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813. 780-0020 City ofZeph Fi — Fax- 813-T0-002t <br /> Permit Ammon <br /> Date Received • .1r 1 - Phons Confect for P.rnit 1 11 - <br /> °w eft Name rh -> �_ IS Owner's Rem Number ) 11 11 <br /> Owner's Address IS 3-1 .s, ie. . s4' 2tpAy, -/, - <br /> Fee Simplel idmiderName I 1 Tirdrolder Phone Number 1 11 11 <br /> Fee Grape "Ilisholder Address I <br /> Job Address ' <br /> Sul) Division <br /> ❑ BID-Hazed Wade Morays -ANNUAL ❑ Fa igaionTe t <br /> ❑ Comm Exhaust la>r: n HaodODuct ❑ Meadow kwiedel (tier■ erRQ F.a■ty) <br /> ❑ controied BUM ❑ Hood imta8.ron <br /> ❑ Emergency Generator < Mier ❑ L.PlabiluaiGaeo-irli.i.n <br /> ED Enarrgarwy @arnralor> 30 law H LPJN.tua.t C N <br /> )ewA1ML See <br /> El Fire Ptoiacioee �idenence- ANNUAL Places of P Berri* a11NNAAL <br /> ®. <br /> Sprinkler ❑ ❑ ❑ Rrr eyione Bun <br /> Fire Atom ❑ ❑ ❑ I 1 Sparklers <br /> Hood Owing 0 ❑ ❑ 1 Sp inldurSyalsor indeieimar <br /> ❑ Hood ❑ ❑ I 1 E3 ( <br /> Fine Alarm i niche tion Torch Roaming Keine <br /> Five P u m p s g Wade lie S t o r a g e ANNUAL Woo s <br /> Flarmabb Appicdi°'t ANNUAL I 1 Valuation of Project <br /> Fuel Tanks <br /> ❑ oat: 1 <br /> cord/odor 1 Compere <br /> I Rrghaewd 1 Y/ N 1 Fee Cement 1 Y/ N <br /> Address L <br /> 1 license# 1 1 <br /> ElECITSCUJI Compere <br /> I Repeated 1 Y/ N 1 Fee Carnet I Y/ N <br /> Address 1 1 Mans* 1 1 <br /> MOUSER ' Co e <br /> Signature Regained Fee Current MEI <br /> Address 1 <br /> 1 License* I 1 <br /> Company <br /> Registered I YIN I Fee Carat J YIN I <br /> Address 1 <br /> 1 MIMS*tit I 1 <br /> OTHER <br /> Sign e" / e =5, (,fyZ Company 1 <br /> (Iv R " r Fza, Ea �, n .s," - <br /> d Fee C+mant t Y / N <br /> Add ress Iraiallir rrot <br /> FN out application contrariety_ <br /> Owner d misdeed (Or, oopy 01 signed contact Wit owner) <br /> * Nolo. Commencement is <br /> Supply bee W sets or � 1 n weir owr>id000) <br /> Allow 10.14 eta doarorrrlaeor, <br /> days *atavism after submittal date. Parcel f - obtained from Property Tax Notice (ittp*ippre er peroogor oom) <br /> • <br />