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813 - 7800020 City ofZephyrhW fink Faoa813- 7804021 <br /> Permit Application . <br /> Date Received - PhoneCordectfor Pens/ . I II <br /> donee* Name , _ . et :.. Owners Phone Number 1 r!3 1 rffill 174V <br /> owners Address 1 SS742 /9k' S" 1A6 790layrr i if <br /> Fe. Sirapis7l•sirotlsr Name <br /> 1 TaMholder Phone Number 1 1 i 11 <br /> Fee Slmpie7NleboldsrAddress ) <br /> Job Addnees Lott <br /> Sub Division Paasi # <br /> socutasamat <br /> 0 Ha-tlicoad Waste itospe "ANNUAL [n _ _ i n Tent <br /> 0 Comm EiMust Kitchen Hood/Duct ED Han.rldorrs Metwid flier M erRt2 Fid ty) ANNUAL <br /> 0 CaMIdM Hun p Hood, <br /> Emergency Genssdor LPiMiesaleseirtalissorr <br /> Ernargencyammeator> 30 tat LP1Mhia+.1 Qa*#iMW ->3ele <br /> Rue Protection 8isinime�.- AMMUAL F�Iaoss oFAseMeby,ALNNJ/t! <br /> ISM EMI FM . Sprinkler N 0 El 0 NEN El Recxe4bnet Hum <br /> Fire Mann 0 0 0 N Sprit= <br /> Hood Cleaning 0 0 0 IIIIII 8rdaldsrSPiom beediala a <br /> Hood Suppression 0 X 0 SlendAiprs ( N <br /> Ro. Akan Yale -efon TorebReainpffarKates <br /> The Pumps Waste The 9oape ANNUAL <br /> Floe Works <br /> Flamembie H, Application-ANNUAL of Project <br /> Arel Tanks <br /> 0 Other Contractor I (aopipss+y ; - Y!N Few:west 1 Y / N <br /> Address 1 1 _ iacen..e - 1 I <br /> � wry <br /> R east.�ad � Y/ N � Fey t7ui+siit J Y N1 <br /> Address I 1 Manse* 1 i <br /> Puy I Company <br /> Signature Registered N F r►Q IIt <br /> Address ( ( tiarrrae I' ' <br /> Sir Company <br /> Registered Y t Fie Conant <br /> Addns's I f License* I I <br /> OTHER ComMo7 S ! NZ 1 4 Q ts <br /> Signattse '-- e <br /> Addle= irMigir: _MIMPRIMIN. likrega11117),3111/07M1111111111 Manse* 11 dc: <br /> Median= -- <br /> FS out application mmptabty. <br /> Owner & Caaaotor beck d .ppioUYoa, noirte.d (Or. copy claigned.orbeet oft owner) <br /> if over 32800.. *doe cf Commen ement it esquired.(kiscieriod work o er33000) <br /> Siq pIyIwo (23 sob of dmwbgs reel app loable documentation <br /> Alm 10. 14 days lorravfswalkar submittal deb. PanoJ # - obWnd tun Ptoparty Tax Notice ( prat urpascogovcom) <br /> • <br /> • <br />