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. Permit Application . <br /> Date Roc: rlve � � �P ttone • Contec <br /> :rv:r'.:;cr I LO n M]( IIII ___ Owne PhoneNwnber � i I L7 1 J <br /> vt11P,r's AcIdrev5 i 3 a.� .. ��*. . : Ll�ilt /��1►.�� � " x <br /> Fee &mole T ltI holdor N mc� Titleholder Phone Number 1 ------ 3 L _ — - 1 <br /> Aridr <br /> &in rpleTiticholdo <br /> r- Vt , r' rsec F -- .. � . <br /> k �atr;.SdF�dS gAC4 t'kAlif1VS1 ` !!�� U . w y.' <br /> Job Hdrtms _ ---� / r •_ -- Z _- t h 1 is r . n_ 33q� Lot* � <br /> Slit DIv131on L . . Parcel if r <br /> •- �ia:i ?}Li,'Y,.:3'i 'k�'eS'�:1l ce ,„c ..,.. , +...- ,, •: _ - ... .. ....... .. _ .. ,...... -.._ i., ........ _... ., o. :.r,:.; <br /> J €tic Hexar Waste Storage - .ANNU r--] Fumigation Tent <br /> . j Comm Rxhaust Kitchen Hood /Duct Hazardous Material (Tier 11 or RQ Facility) ANNUAL <br /> f -,r• --1 Controlled Bum r1 Hood inetaliation <br /> I.' I?rno� e.nc� Generator 301;w LP /Natural Gas - Installation <br /> Li `� y <br /> f <br /> • <br /> J >7rrrerYoency Generator> 30 kw . ' LP /Natural Gas- ANNUAL Sale . <br /> re Firo Protection Maintenance - ANNUAL Places of Assembly- ANNUAL • <br /> 5J 1'10 I sprinkler E " � O 0 0 Recreational Burn <br /> St. to /gibb Fite Alcorn E 1 : o ❑ 0 MIN . Sparklers <br /> Flood Cleaning 0 0 O — Sprinkler System Installations <br /> Hoed Suppression 0 K 0 - • Ei Standplpee (Sprinkler Sys) , <br /> C �� 1 Aierm Installation Ej Torch Roofingt1 ar Kettle <br /> ___ • <br /> Fira Pumps Waste Tire Storage ANNUAL • <br /> [ _ cl Fire Work; <br /> j <br /> FlarnmahIe AppilcatIon- ANNUAL Valuation of Project <br /> rs <br /> Fool I•anlc� <br /> tv�thor: <br /> *Ad'8rbl19N41clI1fl ,:.;•..t .,,,. <br /> ,r,•;rctcr ` Company _ pth Siprtov.ire i 9i L Gt/ ,� Registered Y / N j Fen Current ( Y / N <br /> Adlresr. 1 "0 ,� • .. it'�� " i /2• L I-1/2 <� 'license ..l _ - 1 <br /> ;LL:: lA.r1 �_.��,...:... '� ._�'_"" <br /> Company <br /> _ - �__ - <br /> :iignt,l.r L _ Re ®iet ered Y / N ( F Current Y ! N • Address .. License #. <br /> PLUMBER . . Company _ <br /> 7: 1 • Registered Y TN 1 Fee Current Y 1 N <br /> ,drlro ` ....�_ ,y.= _I • License # <br /> t•J IZCItANICAL <br /> S19rintura �.Comp _�__ __L________ - • . Registered Y / N J Fee Current N_ <br /> Y/ <br /> Address ,n.., - .. �..«� j License # 1 <br /> ;r7hE.1t _ =z _ .— • - - • Company Yom. --- .- _-- - -- <br /> ,:nu-r, .. Registered YIN Fee Current I Y / N � <br /> • A dGrrrs5 <br /> License <br /> hill out application completely. <br /> Owner & Contractor sign back of application, notarized (Or, copy of signed contract with owner) <br /> ` over $2500, a Notice of Commencement is requlred.(Mechenical worts over $6000) <br /> Supply lwo (2) sets of drawings with applloable documentation , <br /> Allow 'I 0 - 14 days for review after submittal date. Parcel #- obtained from Property Tax Notice (http: /lappralser,pascogov.com) <br /> 5 7 . 1 <br /> VIGIL Vigil Inc. • <br /> C/V- INC. Hood S. Exhaust Cleaning Service <br /> P.O. Boot 273787"'Tarrpa Re 33688 <br /> Office 813- 932- 9100"'Fax1313- 933 -8988 <br />