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<br />APR-07-2003 12:22 <br /> <br />COX FIRE PROTECTION, INC. <br />IIUIIoDDIII DII>>.u:DIDl': <br /> <br />813 980 0631 <br />nll.om ItZC:IlrWD <br />:rLD1 ~ I'D <br /> <br />P.03/09 <br /> <br />CllNO' S IO\ME <br />JOB ~RS:lS <br /> <br />~t~~ IN~~~""t10NAL <br />(~4- ~ 6.AU- "&..\JD <br />4 <br /> <br />!'HON!: 17 a - ~~l - J.:iZ 7 <br /> <br />SUBDIVISION ~ Su Pe'R5TDRe <br /> <br />L~ DESCRUTI0N: LorIS) <br /> <br />BLOCK <br /> <br />li'AACEL ID 11 <br />WORK !~P":!D: .NEW CONSl'JWct'tON <br />[::JSIGW . <br /> <br />~ rJYWJl TN' J"IIOM Plio PJ:1l'7'V 'PloY NOT'Il!R \ <br /> <br />o ,lUlDUJ;ON <br />[J MOVE <br /> <br />OAt.'rE!lA1'ION <br />o DDCOLI:SH <br /> <br />o ~PAIR <br /> <br />CI INSTJU.t. <br /> <br />PROPose USE: OSGL I'AKtLy ~HG <br />.COHHUCIAI. <br /> <br />OHULTI-F4\HILY <br />o INWsnu;u. <br /> <br />Ot OF UNrrS <br />o SlfDMtMG POOx, <br /> <br />o HOBlLE HOME: <br />Oot.' <br /> <br />_ JU:S:rADJU\NT , BAL':B DEpAAna:tn" A1'l'R~ <br />PESCUP"r:ION OF RO:RX CA.\lU'~ diR..\.L1.-~ ~ <br />Btl'ILnXNG nu I ",=>Tr')!? 1 f- SQU>.RE FOoT~ A"Z..O"2 <br /> <br />!W:GHT <br /> <br />Z:Z..I-IO: <br /> <br />IIESIDENT:rAl.: ATTACH (2) PLOT l'Ll\NS , (2) SETS OF BUUPING l'LNfS , (l) S&'r ENERGY FORMS. <br />CoMMBRCI2\L: A'l'TACH (3) SITS 01' aUUI)!Nb PIJ>.NS ill) :n;r ~!:RliY !'O~S. <br />PA.OPER'rt SUJrv'EY ~IREl) FOR ALL NEW CONS?RUCTION. <br /> <br />PE~'.rS REQOESnD <br /> <br />o BUI:LDD4G <br />o E1.ECTJUCJl.L <br />Cl PLtlKBIHG <br />o KtCHJ\NICAL ~ <br />o GAS' CJ ROOFING [J SPECIALTY <br /> <br />$ <br /> <br />VALtn\'l'ION OF TOTAL CONSTRUCTION <br /> <br />Am SERVICE <br /> <br />C nOlUDJ>.. POW!:rt <br /> <br />D If.Fl.E.C. <br /> <br />V1\IoUArIOli or KECiWfCUl. INB'rA.f.t.MION <br />.OTHER. Fl~ '5Yr2..t~~ <br /> <br />'1'n>E OF COHSTRl1CT:tOH:. BLOat 0 I'IWiE <br />FIN:ISH!:D !'1.ooR ELEV.J.rIONS \41.04 I <br /> <br />.S'l'EI:L <br /> <br />CI O'l'ilEk <br /> <br />IS !'~0JEC'1' IN rLOoD ZOH& ~[J YES <br /> <br />.. MO <br /> <br />~~~k~~~~~~~~~~~",-~':~;-'~'";~- ~. _ '....~~~~~~~~~~~:lH"i: <br /> <br /> BU:UlD <br /> SI~ <br /> nlEcruc:xu <br /> s:r~RE <br /> I'UaIPll. <br /> S%~ <br /> ~cu. <br /> SI~ <br />"" 0'nID <br /> SIGNATURE <br /> <br />CClHl'J'$i <br />STATg aR1' oR REliIST 1# <br />ClTY PIU:lCESSING . <br /> <br />..~*.*.~..*.....**..*.........**....*...~...*...*~.*.*..*_......*~ <br /> <br />c:oMPANY <br />STATE CERT O~ ltZGIST . <br />CI~ ~ROct9S%B~ . <br /> <br />......~.....+.-.........~.w..~.........**..*_~.*~....+*....*~..~.~ <br /> <br />COKP>>n- <br />STAn Ctll.'r OR REGIS'!' . <br />CITY l'Roc!:SSDl'G f <br /> <br />........*.~..........*_............~*.*............*.....~.....*.. <br />COMPANy, <br />STAtE C!:M' OR R1lGI!lT . <br />CITY !J\OCESSIKG . <br /> <br />......*.****~.***........**.~-_.._..........__.._~...*..*...~*.~. <br /> <br />., <br /> <br />c:oHPANY <br />S'1'.AT!: aM' oa JU:GtST .. <br />an PRC?CESSING , <br />. <br /> <br />........~..............~.~~........................*.**.*.*....~. <br /> <br />l' .J <br /> <br />I rn I' nu <br /> <br />S'1IHHAHd3Z ;0 Allj <br /> <br />WdEE:1 !DOl'o .~~O <br />