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<br />APR/08/2007/SUN 11 :03 AM <br /> <br />813-78C).O(12O <br /> <br />IlIlIte ReceiVed <br />r, <br /> <br />()wI'W. ...... <br /> <br />Ownln's Addre.- <br /> <br />ZEP"Y~HILtS tJUlUJrM~ fa) H~. ::J ;'-'/':':-':':L: <br /> <br />City ofZ8phyrhlllEi'11e." ' l~ /J ...., 'fj <br />Pet-mlt AppIIcllition 11' I I <br /> <br />Y. UU I <br /> <br />r=a-31s..78O-OO21 <br /> <br />,..--.......- J U::::U I <br />flJllrie Canllr.t iJr 1>.1Jl1lll <br />I.... .tt_ " " <br />< ] ~=t I w~ 11 ~S~ ~J'I <br />, ] liWdder ~,.~m_, I rri " I <br /> <br />~---- J <br /> <br /> <br /> <br />llT~ <br /> <br />1 I " <br />'I f;f;J!J fi1~ <br />,[~ <br />1 <br /> <br />Fee Simple TllIeholder Nllme <br />Fee stmpIe TrtNhofder AddPeIa <br />I <br /> <br /> <br />Job AcIcInISS <br /> <br />Sub 0iWitan <br /> <br />D <br />D <br />D <br />B <br /> <br />~ . .' <br /> <br />.~ <br /> <br />o <br /> <br />Contnil:tDr <br />SIgnatIn <br />Addmu <br />ELECT <br />SlQnnn <br />Address <br />PLUMBER I <br />SIgnBture , ' <br />~I <br /> <br />=1 <br /> <br />Address I ' <br />OTHER I <br />8(gnatln <br />AddnI&& I <br />Oirvcllons: <br /> <br />, . <br /> <br />~-------------- <br /> <br />1 Lgt 1P <br /> <br />-~ <br /> <br />T <br />D FlImlfIIIoo Tent , ' <br />D ....." ~ (l1tr 11<< RQ F8dIIly)NiWOAl <br />o Hood IIlillt,lJ "111 <br />E1 ~~tioJ1 ' <br />, ~ Gee-AMNUA/... SaI8 <br />, ~'~_R.a.Iy~ <br /> <br />~ Rl&0l'e I r -.,. 8um <br />SplIrtdIn , <br />~__~llltldIIiA"S ' <br />~~Sye>., <br />o Ton::h, RGoIlr\1rr.ar KelIo ',. <br />o ~ l1lw~AHNUAL . <br /> <br />r <br /> <br />P8n:e11I <br /> <br />8lcH-.w Wasee S'-lI8 .~ <br />,Comm ExhIIuIt ~ HDodIOuct <br />ConIn:lDed Burn <br />E~ GenenIIIDr< 30 kw <br />EsI"'","1CT ~~ 30.. ' <br /> <br />FlntPrat.ctlon MIi~'-~'l!!!I ~~ <br />~ 0 0 '0 G ' <br />Pl,.Alafm 0, 0 '0,0 " <br /> <br />::=,~' B, ~ :, ~ ' <br /> <br />Fife~lll11leU -, <br /> <br />FinI ~ <br />FIfe Works <br />Flamrrtable~..~AL <br />Fuel T8I'1ks <br />Other: " r- .' <br /> <br />, <br /> <br />,~ Valuation of Project , <br /> <br />:J <br />~.1 <br /> <br /> ~ ~:V/N Y/N 1 <br /> "". 11 red J Fee eun.nt <br /> _,~'_,..l ] <br /> ~ f ~' j <br /> ~~M 'y I ,., f F.e CUrnft Y/N I <br /> ~#'r -=1 <br />" ea.np.ny r Y/ft(:-t <br />~.4 Feo CUmlnt Y/N f <br />I lJceMe , l ( <br />J ~ I Y/N <br />......cI I Fee Cuftoent r Y/N , <br />I ,'~. L I <br />r ~ I Y/N <br />RtI........M Y/N Fee CumInt <br />, ] UcenIe , J <br /> <br />l <br /> <br />I <br /> <br />J <br /> <br />F1naut~~...;. ' <br />0WneI'. ~ sl!It.. fIf ....r. ............., (Or. -.r dI tIgned..... ~ CIIMW) <br />If rNet S2SOO.. NDta~Cllhll\l"'..J>..._"1s .....~ wotf( CMrSSXlO) , <br />Supply two (2) .. of...... __ ....... ........ MaR-...... , . <br />AIow 10-1. dlll\l&1ornMew.............~. l"lortIef..~..... .......T_...... (hllp~pIlSOClgCW-c:om) <br /> <br />-.." <br />