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� <br /> Fax-813-780 <br /> 873 -78D 0020 of <br /> Permit Application —7 - <br /> - PhoneContact fr 1 Pern* TL <br /> Date Reargued ahmsrs _ <br /> panes s Phone Number I aL3 11 1 <br /> Owner's Name <br /> Owner's Address 1 S7) , ' c.,P i I 11 <br /> Fee 8irr4htl� rf ame I I lishoidsr none Numbr 1 <br /> Fee SimplelilleholderAddress <br /> �# <br /> Sub Division .. <br /> ,, .. - - , . ,-. - . -- - - -: r - - <br /> D Biniisand Weals Swage - ANNUAL ED Ri ipelionTent . <br /> D Canon 6dnNat Kitchen HoodiDnat o H.>adou Material pier B or RC Fir>g►) MNNUM_ <br /> p Cadmiled Buen p Hood L lion <br /> 0 Dn. g_ w 30 <br /> cyGen.,or<1sr, ED lPlMedd <br /> I:mergencyctanamtors 3o aw LP/Nebaei 6ee,MSSML fads <br /> Fire Pnceecgon i1ei iennwe- Mr1UAL - Pleces of Assembly ANNUAL <br /> ® ®� tisaae6err.i Sum 0 0 0 <br /> Fare Alecto 0 0 0 J SPialeita <br /> Hood Clanning 0 0 i m <br /> Hood 0 0 0 1 SY4 <br /> Fire Anna Yhste -soon <br /> Ftr Pumps <br /> Fire Wads; <br /> Tads ReaBrrpRarKeWe <br /> ;nasal lie Sinew ANNUAL Film aeble App.aeli n- ANNUAL <br /> 1 V of Furl Teaks <br /> i Registered I Y / N ' Fee Current } Y / N } <br /> Address I 1 License* 1 ' 1 <br /> 1 Rand L Y 1 N } Fee Current } Y/ N 1 <br /> Address I 1 Manse. I 1 <br /> PLUMBER I I Registered Fee Cunard WEB <br /> Address I I License fly I • 1 <br /> MECHANIC/ y I ReyUenad I 1 / N ' Fss Qaeai } Y 1 N <br /> Address I - 1 License* I I <br /> OTHER S R. Nz� E <br /> Signature l / e. 1 R.oist.wd Fee Chennc Y N <br /> Address IM_f.1.' nr� License # . <br /> Directions: <br /> FR out appOaRon caveats/sly. <br /> Owner a Conbeciar sign back of appliceion. nahrmsd (On copy of illieed concert vridh ossrr) <br /> If over 52500. • Halloo of Commencement is remand (likicheniesi mat aesr86O00) <br /> Supply two (2) sets of Things with applicsbie documentation <br /> Maw 1044 days tar review slier subtitled Ma. Parcel ft - obtained from Property Tax Nolte (ham M pnysr pssooUov rsom) <br />