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• Eii ',--7.E.,---•:c...2r:J Cit■i of Zephyrniils Fire - 3 - 30302
<br /> Permit Appiicatior q 33 ?
<br /> Date Rec,eived I I
<br /> Phone Contact fcr Permit I 1 D.. 11 — '1
<br /> Dwn=3 Nag--;.- I V-kerc\rion\----- -.\-.0.1 0 )---) 1 c,--wner's Phone Number I I
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<br /> Owners Adcress ci,- ..,30(.37 ( she Do 0
<br /> Fee Simple Titleholder Name
<br /> I 1 Titleholder Phone Number I I I I
<br /> Fee Simple Titleholder Address
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<br /> ion Address — 1 3 6 GLI IN\int
<br /> Sc Dri[str
<br /> Parcel jr
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<br /> 1
<br /> Bo-Hazard Waste Storage - ANNUAL F Tent
<br /> j Comm 'Exhaust Katcher Hood/Duct Hazardous Nlateriai (Tier 11 or RC Facillty'i ANNUAL
<br /> En Controlled Bum
<br /> 1 Hccd Installation
<br /> 1 1 E.mergency Generator < 30 KW
<br /> LP/Natural Gas-Installation
<br /> ti Emergency Generator > 30 .cw Fl LP/Natural Gas-ANNUAL Sale
<br /> ..-=-.
<br /> Fire Protection Maintenance - ANNUAL Paces of A.ssernbly-ANNUAL
<br /> lUtriy1 13 emil vi} Ntner
<br /> Sprinkler 1 I n -
<br /> L.. '_J I
<br /> I Recreational Bum
<br /> Fire Alarm ri 7 D Di Sparklers
<br /> Hood :7:leaning 7 7 7 1 I Sprinkler System Installations It/0 / b
<br /> Hccd Suppression, I D Di D Standpipes (Sprinkler Sys)
<br /> Fire Alarm Installation Torch Roofing/Tar Kettle
<br /> Fire Pumps
<br /> I Waste Tire Storage ANNUAL
<br /> 1 I Fire Works
<br /> pi Flammable Application- ANNUAL
<br /> 1 I Valuation of Project
<br /> Fuel Tanks
<br /> I Other:
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<br /> 2E
<br /> Company
<br /> Stanalure
<br /> Registered Y I N I Fee Current 1 Y i N 1
<br /> Address 1
<br /> License
<br /> ELECTRICIAN'
<br /> Company
<br /> Signature
<br /> Registered Y I N I Fee Current I Y i N 1
<br /> Address
<br /> License #
<br /> PLUMBER
<br /> Company
<br /> Signature •
<br /> Registered YIN I Fee Current 1 Y/N I
<br /> Address
<br /> License #
<br /> N_AECHANICAL I
<br /> Cpmpam,
<br /> .pignaiure 1
<br /> Registered Y I N I Fee Current I Y / N
<br /> Address 1
<br /> License #
<br /> OTHER
<br /> Company tile r ri-c.
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<br /> Reg:sfered ( 1 N I F Curren; 1 Y I N
<br /> Address 1 .:-.5 a t - -crn i mita 4.- . , L,c.,:-.,,= i —I ■ As-use c o t `i 0
<br /> - . --_.ii, ow alleiropippiy
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<br /> - two 2) sets Ef fi , ,ih 2Eciicable sco
<br /> Alloy, 0-1d Says t ref,ley, ate 31.DMit79 i date
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