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------ <br /> 813-780-0020 City oflephyrhilis Fire ( - 1 i l 'i ,t; Cifil Pax-a13-780-0021 <br /> • • . • , , Permit Application <br /> \_A <br /> ----'—i _.• ., ._ . <br /> Cate Received Fhone Contact for Permit ::: 12m j * it alL <br /> . ' <br /> Owner's Name U Y.., ii ii iM... tailfr . 4 Owner's. Phone Number <br /> .. - <br /> — .. <br /> Owner's, Address a le „ -A 1 • %3 . .-.P 'k' 0 \ — -‘1•1m. • <br /> — <br /> . <br /> Fee Simple Titleholder Name_ " - Titleholder F'•hone Number .. <br /> F simple Titleholder Address • ' . . ' <br /> - Job - cio. \ c_Y3q — : . . .. .L.t.# <br /> . ., - parcei# :. . .:11 --D .- . 40 ' 4 3 S -0 1 <br /> Sub Division . • <br /> • = 1 , r ,• ° 0 ii _,° .• or 11 <br /> No-Hazard Waste Storage - ANNUAL - • n <br /> Comm Exhaust Kitchen HoodlDuct . ' , 7-1 'Hazardous fvlaterial(Tierli or RQ Fa cill4) ANNUAL • <br /> El Controlled Burn i 1 ' Hood-Installation <br /> • Emergency Generator < 30-kw i , • - 1 LP/Natural GasAnstallatIon . • • • . •• <br /> Emergency Generator > 30 kw . - {" LP/Natural as-ANNUAL Sale. ' . . • <br /> . . <br /> . 1,.....t" Fire Protection - Maintenance - ANNUAL ; Li Places of Assembly-ANNUAL - • • • <br /> • • Sprinkler .i .. - • -/a : . . . 1 • .Recreational Bum • : . . . <br /> • . . <br /> - Fire Alarm . .i ' •• .• - 1 • • 1 Sparklers . - • . .: • • <br /> .• <br /> . . • Hood Clean/Suppresion <br /> s. E1 :. • . ' • . Sprinkler System Installations - <br /> • . , <br /> ' 1 • I Flre Alarm Installation • - • i • . 71 Standpipes (Sprinkler Sys) - • <br /> • 1 Fire Pumps • • • • • .• .. i .1. Torch Roofing • •. . • • Li Fire Works . -. ' i • - . Li Waste Tire Storage ANNUAL <br /> — <br /> Flammable Application- ANNUAL • - • i - ' -- <br /> E Fuel Tanks • . . <br /> " I ' • .. Valuation of Project • <br /> • <br /> • 1 Other: - • . <br /> Contractor • - - Company <br /> Signature Registered .... Y./ N I Fee Current I Y / N • Address • • 1 • •License # • . • <br /> ELECTRICIAN . . .. Company •. . 1 <br /> • •• . <br /> Signature • Registered . Y / N 1 Fee Currant I Y / N , • <br /> Address -1 License* • • <br /> PLUMBER • 1 . company. .. . . ...- • . . <br /> Slgnature • - 1 Registered t Y IN- I Fee Current I • Y 1 N . . <br /> Address _ _ ' . • License # . <br /> • MECHANICAL . . . 1 ... Company •, I <br /> signature • . i ' Registered . Y! N Fee Current Y / N <br /> Address • 1 License # . <br /> ..... i <br /> OTHER Q4L,j--t---.(.- 1 . Company Ais 1/11WMFMiliv . I <br /> 1=lonature ' , Registered Y / Fee Current ! Y/N <br /> ......_ • <br /> .Address I ,. _ rminwar.msair i <br /> License # - X *i_ ; 0 o we 0 i <br /> ..)irectionF.: <br /> 7ifl out Eppiication MpietelV. ■ <br /> ii.vner1i1 Contractor pign bacx pr application, riotarizsa 1.0r. popY of signed contract witn owner/ <br /> if over '''2,500, a Notice ct Commencement is required (Mecnenioal work over 35000) <br /> Supply .7,vc (2 seta et trawings with applicable documentation <br /> l ' <br /> . 10-14 days for review after submittal date. <br /> i . <br /> 1 <br /> I . <br />