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• <br /> 813 - 780.0020 City of Zephyfipls Fir& T►2^ Fax- 813. 780 -0021 <br /> /%� V mit Per Application • • <br /> _ = Phone Contact for Permit 1 11 11 ei <br /> Owners Name .. .. FLA 1 .7 :0/WE 1 L Ownpra Pfiona Number F.f i PAM ``�s0. <br /> Owners Address - % ff h/ AM,:i f d- 0% , - <br /> • <br /> Fee Simple Titleholder Name 1 Titleholder Pfau Number 1 1 IMII / <br /> Fe. Sanplel1Meholder Address <br /> Job Address i = <br /> � "r _ , <br /> .#°"," _ Lot* <br /> Sub Division Parcel* .--- <br /> Bb41ezard Waste Storage - ANNUAL El Fumigation Tent • <br /> ED C.oxim Exhaust Kitchen Hood/Duct ED us Hazardo Material (Tier 11 or RO Facility) ANNUAL <br /> El Controlled Burn o Hood / <br /> Etnergsn y Generator < 30 kw LP/Nstural Gas- Installation / J <br /> Emergency Generator> 30 kw LP/Natwal Gas * ANUAL Sal <br /> Firs n <br /> ProMetlon Maintenance - ANNUAL a P laces of (�/ 1 <br /> E !MOM] ' gl-/ <br /> Sprinkler i 0 0 0 Remotio al Bum <br /> FY. Mann 0 0 0 - Sprldera <br /> Hood Clsenkig 0 0 0 • SprWderSyNam Instela1 -t s <br /> Hood SurceesPon 0 0 <br /> 11( sairrdplpes (satnkMr Sys) <br /> Fke Mum Installation - Torch Roping/far Kettle <br /> Fire Pumps , _ - . Ed ~ Kettle Waste Tire Storage ANNUAL <br /> Fire Works • <br /> . FMrwr 1 .1 Valuation of Project <br /> abie Application- ANNUAL <br /> Fuel Tanks <br /> 11111 Ogler — <br /> NM. ®,.e.��. Can fie.. I., l . ' . � _ or �!4 <br /> Contiaotor �� t'7E1 f marl [ ° <br /> sigrrbae .�.�I �ITa� <br /> Address 11:d : r. ` ill®.® ®.*'.° x "7 � r/ ®.. Uesese # : . =. rth°r,..rord -. i ; <br /> ELE <br /> Registered Y / N F.. °Arent 1 Y / N <br /> Signature licence <br /> 1 Address fi <br /> PLUMBER Company L___ <br /> Signature I Registered Y/ N Fee Cunard I Y/ N I <br /> Address 1 <br /> 1 Licence. * 1 1 <br /> cHANicAl <br /> ME <br /> Sigra�xe Y/ N j Face Curwrt 1 Y/ N I <br /> Address 1 License * 1 • 1 <br /> OTHER , , Company I <br /> • <br /> Signature Registered L Y/ N• I F.s C�►arent 1 Y/ N J <br /> birec . <br /> AI c g a ' el meld wlth weer) <br /> s Co *i $ur (Or. wok over sa <br /> N over $2600, a Notice • C l . <br /> Am 100-1 14 days for y r revtw atleusrrbr!MIW date. <br /> of <br /> Aiow 1. ,~ * - obtained from Property Tax Notice (htfpNhppraiser.peacogov.ramm) <br /> • <br />