SenRary Facilities 8 1 dumpster;Site WoAc Permk for subdivisions/large projeds <br /> COMMERCIAL Attach(3)complete sets oI Buildinp Plans plus a LiFe Safety Pege;(7)set of Energy Fortns.R-0-W Permit for new consWdion. <br /> Minimum ten(10)working days after submiltal date. Required onsde CaisMiction Plans,StMmwater Plans w/SiR Fence installed, <br /> Sanitary Facilities 81 dumpster Ske Work PertnR for ell new projeds.All commercial requirements must meet compliance <br /> SIGN PERMIT Attac�(2)sets of Engineered Plens. <br /> ""PROPERTY SURVEY required for all NEW consWction. <br /> Direcdons: <br /> Fill out application completey <br /> Owner&Contractor aipn beck of application,notarized <br /> H ovar f2600,a Notics M CommencemaM is roquirod. (NC upprades over SSOOOy <br /> " Agent(for the contredor)or Power of Attomey(TOr The oxmer)would be someone wilh notarized letter han owner authorizinp same <br /> OVER THE COUNTER PERMITTING (Front of Application Onty) <br /> Reroofs Sewers Service Upgredes A/C Fences(PIoUSurvey/Footage) <br /> DNwweys-Not over Counter if on public roadways..rieeda ROW <br />