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<br />CIty ofZephyrhUls~m~ <br />Permit AppUcation .". <br /> <br />~--1~W~~~~~1~~~k- ~~~~~L) i <br />Fee 5ImPIe 1IlIehoIder"'" _ _ _ .! TIlIehoIder PhaM IUnber I II - J I I <br />Fee SImple1'lllhaldlrAdcna 1 ~~ <br />I :f3,&M ~ _.1 I ....1 I <br /> <br />813-78().0020 <br /> <br />Job Addl-.s <br /> <br />-f €J\l (') <br /> <br />F..a13-780-0021 <br /> <br />Sub DivIIIon <br /> <br />o <br />o <br />D <br />~ <br /> <br />BIo-Huard w.... Stl:lrage - ANNUAL <br />Comm ExhaIIt KIIichM Hood/DUCt <br />ConInlIIed Bum <br />Em-gel~ GInIf.ear < 30 kw <br />~q GenIrMDr> 30 kw <br />Fa P..AedIon ...........1C8 - ANNUAL <br />O l!!!iJ I!!!!!I ~ <br />SprInIcIer c c c <br /> <br />~a..q ~~~~ <br />.toad.... !:Ih ~ C C J( <br /> <br />IUlI* <br /> <br /> <br />Fa AlMa . Ita'll rlon <br /> <br />Fa~ <br />Fa Wortca <br />R.......... ~~.... -...ANNUAL <br /> <br />-.- - <br /> <br />o FumlgalanTeN <br />o ~ ........ (TIer U or RQ fIIcIIty)ANNUAL <br />o Hood 1I.ata1at1on <br />o LP~~ <br />o LPJNatuW~u. <br />o PIeces 01 Auembti ANNUAL <br /> <br />B :::_Bum <br /> <br />E3 SprtnIder~. 1 - h., <br />a..... (SprInIdIr Sya) <br />8 Ton:h ADaIrVT-K.aIe <br />w....,.... ..ANNUAL <br /> <br />, <br /> <br />., Valuation of Project <br /> <br />FUll T'" <br />DOIher.I <br /> <br />Cor1Ir8C*lr <br />Signatln <br />A.cicha <br /> <br /> <br />3'V' ......... <br /> <br />Adcha <br /> <br />=1 <br />A.cicha I <br />:=4 <br /> <br />A.cicha ~ <br /> <br />1 <br /> <br />OTHER <br />Sign8lure <br />A.cicha J <br />0InIdI0na: <br /> <br /> <br />~ <br />~.. <br />I...IceMe " <br />ColnpMy <br />RegIstlnd <br />Llcen." I <br /> <br />=1 <br />Ucerwe " I <br /> <br />=1 <br />Ucerwe " J <br /> <br />=1 <br />Ucerwe" ~ <br /> <br />Y/N <br /> <br />Fee c..w.rt T Y / N I <br />I <br /> <br />Y/N <br /> <br />Y/N I <br /> <br />r:. c..w.rt Y I N l <br />l <br /> <br />r:. c..w.rt ~ Y I N I <br />I <br /> <br />Y/N .l <br /> <br />FII out IIljJl(,flllCIl\ ..A)j'IIII.'11Iy. <br />Owner. eonr-:ear sign t.ck 0I~.. ....... (Or. copy 01 ~ ClIMW:t wIlh OWI*') <br />I ",. $2500. II NoIce 01 eu.......1ClIIl'lIIIIl1s NqUIrecI (Mect..1Ii:eI work owr $5000) <br />Supply two (2)... 01 chwIngs wIlh ~ docWr_.... . <br />A1tN11o-14 cIeys for r.-w 8fter submittal cleW. Pen:eI. - oblaIned from Property Tax NoIce (hlIp:l/llflpraln~..pesoogov.com) <br />