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O /02/2007/TUE 11:27 AM ZEPHYRHILLS BUILDING liAX No.dli — fH - 0001 r.uui <br /> • My af2ephyr{ults�ne Fax-1313-7110-0021 <br /> ens -�so oa2a Pam APW �! <br /> ' <br /> Phone co�nnotraF i�� Mal gillING <br /> Dare Received _ . Mb' ,__ - - � �;,�! <br /> . Owner's Phone Number �` Mr1 <br /> Owned Name Mt/ `� J :' '� �a�•� . . � - �� _ <br /> Taienokter P1rwq t +rnber l J <br /> Fee SIl Abe Tllleholder Name <br /> FeeShnpla"RtlehaldrrAddross <br /> Let It <br /> Job wddrese . , .. •. _ - � , F� <br /> . .. • <` � +e.. � __________J P arcel* <br /> Sub avlulon _ • <br /> elootieserd Waeto storage ANNUAL • • Fumigation Tent <br /> Bu Comm Exhaust en HnodfDuct ^ Ha:ardoua *tribal (Tier II Or RO F- 0 • • r ANNUAL. • • • • I Contlied Wkst L: -1 Hood Installation . . _ <br /> . . <br /> Errierganay generator < 30 kw • • • l.-P /Nahad Oarlrwrallaeon ; �• . „/ <br /> • <br /> - •Emergency OOr a 30 kw LP/Natural G$$esANNUAL Sa <br /> Fero Pro4.c.on Malntenanee - ANNtJAi, ' . • Places d Apembiy- ANNUAL • 4111111W --� <br /> ® l r q 17- <br /> . p Recreational Burn • <br /> FMe Mann G swore a <br /> Hoes Climb% o • o 13 " 1 • $ ' • <br /> SyIns`ti'l l <br /> • I Sre ED to . a , p 1 , 1 . StandP dSPrinkNr sys) . • ‘ . x__>.- <br /> • El Fro Alarm instillation ' Toni RoofvrJRer Kettle • , <br /> Fero Pumps Waste Tire Storage ANNUAL - <br /> 1ryxwon® Vah laUon o Project <br /> . • Flammable Application. ANNUA) - ' <br /> t�tFtef: <br /> E corrva re 17, Y / N Fee Current . I Y/ N 1 <br /> j Lieertse # : J —`7 <br /> Address ► • ' � _ :... � <br /> F Slgn ur clANJ . Y7N ] F.e Current 1 • Y / N j • <br /> • <br /> slene d d 1 +� —� • <br /> Address l .: <br /> PLUMBER Company Fee Current <br /> . • Registered Nara .Fee • Signature - License*. I • I' • Address L_____ <br /> r n. <br /> l ,I Di <br /> Y/N Fee Dimwit l Y' /N I <br /> Signettue <br /> Adckeee -License # I _ . 1 <br /> Company <br /> OTHER tiered Y / N Fee current 7 / N <br /> Signature <br /> • rlprp�waq�o�e L # <br /> • PHI out applicasee mmPlefelY- • - ' <br /> Owner & Contractor sign back of app& olori, notarized (Ors copy of signed cone vwih gwf4r) <br /> If over $2500. r Notice of Cornmenoemeft is required .(Meohi ncal work over 16000) <br /> supply two (2) soh of *swings web appNvable documentation #, obtained from Papally Tic Nettie (hl>pl/appreieer P n) • • <br /> Aepw 1 (-14 days for review after submittal date, . <br /> • <br /> • <br />