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s��-�eo.002o Cityr of tephyrhifls PeRnit Appiication F�$��-�eo-ooz� <br /> euiaing oepanmenc <br /> DeEs R�oslvetl <br /> � PIIOIw COIIfAtt tof <br /> o�.r.N� 1 I l-l.-� o�».�,.�► � •7S1 <br /> o�.r.n�a� �d Suil.��►a o�.�r�� � � <br /> w.8lmplo nn.naaK rl�n. i N�1>- � ow�..Plwo.Numb.r I � <br /> Fs�Simpls Titleholdsr Addnu -- .-�"� <br /> JOBADDRE88 'OTi ( <br /> SUBDMSION [��U�6C.��� PARCELID/ L1' '� <br /> (OBTAMED FROM PROPERTY TAX NOM�) <br /> YYORK PROPOSED � NEW CONSTR 8 ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE G1� SFR Q COAAiA Q OTMER <br /> TYPE OF CONSTRUC?ION Q BLOCK Q FRANIE � STEEL � <br /> DESCRIP710N OF YYORIC <br /> �,���� �y' x 3�� ��T� 51 ,� � <br /> �BUIIDING S 6D VALUATION OF TOTAL CON3TRUCTION ��4��� <br /> �ELEC7RICA1. $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPUAuIBING s � r <br /> �CHANICAL S VALUATION OF MECHANICAL INSTALLATION .� '�� <br /> QGAS Q ROOFING Q SPECWLTY Q OTHER ��� � I � <br /> FINISHEO FLOOR ELEVATIONS FLOOD ZONE AREA QyES (�� �,�p J <br /> �� <br /> BUILDER ��1�// A,,� COMPANY �S� CY�� <br /> SNiNATURE LC.C.�r REGISTERED Y N �curntp. N <br /> ^� �* t H t o a-Sa i�,—`� <br /> �cnncuw �.����J,,� co�r�wr Cl,v►d.al,� �le c�z.-� <br /> ���E �L. RE6ISTEI�D N FEECURREA /N <br /> e'°°"r` �;�a �(]D 12q Ib � <br /> PLUMBER �����d� COMPANY Sl�.� YYt.� `l <br /> �'�T�� � `.`�•• REGIST62E0 Y N �cx�qpEn N <br /> � Licensei t����a'�U � <br /> MECFUWICAL COMPANY S f�IC � <br /> $IC��� REGISTQ2ED i�l /N FEE CURR£n /N <br /> � �.us �. R �.i—���1 <br /> 07HER COMPANY � - — <br /> ���E REGISTERED Y/ N �WrtqE� Y/N <br /> � Licenae��—� <br /> IIIt1111111111111111111111111,I1111111111111111111111111111111111111 <br /> RESIDEN7IAL Attach(2)plo4 Plens:(2)aets d BuiWinp Piens;(1)eet d Enerpy Forms;R-O-W Permit►or new oorohupipi, <br /> Minimum ten(70)watkinp dsye aRer whmAlal date. Req��red onaite.Construdion Plarn,Stamwatx Plaro rvl Sih Faee'vwtalbd, <br /> Sanitaiy FaciNties&1 dumpsbr;Site Wbrk Pertnil for auDdivisionsllergs Prolec�� <br /> COMMERCIAL Attach(3)canpbte eeta d Building Plens plua a Life SafetY Pape�(1)set d Enxpy Forms.R-0-W Pertnit for new cor�sin�dim. <br /> Minimum ten(10)wakin6 dM aRx submiltal dete. Required aiake,Ca�hudion Plru,$Mrmwater Plaro w/SiK Fance instailed. <br /> Smiitary FaciNties 8 1 dumpqer.Sile Wak Permit for all new projects.Afl cammercial requeemerts must meet oompliarqe <br /> SIGN PERMIT Attach(2)sats of Enpinesred pler�s. <br /> ""PROPERTY SURVEY required for all NEW omstruqion. <br /> Dlr�ctlons: <br /> Fill out appticatipn compbtey. <br /> owner a c«rraa«aipn badc a apak�tion,naalzea <br /> M owr:260o,a Notlp d Comrw�e«tMrK is nquirb, (��PDratles owr t7b00) <br /> " apenc(f«me comreaor)«Power or nuomey(r«vie ownar)w«,a be someme wan noter¢ed btt�rrom avner auUwriz'a,8 same <br /> OVER 7HE COUNTER PERMITIING (FroM of Appticalion OnIY) <br /> Reroofs iI shinglss Sewers Service Upyratlea A/C Fenr.e�(Pbf/Strvey/Footsye) <br /> DHwwaYs-Not over CouMer ff on Public�°edweYB..�eeds ROW <br />