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813-780-0020 tidy ofZ�Rti s Phe— Fax-813-730-0021 <br /> a Pewit App lion . <br /> Date Received - Pimlico Contacting' Peen* - <br /> Owner's Nerve r-,, ' /7 I r w iml ...,ass Phone Number •1 Fr 73 IT ;S' <br /> Owners Address l 3 C' ,/c 4 V € 2,e01 y r A i /(s /%C - <br /> Fee Simple Titleholder None ( 1 TiydrolderPhone Number I I I• I I <br /> Fee S Is fwhoide'arkin's; <br /> Job Address F - JLct# <br /> _ <br /> Sub Divan Parcel# <br /> .met <br /> p Sioained Waste Storage - ANNUAL p FhirdyrdionTe* . <br /> El Como Exhaust Kitchen HoodfDuct p i-t.a ti.teri.i Merl rrRO Fi IIy)ANNUA <br /> El Bum p Hood tmidlMon <br /> Emergency Genesis { 30 by a LP/Hiked Mas- teetaititeh <br /> Emsyesay 6enerabr> 30 kw LPA shame eae,A1 pam. tide <br /> Fps PtobcYan #Ishiennoe- ANNUAL - EJ Races of Aasencby,Al MUAL <br /> Sprinkler ® 0 0 0 ® ®� R cea ionsi than <br /> Fine Minn 0 0 0 Spenders <br /> Hood Cimino 0 0 0 11111111 SprHderSystem thifeiitone <br /> Hood Suppression 0 0 Standpipes (Sprinkler 9ys) <br /> Flee Alum Mhsiatdieh Torch Rooinofiar Keels <br /> Fits Pimps Waste Tie Staples ANNUAL Wks <br /> Fterhethebieappi�iiar� ANNUAL � 1 o Project <br /> Fuld Tanis <br /> - 0 outer: I <br /> Contractor . ..._ ... ..'C"...'..v:✓tS-'.K :": 'a'a. i3'_'_:+r.._. .-.. -FY _dR':_= Sti:._�.,i. .T,o~rss.:�ts. 2'-. .- _..-- �) -.a-.: T�.:4w•- SU'.�::+aiw.2'l•_ 3J.auS ^viS.ffi. -,'4r a`^21i� —. <br /> +e I I . Reyideed I Y I N' Fee mewed I Y/ N I <br /> Address I <br /> 1 Neese# . I - I <br /> • <br /> RiyRtiwd I Y/N N I Fee Cunard I Y 0 } <br /> Address I <br /> 1 Limit I -... __. <br /> PLUMBER <br /> t <br /> Company <br /> e 1 - I Repis led I W/41 1 Fee mate* J Y tN i <br /> Address I <br /> 1 UMW# I I <br /> MECHANIC/ Company -. <br /> Repteiewd I Y/ N I no current f Y/ N I <br /> Address I <br /> 1 Unarm* I I <br /> OTHER <br /> Signature / e _,5....etoze.s.--z__ <br /> _ ReyilYred 1 �; Fee patent NT — <br /> Address .•J�6is►� Lioese # <br /> Oiraciforhs: .. _ <br /> FN out application oonpietey. <br /> Owner a Conks:Wm an beck of appYodim, notarized �. copy of stoned contact with awns) <br /> *over S2300. • Nolo, of Cotrenenoenett is wgdred-(iM'ihiricsi work owrft000) <br /> Supply two (Z) sets of drewpge wale appioebie doarasndtlon <br /> Allow 10-14 days iorrsriew slier submittal dada. - Pamd #- obtained kom Property Tax Notice (httplhppraissr pasnopw.com) <br /> • <br />