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813.78D-0020 (may GfZephyfi� Fax- 813-700.0021 <br /> PefnaiApplication <br /> Date Rewind - PhonleCorde t - <br /> owners Name C� I_!� . f ` S Ormeras Phone dumber 1 . E .. 117 :¢... J S <br /> ovrner's Address • ;0 - AP/ <br /> Fes sirrplellishokierHems I 1 ,ill.holder Phone rime* 1 1 1 11 <br /> Fee S mpie'FMeholddrAddress <br /> .bbAddrear ' 1 Lot* 1 <br /> Sub Ddaion Par�ciil .- <br /> ry e. .:... <br /> 0 Bio-lisard Waste Storage - ANNtUL p Fri igalonTent <br /> 0 Comm Mama* 1pleherr HoodlDrrct 0 Hausdoe t+Uf sbe flier / ortiOt Facil ly)MMfAL <br /> ❑ CorMrobdeu n ED Hood Ins i ltan <br /> Emergency Generator a 30 kw LPrliaffurai t MbYon <br /> EmagwroYAwrwalore. 30los LPRIehwi ®r,MM*ALlide <br /> RISPrulsagonilabieneaca _ ___t. • PlawsafAas i AlwiAL • <br /> ®' EIN-® L'. i <br /> SOWN 0 0 O all Fieasalional Bun <br /> Fins Pi m 0 0 0 Mt 8pmrldars <br /> Hood Cleaning 0 0 0 MB SpenierSgelear inteitelolre <br /> Hood suppression 0 X 0 <br /> 0 Fire AlanlralaMMion • Torch RoailrrgrFarKe <br /> Flee Pumps Wards Tie:riorape A1Nl<IAL . <br /> • FieVYbrks <br /> N om <br /> FiSnreelie ANNUAL ' Hi 0A 0If Proj9Ci <br /> 1` . Fuel Tanks <br /> per= I . <br /> contractor <br /> Signature f tiagWn.d I______LiY/N Fes Csawrrt I Y/ N <br /> Address I 1 . _ . j _ <br /> S�rraerr. <br /> ELECTRICIAN' I Reentered I Y/14 J Fee Cement f YIN <br /> Address 1 <br /> 1 M.,a.. 1 1 <br /> Comm/ Sigma me Registered Y Fie Current - <br /> ada.ee I 1 License 1' 1 <br /> Company <br /> Regime: ad Y/ N Fee Current I Y/ N I <br /> Adding I <br /> 1 License* I <br /> 01111ER e 1 R•gWm.d Fate cumuli r N � _ <br /> Address M .+t=11,1ArillWAV EN License* * r <br /> Directiorm <br /> RI out appal:Mon completely. <br /> Owner Coneaoloratgn book or applicable. rrolrlsed (Or, copy at signed maniac* via maim) <br /> V over 12500. a Nobs of Con rmince ent Y mgNred.(ilmhar ml work over 00000) <br /> Supply M aeis of drawings w1r applicable doasnerdmsorr <br /> Allow 10-14 days for review elsr artrnrtle! dale. Panel* from Property Tar Nollos (h appraharpaeoogovnom) <br />