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• <br /> • <br /> 813- 730-002O City 01 Zephyrhl lS FMbt7T ." Fax- 313.780.0021 <br /> • Permit Application - . - • . <br /> Oat. Rio lwd Permit <br /> e Name .. � �� �rsg . , tJwrrws Phone Number 11 1 . <br /> aOw er?sAddams - O. I We �s�� ��� /. _ P V3 rT 11 t. <br /> • <br /> Fes Sings Titleholder Nams • Titleholder Phone Number <br /> Fe. Simpl,TIii iderAddress 1 . . _ , I <br /> Job Address t _ _ 'M ; _ <br /> Lot 8 <br /> Sub Division Parcel* <br /> • <br /> 0 ate-Hazard Waste Storage - ANNUAL • Q Fumigation Tent • <br /> LJ Conn Exhaust IObhsn Hood/Duct Q Hasardous Materiel (Tier I1 or RO Facility) ANNU/LL. <br /> 0 Controlled Bum El Hood instillation <br /> GerreraIor < 30 kw LPMafiral Gas•krsbtlatlorr <br /> Emergency Gerrerator> 30 kw LPnrahrral Gas -/ ANNUAL Sala <br /> Fire Protection IJakMSrmrro. - ANNUAL a Pieces or Assembty ANNUAL • <br /> EEZI EM IMI M-L-TAII Ed Sprkrder i 0 0 ❑ _ Recreational Bu <br /> Fars Morro ❑ 0 ❑ Speeders <br /> Wed dsankg 0 ❑ 0 • m <br /> Sprkrdsr System installations <br /> HooeSuppresNon 0 y 0 Standpipes (Sprkid . rSys) • <br /> • <br /> Pk* Alarm krsW-Bon Torah Roobrgliar Kettle • <br /> Fire Punk — - . _ _ Waste The Storage ANNUAL <br /> Fire Wort , • <br /> Fbnrrn.bt. Application- ANNUAL 1 •1 Valuation of Project <br /> Fuel Tonics . <br /> ® e <br /> Cotton** rii:1 4 irdoi: - i <br /> Signdlwe / *wo > E _�� A►T ` Irt �` +' !GUI .: . <br /> Addr•es r4. :1 .. ill - r rdir4 r :'-' _ ®✓'._ fr .. lbsne. # � : L► ` -.1. .$ .r 3 ; ,' <br /> ELE Company <br /> Signat re Registered Y/ N Fee Crsnnt J Y t N 1 <br /> Addasss I License aaa I <br /> PLUUBER Company I . <br /> Signature 1 Regisb ed 1 Y / N" J Fee current J Y tN J <br /> Address I I Lion. Si I I' <br /> , <br /> NlEcgiaVNni RegbMred I Y/ N J Fee CUMIN J Y/ N J I <br /> Address 'f 1 License * ( I ,: . . , <br /> OTHER I Company Y / N . Fes *mint J Y/ N I 1 <br /> J I <br /> Registered <br /> t,ton.. # . J , <br /> If over FI rriE sippMo an i <br /> 72000. a Motic. oaf O • ' .Ignsd MOO) <br /> ooj dh owner) <br /> , <br /> Supply-two O d + <br /> Mast i a� <br /> 10-14 days MwsubtiltttsIdate o , <br /> All M - obtained from Property Tax Nodes (irl hppmiser pescagov.com) <br /> • <br />