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<br /> Permit Applicatian
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<br /> � Phone Contact for Permit
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<br /> ee Simple Titieholder Address '
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<br /> Q Bio-Hazard Waste Storage-A1dNUAL � Fumigation Tent
<br /> Q Comm Exhaust Kitcfien Hood/Duct � Ftazardous Material{Tief tt ar RQ Facili#y}ANRtUAL
<br /> „ � Control�ed Bum � Hood tnstatlation _
<br /> � Emergency Genarator<30 kw � LP/hlaturat Gas-installation
<br /> QEmergency Generator>30 kw � LP/Naturai Gas ANRiUAL Sale
<br /> Q Fire Protecttan Maintenance-ANNUAL � Places of Assembiy-AAITdUAI
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<br /> Sprinkier � ❑ ❑ Q � � Reorea6onal Bum
<br /> Fire Alaarr � ❑ ❑ [3 C� � Sparklers
<br /> Hood Cieaning � LI , ❑ O � � Sprink(er System Instafiatians �1,-� j 1 t,r A��
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<br /> Hood Suppression � ❑ d ❑ � � S#andpipes(Sprinkter Sys)
<br /> Q Fire Alarm Instailation � Torcfi Roofing/Tar Kettte '
<br /> � Fire Pumps � Waste Tire Storage ANNll6lL ,
<br /> � Fiammable Application-ANIdUAL ��— � Valuation af Project
<br /> � Fuel Tanks
<br /> Q Other:
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<br /> :onVacfor / Campany
<br /> s'sgrrature ` `b y�""'" Registered Y/N Fee Current Y/IV
<br /> Address Lfosnse#
<br /> :LECTRiCiAN Gompany
<br /> 4ignature Registered �Y/N Fee Gurrent Y/N
<br /> Address Llosnse#
<br /> 'LUMBER Company
<br /> �ignature Registered Y 1 N Fee Cu�ent Y/N
<br /> Address License#
<br /> AECHANICAL Company
<br /> tignaiure • Registered Y/N Fee Current Y/(11
<br /> Address License#
<br /> )THER Company
<br /> iignature Registered Y 1 N Fee Current Y I fid
<br /> Address License#
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<br /> )irections:
<br /> Fill out appticatian completeiy.
<br /> Owner&Contrac#or sign back of appticatian,natarized{Or,copy af s9gned cantract with ovmer)
<br /> !f over$250p,a Noiice of Commencement is required{Mechanical work over$5000)
<br /> Supply two(2)sets of draovings with applicable documentation
<br /> Atiow 90-14 days for review after submittal da#e. Parcei#-obtained trom Property Tax Notice(httpJtappraiser.pascogov.com}
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