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813-��0°� City of Zephyfiills Permit Application Fax-e��-�eo�oos� <br /> Bufldinp Departrnent <br /> D�b R�plv�d a-(J �--Q��' , }� '� s Q � <br /> �T7-1-T-f7 Phan�CorMaet for P�nnlltln a� _ C�C.t <br /> Own�s N�m� e J Q Q--l.�(}�.J i�� Own�►Phon�NumMr �/J^7�S'�S�-� <br /> Owmrs Addnss �Q,t�C.Q� ' C� (/�- Ownsr Phon�Numb�r �� <br /> FN Eimpl�Titl�hWd�d N� I '— � � Own�►Phon�Nwnb�r <br /> F«aima.r�wnold.f,�dae.,s N � � <br /> �oe,�sa �o�/ 3 L c�.c,c e c � w��,� .� rL �oT r � <br /> SUBDMSION ��-1 Q�..1 U��� PARCEL ID/ ��'�� — � �� O 1 S U -��Q�)O "�/ <br /> (OSTANlO rROY PROP6RY TAX N071Cl) <br /> WORK PROP08ED B NEW CONSTR 8 ADDlALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROP08ED UEE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCtiION O BLOCK Q FRAME Q STEEL Q �--, <br /> DESCRIPTION OF WORK �\C C-�'`�"��� O�.>E p7 .,S %Ol�F /S S f P iZ <br /> BUILDINO SIZE SQ FOOTApE�� �Q►� �� <br /> QBUILDINCa S VALUATION OF TOTAL CONSTRUCTION <br /> QELECTR�CqL S AMP SERVICE Q PROGRESS ENERC3Y Q W.R.E.C. <br /> OPIUMBING S <br /> �FAECHANICAL S /'_^n � VALUATION OF MECHANIC/1L INSTALLATION <br /> ltI <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED PLOOR EI�VATIONS FLOOD ZONE AREA QYES NO <br /> BULLDER COMPANY � <br /> a��A�� REGISTERED Y/ N FEE Cl� Y I N <br /> �d�� LICMIE!# <br /> ELECTRICIAN � CONPANY <br /> $���TV� REGISTERED Y/ N FEE CURNB� Y/N <br /> Addr�ss License# <br /> PLUNBER �p�y --� <br /> $���TU� REGISTERED Y!N FEE cuRAEn Y/N <br /> Addnss Llcsnae#�� <br /> MECHApICAL �p�y,�y ��D S e���.C t S —, <br /> a���TV� REGISTERED Y/N FEE CUitREI. Y I N <br /> �aar... loC3c� Jv.,�F- �a.�- �a t31� u�«,se# C�-l�I(.o a l <br /> onieR coMP�wr <br /> $����� REGISTEREO Y/N FEE cu�n Y/N <br /> Add►�st License if <br /> IIIIIIIIIMIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIItilllll <br /> RESIDENTIAL Attech(2)plot Plarro;(2)ssta d Building Plana;(1)set of Enapy Fams;R-Q�W PermR for new ccnstrucnon, <br /> MlMmum ten(10)wottdng deya eRer suhmitfnl date. Requlrod ornite,Constructlon p�ans,Stamwater Plans w/Sllt Fence Insfalled, <br /> S�anitery FacWtles 8 1 dumpster;Site Work Permk for wbdMsionsAetge p�oJeus <br /> COMMERCIAL A�fech(3)complste ssb of BuiWiny Plans plus a Lite Sefety Peps:(1)ast oi F.nsrgy Forms.R-O-W Permit for nsw corqtrucyon. <br /> Minimum ten(10)rwrldnp days alter submiltal date. Requked msile,Cons6ud3on Plens,Stamvwtx Plens wl SiR Fence installed, <br /> Sankary Fadlitlst 51 dumpste►.Site Wa1c Permk for all new projecb.All aommert�sl requiremerrts must mest compliance <br /> SION PgtMR Abhch(2)ssb ot Enpineerad plans. <br /> "�"PROPERTY 3URVEY reqWnrd for aN NEYV cpnsbudfon. <br /> ' Ili • 11 1 � 1 lii 11 � 14..........�111 Ill.ii <br /> DIP�CtlOflt.• <br /> FlII out applipti�n carnplstely. <br /> Ownsr�C.ontrBetar eign badc of applicedon,tiotuizsd <br /> M owr{2500,�Notia oi ComrMnamait Is nqulnd. rMC uppnda mn►i7500) <br /> " Agent(tor 1he cb�fVSCtor)a Power oi Attaney(for the owner)waild ba someone with nofarized lettx irom owner wtlwribng seme <br /> OVER THE WUtIT'ER PERMITTINO (Front af Appllcatlon pn�y) <br /> Rerooh K shkiglss Sewera Serviee Upgrades A!C Fences(Pbt/Survey/footage) <br /> Drhr�s-Wo�over CouMer N on publie roadways..needs ROW <br />