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<br />1-\13-180-0020 <br /> <br />Da~f i-~Oi~~:\;tld <br />"".~-' <br /> <br />';>.f.'nto:':~ NaM~ <br /> <br />.) r:e;e hddress <br /> <br />~e" Smpie 1!tleholdltr NlllTle <br /> <br /><)~;f(~~t~,j(\! <br /> <br />~.,!t.;nCJ~.u(ft <br /> <br />.~.ddr"S'1 i <br />'- <br /> <br />MliCHANiCALl~ <br />S\Jf;2l1Uhl <br />"delross L- <br /> <br />. <br />I <br /> <br />L-. <br /> <br />AdcimoS ~ <br />'~~J~_~.'~" M <br />l"!~~'::dCn5; <br /> <br />UfHEH <br /> <br />.;;.~ :131Url-1 <br /> <br />:"1 <br /> <br />ZEPS\'F;HILLS B1J!LDING <br /> <br />F .~. X :'~ , :. ~ 3 - 7 ~,~ - C, C L ~ <br /> <br /> <br />City of Zephyr hi Us 'Fire' <br />Permit Application <br /> <br />Emergency G<<1erBtor .::; 30 kw <br />f.mergency Generator;. 30 kw <br />Fire Protection MIlnwnance - ANNUAL <br />~~~~ <br /> <br />Fire Alarm "\ 0 0 0 <br />Hood Cleill1l{+'I. tA:(rJ 0 jJ{ 0 <br />Hood Suppression '0 0 0 <br />FIre Ahmn Installation <br /> <br />lumer <br /> <br />FaxoS13.76o.0021 <br /> <br />:~ <br /> <br />301 <br />1'17B~ 1~7;j:l <br />~. ~- <br />lL~ <br />--=:J <br />" I <br />L---l <br />--.J <br /> <br />~ - "17 .._, <br /> <br />j." <br /> <br />PMrie Contact for PermIt <br /> <br />II <br /> <br />.:.. ~ <br /> <br />Titleholder Phone Number <br /> <br />- <br /> <br />.- <br /> <br />~ ] La" <br /> <br />'IT <br /> <br />F.~o; Simp!t> Titleholder Addreu .j <br /> <br /> <br />~'bA""" [ 'l'ilj~ rr#// ~~ <br /> <br />'.Jt, 'j,VI,s:or. I _ -= ._ <br />'"~''' ,-,-w"~";'" T 1;(1-- ~ . .~ ~ r . <br />[J 6io-H8%ard Waste Storage. ANNUAL <br />r............, <br />L--.J Comm Exhaust Kitchen Hood/Duct <br /> <br />o Controlled Bum <br /> <br />C <br />o <br />IH read~ Gfe~ Sprinkler <br />12esr OrJ Is <br />~'SJo9 <br /> <br />. . --- <br /> <br />:~-- ..:~,~ <br /> <br />zel?h_'t.; YI. S" f! 33$1;r <br />...- ~ I ~ Parcel" .C <br />. _ r 1 - '11II <br />D Fumigation Tent <br />D Hazardous Matenal (Tier II or RQ Facility) ANNUAl.. <br />o Hood Inslallatlon <br />D <br />B <br /> <br /> <br />B R."~".,,... .om <br /> <br /> <br /> <br />B Standpipes (Sprinkler 5ye) <br /> <br />8 Torcll RooflflQrrar Kettle <br />Weste Tire Storage ANNUAL <br /> <br />I <br /> <br />Fire "'ump~ <br /> <br />FirG WorK;; <br />Flarmneble Application. ANNUAL <br /> <br />lPlNatul'I1 Gill-Instillation <br />lP/Natural Ga&-AHNUAL Sale <br /> <br />PlaC85 of ASMmbly-ANNUAl- <br /> <br /> <br />Sparkllj~ <br />SprlnklerSyslem Instllllatlons <br /> <br />J <br /> <br />Valuation of Project <br /> <br />L.icense # <br /> <br />Company <br />Registered <br /> <br />liCense # <br /> <br />Company <br />Regl:stereCl <br /> <br />Llcenae II <br /> <br />Company <br />RegiBtere<l <br /> <br />license # <br />I~ <br /> <br />':'r - <br /> <br />if I RlIII <br /> <br />- <br /> <br />=.1 <br />If] i rrr.- ~T'1"__ . ~I'" . ! !~l--; <br />- ~ <br />Y I N ,- Fee CU~nl . QTN'] <br />I <br /> <br />Fee Current L-~ - <br />I <br /> <br />Y I N I Fee Current I Y IV <br />I <br /> <br />li'l~if <br /> <br />I <br />j <br />I Y/N <br />r- <br />I <br />I <br />r- <br />YtN] <br />I > <br />~ Y/N <br />L-~. <br /> <br />[-] <br />a <br /> <br />I . ' <br /> <br />d Fuel Tanks <br /> <br />D Other: <br />,''','.:~!''''~I 1---.::J <br />'..', ,,:.al'I()Y r-----' <br />i <br /> <br />L.. <br />~'1m,,,:, ~~#aD. 1.i17 JLtN <br /> <br />:~ t.t_<~'r f{I~':I,c"JI <br />:.}l~"utL.j& L_ <br /> <br />".1j'''&:~ r- <br /> <br />H.UI.1!3ER r <br />i <br />I <br /> <br />!""---.,....- <br />~ . Company <br />---.-J Re~lstereci <br /> <br />IJVtr~':'3 A'a~~ =:. <br />I <br />~ <br />I <br />I <br />I <br />J <br /> <br />r <br />. r <br /> <br />If <br /> <br />J <br /> <br />- <br /> <br />..~...~.;~ <br /> <br />~:~- <br /> <br />.WI ~~ <br /> <br />Fee Current <br /> <br />Y/N <br /> <br />i <br />----oJ <br /> <br />. _n__., <br />._J <br /> <br />r "eecu~ <br />- ~~- ..:J.IlIlIld 11 111- <br /> <br />FUi:wt application completely. <br />Owner /3; ContrllctOf sign back: of IIpplioa!Jon. notariil:ed (Or. copy of signed contrilct with own.r) <br />!. over $2500, " Noti.c. of Commencemen~ i. rsqulr.d(M~har~r;aI wol'lt over l5000) <br />Supply \\YO \2) setl of dl'lWinga with applJOlIble documentation . <br />J.\llow 10-14 dalr6 for revieW alter !\ubmlttll dite. Part""" - obtained from Property Tax Notl~{http://a~ralser.pastlOgov .com) <br />