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813. 780 -0020- City ofiZephyrh s - Fier- FaF813a80.0021 <br /> Pemiit Appiicadon <br /> Date Received - PeronContect for Pernik <br /> Name ►.. , ,. : Phone Number 1 1 l <br /> 3 ?moo /f i 0 //. 2v /4 , . <br /> Fee Simple TNeinlderNeese 1 1 7iYdmlderPhons Nu mber I l I I I <br /> F.. Skrrpt.TNlMrolderAddwess <br /> Job Address ' Let* <br /> 0 BbdiiorardW N <br /> astearage -ANMML RaniprrsnTent <br /> Comm &host Kitchen Hood/Duct Q HaatdLW Maoist (Tier It arRQ Reilk) SS1AL <br /> D Cordial/id an Q Hood iarkifeNon <br /> Emergency Gensador < 30 law <br /> Emergency Asrrsrslor> 30 kw LP tteAni tiee,MHML s <br /> is <br /> Fire Ptoledion ileinieneuoe- lr/N111111. Pieces of Assembly-A1NUA1. <br /> 1251 ME 1E1 ......k!---mi LiallikaaliSewinstalielitat <br /> Spikier 0 0 0 Non Recamiiionel Huai <br /> Fire Mum - ` 0 0 0 0 SPINWNIN <br /> Mood Clesrri'g 0 13 111. Spdaiderlitysirie MsOelions <br /> Hood Sryproeaon 0 0 0 Standpipes (Sprinkler Sys) <br /> Fire Ak mr.ilefars ion TadsRoalingrTerKalre <br /> Fie Pumps Waste Tie Storage ANNUAL <br /> Fie Works <br /> 1 j Valuation of Project <br /> Fuld Tanks - <br /> IS Other: <br /> Contractor <br /> sigrseee t psalskad Y / N 1 Fee Current I Y N <br /> Address I 1 License* 1 <br /> I Comm <br /> � 0w " ie1 f 1 shad I Y /N I Fee (Anent ( YIN <br /> Address 1 License* <br /> PLUMBER Company <br /> 1 Fee Currant Waal <br /> Address MECHANICAL' fin` <br /> Registered 1 ¥ / N,f Fee Oswalt J Y/ N I <br /> Address 1 I Limner* 1 <br /> OT} <br /> Signature -- e iz_ Convoy S : .z E. _ <br /> Remind C.'r► Fee Cann* IIIIIara <br /> Address �1f' <br /> nr� License * <br /> Directionsc <br /> FR outippliceYon corepletaly. ors u a <br /> Owner A <br /> r.,�, Convertor <br /> Moroi oF� oer o is (Ors copy of signed con and web owner) <br /> Fly (2) ewe tap cumin sohowfarl work oaerN6000) <br /> Arorw 1audays tarr ed/es�suprp a � <br /> Forest *- aiieinsd from Rowdy Taos Notice (lrkriapp�,p,secogov.com) <br />