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813.7804020 City of Fbi- Fix -813 - 780.0021 <br /> Permit Application <br /> Dale R.oeiwd - Phone Contact forPema - 1 Dames Name SST E r�l...r� , Owners <br /> nur Phone Number 18 1 P'- 1/..20a2 <br /> Owners Address I SrrsZr /G'- s Te <br /> Fee StmplsTAehoider Herne 1 1 ll isimider Phone Nutter 1 1 1 1 1 • <br /> Fee Slnnpis'liista ier Mdress I <br /> z,- sc,- n <br /> Ld# <br /> .let Ad�i.s <br /> stets oivk+las Proei # <br /> 0 ebHrard Waste Storage -ANNUAL Q Rinigelion Tent <br /> 0 Comm lathe set l0tdsen Hood iust 0 Harardaas Msisii (Tier ti orRQ Facility) ANNUAL <br /> Conlnoied Bern EI Hood instelielion <br /> H {ienereior <30 lam LPINduel t instaldon <br /> 6nwgenciffenesater> 30 kw J LP/Newel GisaAIMMtAL Sae <br /> 0 PiieP lolse.�fonMadenenos- AiMN1AL - Places of AseembipANNUAL <br /> EISHEREEI 0---Al <br /> Spr@idsr 0 0 0 RSaeatioui &.n <br /> Roe Atenm 0 O 0 IIIIII Wilms <br /> Hood Peening 0 0 0 MI Spriider&y. inela lions <br /> HoodSuppsession 0 0 Sterdpipes (Spieler Sys) <br /> Fire Mom Waist on Tads Rosinyfr Rake <br /> Rns Pumps ;Nests Tie Omega ANNUAL RteWeeks <br /> RemmebleAppioaron- ANNUAL f Valuation Of PlO]9C( <br /> Fish Tanks <br /> Other: I <br /> Contractor <br /> I Cowpony <br /> Signature 1 _ti .�=•:..: 'ti:..... .,. -.�a�wa.�5.�-= :.Se: -;. .,..r:. r -..-.. -... _....;Y tis ` - :'gin Fad ;-.' raF }F3'..'�- a,.- aes,..�.a^' 1'4s^:;.5 'l:.ii�•4' ��.z. r?: -. .wY> <br /> - Regtslersa I Y/14 I Roe Cunene I Y/14 <br /> Adams I - _ I - i3omse# .1 I <br /> ELECTRiciAl compaew • <br /> - 1 - Registered I - YIN - I Fee Oxtail I Y! N I <br /> Address I 1 License # I t <br /> PLUMBER <br /> Sign Lure - - Reghtered Fes Ghent <br /> A d d r e s s II Mena* I I <br /> I Company .. <br /> Registered I Y /14 I Fee numint t Y/ N I <br /> Address I 1 Lions# I I <br /> OTHER y C sJ S - - - E• ,r -, .. . AIN <br /> Swam _ Registered ra-tims Pee Cement Q ► A <br /> Addsaes :.,_ .J.2111/7P!' Ira 7r.�.� license* ri . <br /> likaaantr <br /> FR out apptioaYon aamptetely. <br /> Owns OaMreoioratpt bit of applioellea notatesd (Or, cow of signed mama Wilt owner) <br /> r) <br /> N over 32600. • Make of Oomm.noenwrt te n<gdred.(Ms chuffed wok owrS8000) <br /> Supply Iwo (2) sods of drawings wills appiosble documendlon - <br /> Maw 10- 14days forma wairsubmitted dela Parcel* - ablated from Rope* Tex Notice gelatappreitsrp.eoogovoan) <br />