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393-71104:1020 City of Zaphyrhillsiziaw Fax-813-780•0021 <br /> Pent* Application <br /> . - Plesb Contactfor Penni - - <br /> Date Received <br /> Owner's Name r eit e7.4 ,,isarmr ..,...... °wales Phone Number 12 2 D 1 = <br /> owners Address A. • "M' i <br /> ed , 41 <br /> Fes Simple illehokler Nemo 1 . <br /> 1 Th i s h o i d a r Phone N u m b s 1 1 1 . 11 <br /> Fee Simple Address I <br /> . <br /> Job Adthess • . • I Lot* <br /> Sub Division Pared* <br /> 0 R —A.—. lows <br /> I - <br /> El 13ialbard Nibs Stamm - MidUAL indpeoreunt . <br /> Ej Comm Etdust laden Hood/Duct ED Marsden* Maeda Mall arRIZ Fistilly)NINIML <br /> 1:=1 Coribeled Bum ri Hoed basilation <br /> Eras CliansWor < 30 law CZ:1 LPItiellinal tbs-kabdallon <br /> Emergency Ranwelor 2. 30 kw - H LINNatuni GewANNUAL ids <br /> Fie Prolection Mantsaance- ANNUAL - Races of AassmblpAMINM*1- . <br /> WE MEIN!! --iti <br /> Slabber 1111 D E) 13 Rwandans' Bum <br /> Fire Akron 1111 a ci t3 111111 M SWM <br /> I= <br /> Hoed Claiming 1117 D jlik 0 Illi SprialderSystant Insigkilons <br /> Hoed Suppression 117.1. o il, 0 StradpIpes (Bpdebler Sys) . <br /> Fire Nairn trubiblion <br /> Rre Pumps <br /> File Works <br /> Rainmeble Apple:Sion- ANNUAL <br /> Fuel Tonics Tomb ReatingiTar *Me <br /> I Waste The Slings ANNUAL <br /> I Valvaltion of Project <br /> Contractor I Comply <br /> ' I Regained I Y/ N 1 Fee Carat 1 Y/ N 1 <br /> Address ) <br /> I License* 1 <br /> - 1 <br /> Sgnum ELECTRICIA1 • _ . <br /> Campus/ <br /> Registered I . Y/ N J Fee want 1 YIN <br /> Address 1 <br /> 1 Li* ) <br /> PLUMBER I <br /> Company <br /> . I <br /> Signature R•gisiwild 1 Y / N 1 Fee meant 1 MI 1 <br /> Adckess 1 <br /> I Uwe.* ) • <br /> MECHANICAL' . <br /> Sgntxe . <br /> Registered 1 Y,/ WI Fee Cunard 1 Y / N 1 <br /> Address ) <br /> 1 Limns* 1 <br /> I <br /> OTHER <br /> ComPionY -5 - • - i 02 - E co., . .,... .. . ar <br /> Siamese 1 --"' e..--eto-cf--4---z— <br /> 1 Regbised rieliiv_MII Roe Current Y/ N <br /> . <br /> Address 111W321114,' ' 1111.1 License* <br /> NI WM NZffil iniffiNgillia <br /> .... ..... ... ..,_ . <br /> oirectiornr <br /> FM out h'--.&'n completely. <br /> Owner & Contactor sign beak of madman. nonstand (Or, copy of signed wrait with mew) <br /> if war 32500. a Nadas of Cammencemant is requbed.(Machenical week everS5000) <br /> Supply two (2) sets of drawings Wit applicable docsaradation <br /> Allow 10-14 days kw review alba submit's' date. Parcel *- obtained imm Rowdy Tax Notice (htipliapprateer.pescogov.com) <br /> • <br /> • <br />