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4 5(LIS' <br /> • <br /> • <br /> 813- 780-0020 City of Zephyfipls fhldtl+? • Fax 780 -0021 <br /> Permit Application <br /> D: Bassist.* 1 1 .. - Pivot* 1 11..1 L <br /> Owner's Name .. _ E . _ el ' y _ . Al ..- _ . Donee& Phone Number I 1 <br /> Owner's Address 6 5/ / / � , - " f '� , 4 ! <br /> Fee Simple Titleholder Name Titleholder Phone Number ( I I I <br /> Fee SirapiellisholdsrAddress1 I <br /> r <br /> Job Address Lot* <br /> Sub Division Parcel it 1 . <br /> Elio-Hazard Waste Storage - ANNUAL Q Fu nipatlon Tent • <br /> a Comm E,d,aust 1(kh.n Hood/Duct El MRardous Material (Tier II or RO Facility) ANNUAL <br /> ED ControNed Sum o Hood installation <br /> Emergency Generator < 30 kw LP/Nib/al Gas-Installation <br /> ktion l!!!5] IMI 2E3 mx-AN B ji. Emergency Generator > 30 kw <br /> LP/Natural G.*- 4NHUAL Sale <br /> Fire p Maintenance - ANNUAL a Places of Asssrnbly- ANNUAL <br /> Spits** L__ o 0 o _ Ram Bun <br /> Floe Alarm 0 0 0 _ Sparklers <br /> Hood ClwrYrg 0 0 0 Sprinkler System instablims ' <br /> Hood Suppression o o Standpipes (Sprkider Sys) <br /> Re Alarm knteratlon - _ _ Torch *i <br /> Roofing/Tar g/Tar Ket le ' <br /> F. p . — - . Waste lire Storage ANNUAL ' umps <br /> Fin work: Valuation of Project <br /> Flenanabla Apprcatlon- ANNUAL ) ' <br /> Fuel Talks <br /> ® ® - <br /> 41111R(B110111 ,, <br /> Contiedor p <br /> swan la i t Registood CirifilllitIgi <br /> Addles* /x]$711 ` l if® ® /er' < '7 r1 ' ®.. Limn it 1 :Z ‘° " 0 01[07.0' /74w. . e ; <br /> ELE - Company <br /> Signature Registered Y/ N Fee Current J Y/ N I <br /> Addis's I <br /> License * 1 1 <br /> PLUkeER <br /> f Registered L YIN I Fee Currant 1 YIN I <br /> slgrwtaase <br /> Addle:: I <br /> Company <br /> s� Registered I ¥I N I Fos COMM L Y / N <br /> Adds f ns Licee * <br /> Signeture 1 Reeidered I Y/N • I Fee Currant I Y1N 1 <br /> Mrlreis ( _____I License* J <br /> FM out appo dtsA contract wit' sonar) <br /> Owner Contractor sign' (Okoorpg signed <br /> M ovtlr52� Uoe <br /> . a No C <br /> Supply two (2) seta el drEwrkhgs yr . 10-14 days for reviiww: s& Nilttsl • , 4, oak wait 15000) <br /> ID, All ?areel d - obtained from Property Tax Nolte (M pllspprabsr peaoopoV.axn) <br />