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81313643020` City ofZ phylflillsfire- Fax- 813- 780 -0021 <br /> Permit Appicetlon <br /> - POEM ConlrattorPermit <br /> Date Received <br /> owrsrs Name v k N rS s7pA./e ti 5to4 -1 {e ( owns: Phone Number 13 Il, <br /> owners addnsaa , S .3k / . 'C P ::S E Ze rAxrAS FL - <br /> Fee Simplellishoidar Name 1 1 T/droklir Phone Humber 1 11 1 <br /> F.e simpl.'Titl.Nolder Mikan; <br /> Job Address Wt. — <br /> Sub Division Parosi# <br /> Q Elle4isaini Wade°Wage -ANN AL. 0 Fumigation Tani <br /> Q Comm. admit KilriwnHoodiDict 0 Hasaedors (Der ior ROFacaly)ANNLJAL <br /> 0 Con tit dawn Q Hood i eMblian <br /> Emaimimy G.nainior r LPMliiid8r -b'- anon <br /> 6nm.Aor> 90 kw L P1MeYaei 9n,ANMAAL sale <br /> R p y - Places d PaserabtpANNIiAL <br /> gpi 0 0 0 ® {TaaaaMond Sum <br /> Fie Nana 0 0 0 Oa s <br /> Hood Ckeni g 0 0 0 um SprinklerSyslain iudihiorw <br /> Hood Suppression 0 0 ED SiandPiPos giPiird dor SYil) <br /> Fine Nana kwtaMatlon Teich RooigfrarKati <br /> Fie Pampa Wane tin Menage ALUM. <br /> Flee Works <br /> Flammable Application-ANNUAL ) f Valuation of Project <br /> Fuld Tanks <br /> ED OUier <br /> SigniltureCalibld°r I wowed / N Fee Cannot ( Y /N <br /> Amon I I Lite's,* 1 1 <br /> Comm <br /> riii C Z I II CIA l R gnimaa 111111ffilla Fin aunt <br /> Address I 1 ,.icon..: ; I <br /> sigrskse ' ( Registered I Y 1 N 1 Fa, anent } YIN [ <br /> Address I 1 License* I • 1 <br /> LIECHAPICALI <br /> f Company <br /> Ragddered I Y/ N J Fen Chat t Y / N 1 <br /> Adduces ( 1 limner# I <br /> OTHER <br /> o Company . <br /> Signsbse �' 1 Regidued Furl Fee Current I' <br /> Address L� I-F '!IPPAPI MA s7.c�.f.� License* �. 60 <br /> _ . _ ...'.._ <br /> RI out applitafon compidab►. <br /> Owner a Conraeolarsign back deppiaries . noierkad (Dr. copy of signed contact Wit owner) <br /> Vow 32300, a Holm of Co mnro.nwrt is requhd.(IYcheni d work owr$3000) <br /> Supply two Masts drawings WM applicable doosneeYtsn <br /> Allay 10. 14 days tor mime slier submittal dude. Parcel #- obtained E lam Properly Tim Moan (htkaappabier.pascogovmm) <br /> • <br />