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Fax-813-780-0021 813. 780.0020 City of'� <br /> Pennit Application <br /> - Phone contectior Perm& <br /> Date Received <br /> _ v <br /> Owner's Mme r . /!✓' Owner's Phone Humber M.1..-1 1_2:42.1 1_94 <br /> Oveneee Address i 2 7 47 <br /> Fee s Illisbolder Phone , ber I 11 <br /> Fee araple'lrehotder 1 <br /> Job Address <br /> Sub Division Parcel* <br /> 0 ek►# ssard waste ammo -ANNUAL D R inlg�on Tint <br /> 0 Comm p drr..c H.ediDvd p Hmeda= $1I W (Tier N arRQ F�►)A$MllAi- <br /> 0 ter.n C I Hood ''"Y- <br /> Emergency Generator <301enr iAl ibiedGalnn.Msicn <br /> £ n.rg.norGenarator> 30 tea '-PINelea'.6"'"""tal. a b <br /> Firs Palladian Il1sinMn.&s-MMRJAI. Faces +M1lt11M. <br /> FEB ERE ES c--All <br /> Spdtdder ct a ci Reaardional H <br /> FAlum 0 0 0 =II RPM= <br /> Hood Clewing 0 0 0 <br /> Hood Slrppras.ion 0 x 0 Sts �) <br /> Rrs'Jins ition ' ` Ei Tads Roo&W1IrKale <br /> Fbe Pb Waste Ike Maros Al <br /> Fire waiics <br /> l liasnoblo App'adon- ANNUAL Valuation of Project .. <br /> Fi el Teak s <br /> C3 dater: I <br /> b Y/141 Fie Current I Y/144 <br /> Adams 1 1 uone � . * I ' I <br /> X17 <br /> ELECTRICIAN' - neonned YFN . i Fee Ctaesnt I Y ti. ..I <br /> Address 1 1 Llaar.efi 1 <br /> PLUMBER I Company <br /> Signature _ Regletured IliftE.11 ., . Fie Cannot NMI <br /> Adams i 1 Curse* 1' I <br /> 1 R.yi.i. d I Y) N I Fee Covent i Y N I <br /> Adams 1 1 *i I <br /> OTC Ca.parr,► s - _ - E• 4 , <br /> Signature , ,/' d Sr i <br /> 1 j' y' Fee Conant <br /> �, <br /> Address /M 1��? ! ' ,04 , INTO >.� i.icense* - <br /> D <br /> FM out application oorapidaly. <br /> Owner & Contactor sign beck d appiodkra admixed (Or, copy of agreed =Wad Mir caner) <br /> Waver $2800.. Haim of CoIeemertier.quied.gische k.Jwoko ur$8000 <br /> � 110 -14 days for slier aaWIJ dile Parcel 3- obtained from Properly Tax Moe (l eppratair piscozo'v nom) <br /> • <br />