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813 - 7800020 City ofZephyiW6 Fier Fax-813- 78Q.0021 <br /> Penult Application <br /> Date Received - Phone Content for Pere* 1 11 1 1. v a <br /> Owner's Name F ? 17 a M Omers Phone Number . Fin . QG--t" <br /> Games Addlms 9 7 I ri— ,va ` aslal 2x► S �L <br /> Fee Simpleillehotd.r wme <br /> TttMlroklerPfron. Number I I I ,_. _ <br /> F.. SirnpleTNkihoiderAddress r <br /> - <br /> Job Address <br /> Sub Division Paiael# -- - - - -- <br /> 0 Bio dwasieSiotage- ANNUAL Q Fa ipwonTent <br /> 0 Erdis.eti Niches Hazardous Matedd(�itarRQFira WAL <br /> ly)AN <br /> 0 <br /> cloiwoNed Hum toad ineteMtlion <br /> Emergenvy Generator < 30 tar t PMiluoot- on <br /> Emergency Generator 30 kw i.PArehaal tine <br /> Fire Protection ileiierr.ao.- AIfNUAL Places of Assembly- ANNUAL <br /> IREE EMI EMI 0---Ali <br /> 8prbrw.r o o o — Recreations! S m <br /> Fie Maim o o o sa•wrs <br /> Hood Claiming o X 0 _ <br /> Hood Suppression t7 x a <br /> Fins Warm kreteRadon Torch RoofrglfarKele <br /> Fire Fbape Waste Tke Slow. <br /> Fie Wilda <br /> F> { ( 'Valuation ofP <br /> Fuel Tanks <br /> El Ober: <br /> Contractor <br /> I Company <br /> Signature - Registered } Y/14 I Fee Current I Y/ N <br /> Address { <br /> 1 License* , 1 1 <br /> A kkess { <br /> aed j Y /,N ( fires ent 1 Y/N I <br /> FtuoiBER I 1 License* { E Signature ° t <br /> f �epitisred / . tree Daunt Wilial <br /> Address <br /> MECHMICALI <br /> { License# { . { <br /> Registerad I Y/14 1 F.. Current t Y/14 <br /> Address <br /> OTHER Company <br /> ` I 1 Weiss* { c 1 <br /> S N2 1 G O 1 <br /> 1 <br /> Address . �.3'3G - t � ---- -- � �� <br /> .�.,')!�'l1,'�'� l Darns, <br /> t)kecdorrx T - _ _ t _ N <br /> FR out applicalion compiebly. <br /> Omer & • ca e c a wok crappliosMon. nolsdaed (c Dopy at signed oorr.eoet with owner) <br /> if neer two (Z) salt of o regrrk.d'giregh.qad work ~MOO) alawlaualryaforr�is�rra0erp� documentation <br /> Parcel ir- obleired from Rowdy Tax Notice (iM app <br />