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<br />~-"1""\i..l~."'.~'U1L i S ....'Rc l""'l;;:PAR. T!\11ENT <br />~'='J"""l l "I j \;01 JIl ...-. j], ....... .!.-i:-... it, 1 lVI" ' <br />aSCi :2ir/ ~cac!, 2sphymiils, '=L 33542 <br />3us \813) 780-0041 Fa;~ ,,813) 780-0044 <br /> <br />j-:rs ~:;1!eT ~CC8r: i~arr...1jig <br /> <br />F1RE S:ERV~CE <br /> <br />OC;::.ipancy No.: <br />Plan No.: ~/ '" <br />3usir:ess ,'jame: <br />:Business ACdrsss: <br />3Ls:ness ?'1cne ;\IC.: <br /> <br /> <br />CLs;ness ]=3)( :\jc.: <br /> <br />Ccmac~: <br /> <br />?UN REVIEW :==3 <br /> <br />JNS?=CTlON r~ <br /> <br />Site ?tan <br />.---l <br />I Budding i=!ans <br />i i ?~e'jisicr. <br /> <br />>J/C <br /> <br />c--1 <br />LJ <br />i 1 <br />t <br />. , <br />I <br />~ <br />I . <br /> <br />$125 <br /> <br />NiC <br />525 <br /> <br />.043T <br /> <br />.;l..nnual <br />'st Re-lllscection <br />2nd R,e-inspecrion <br />3rd Re-inspecIion <br /> <br />.363i <br /> <br />$50 <br /> <br />ST.ANDP~F= :3'7S7EM <br /> <br />-+th Re-;nsoec:ion $250 <br /> <br />[] ?'3r ~iS6r <br /> <br />325- <br /> <br />5th Re-;nspection <br />Gonstruc:icn <br /> <br />5500 <br />$15 <br /> <br />I <br />n <br />t <br /> <br />Ccmmerciai <br /> <br />$"" <br />"-~ <br /> <br />3?~~I'lK1....?:R 5YS7::~IS <br />:3JO <br /> <br />S?RINKL.?:R SYSTe:\llS <br />I .'ydro Undergrounds :545 <br />Cfydrcstalic .3)'slem 545 <br />I .Net AccePlance 530 <br /> <br />. :.:J - =:: ~ead5 <br />i~ <br />I j 25 .JfUS r-eacs <br /> <br />560 <br /> <br />:T'/ ,J..cc5clanC2: <br /> <br />""~ <br />,,;)"1'0 <br /> <br />i <br />, I <br />I' <br /> <br />S25 <br /> <br />.-iycrant ;:~o\tV <br />.~ccc 30mh <br /> <br />530 <br />515 <br /> <br />,=lRE: ?UIVlP <br /> <br />- - <br />~.;:faase L..'UC'l: <br /> <br />i ;=9f :=~r:10 <br />- <br /> <br />.3';00 <br /> <br />::=~RE AL.l..~llJ1 3YSiE:v1 ~ ,=iRE AL.loRM 3Q?!S-=' <br />. . <br />, ; -.. .-; r::,- C\' -. . r ~ .; ~ ~ .. --,... ~ 0. ;; <br />I. . u - _~ ~~JJc.::s~~O ,. ~ys,em .~.L.~epl",nc~ 5vO <br />g:26 ;JIUS DeVices 560 U Recail )..cceplance v <br /> <br />I '\. SUpoRESSION -3'!STE:\IIS OTHER <br /> <br />i ''"IVST. <br /> <br />535 <br />:535 <br /> <br />'='r6 Nali/SmoKe Wall $15 <br /> <br />U <br />I <br /> <br />_. Gas <br /> <br />$25 <br />.li25 <br />525 <br />:515 <br /> <br />Cr,' <br />~ <br />: ee2 <br />~ <br />i i ether <br />'---' <br /> <br />:535 <br /> <br />t'l a lural <3.a5 <br /> <br />335 <br /> <br />F~e~ Tanks <br /> <br />-:-ent <br /> <br />GREJ..SE:VENTlLAT10N <br />: i'1oodlDuCIS :535 <br /> <br />jJ; <br />~ <br />.:>L.:l.NS TCTAL i~ <br /> <br />iNSPECT1CN 70TAiJ ~ t&J <br /> <br />GRAND TOTAL <br /> <br />Comments: <br /> <br />US~~ ~ ~.~~A __ <br />~ H. "V~ ~l. <br />Billing )..ddress:' ,~ 'e J. ~t7 <br />~~ ///;nt/~ F2 ~ <br /> <br />Siiling Phone No.: ? 2-7 ~..?- /9R.'5 <br />Billing F3X No.: <br />Contact: <br /> <br />PERMIT F:2 <br /> <br />i=ALSE ALARM F:E <br />r---'H .1 st Alarm N/C <br />I 2nd Alarm' N/C <br />n 3rd Alarm N/C <br />HrJ 4th Alarm :525 <br />H 5th Alarm $50 <br />W 6th Alarm $75 <br />U 7th Alarm $100 <br />H' I 8th Alarm $150 <br />9th Alarm $200 <br />n 10th Alarm $250 <br />il, I ::1"-0 <br />Non Compliance ~_ <br />.A.ffidavil of Service/Repair" <br /> <br />SPR!NKL.::R SYSTeMS <br /> <br />il <br />L.... <br /> <br />.!..ulomatic :515 <br /> <br />FIRE .PUMP <br /> <br />, I Fire Pump <br /> <br />::1~ <br />~.~ <br /> <br />FiRE AURM S~'Vl <br />A' Detection ~ <br /> <br /> OTHER <br />I :...::l Gas .s45 <br />i t <br />.'--1 <br />I I ,\Ialural Gas ;H5 <br />[1 Fire Works $25 <br />~ F'.Jel Tanks $45 <br />LJ <br /> <br />GREASENENTILATION <br />L rlood/Ducts $15 <br />U Kitchen Suppression $15 ~~ <br /> <br />PERMITTOTAL~ <br /> <br />} 2.., ') -- <br />I <br /> <br />F....LSE ALARM I <br />TOTAL <br /> <br />Dale: <br /> <br /><& <br /> <br /> <br />./ <br /> <br />~M <br /> <br />insoec:cr. <br />