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lll'1, 11: 44 AX L1:Y1171i111LLh 15U1LV1IN1 1'AA N0, ti 1i I ii L' - UUL1 r. UUL <br /> 813 -7S0 -0020 - City ofZephyrhlll Flt :... ' 441-6°6 Fax-818480-0021 .:(S i <br /> Permtt Application . <br /> :3ao <br /> Date Received '': Phona Canted Permit MIMI <br /> Owner's Name ` - .SeNez- ra4 fu p nv RA' t FS Owner's Phone Number I l I 1 <br /> ^ <br /> owner,..... 73 2 S X04 // 13 /t�G/. 2e /1 / S f' -2 33$'// 1 <br /> Foe 91mpkTltlehdder Marne f I Titleholder. <br /> Number 1 - I - (f I • <br /> Fee Stmple'Titlehalder•Addrees 1 • '+ <br /> doh Addreee &AleE7736K .S(/2 - - 4 7 /lJ C,•f75 Lot I I <br /> arm.: <br /> Subl3 elon 4 2 5 --- 6 // V • 2 yi- 4 /•.4 Parcei# _ <br /> Blo•tiaaard Waste Storage ANNUAL- 1 F u nigaden Tent - <br /> R - Comm 6dieu t l: Io 1ien HouWpuct Hazardous Material (lter tl ar RC facility) ANNUAL <br /> • r,r: I r ---- ! � <br /> Controlled Bum- • I H ood 'Installation 4 • D Emergency Generators 30 kw LPINatural Gae tnetail�an C 47/A/, ✓V C . 4 c v� <br /> Q Emergency Generator P. 30kw LP/Natural Gas-ANNUAL Sale <br /> E Fire Pmt ion Maintenance - ANNUAL • 0 Places of Aeeemb4y NN JAL /( 3 / 2 c / G <br /> - ®.1 ' ' <br /> Sprinkler 0 13 ❑ Cl fl Recreadonei Rum <br /> Fire Alarm ❑ ❑ ❑ l . - I . fl Bladders %w!S ? � , 7 vv <br /> Hood Cleaning ❑ Ai ❑ I o SprinkI �� / cc,t �r • er System installations � L f <br /> Gv <br /> Hood et,ppreetion fl D t � Q ❑ I I f ngpfpas (Sprinkler S <br /> • Fire Alarm Installation Torah Roaf6gfTer Kettle • w. / / 01 G / h • Cj`! ?'"Ai <br /> Fire Pumps ED W aste Tire Storage ANNUAL 4- t ,n) Fire Works 4' -C.. ._ Y.47e 41 . <br /> Flanunable Application- ANNUAL .r • t Valuation of Project <br /> R Fuel Tanks <br /> Other: I <br /> Conkect its Cwt . Conpan" - 1 <br /> 51gnetum tisgratored YJN Fes Current YJN I <br /> Address I /746. Cool % l y `t S 7 7>9 Z. - • * I . Uc 0 _ I I <br /> tfE TRLcIAti 4,9tieA9 v4 ;•-/ 3�.� ka- . :company _ I <br /> Signature L Registerei I YIN I Fee c anent I Y/ N t . <br /> Address I - ._ license I 1 <br /> PLUNIBER I Company - I <br /> *salmi Registered Y/ N J Fee Current 1 Y/ N I <br /> Address F I License# J <br /> • <br /> • NLECHANI LF Company <br /> • <br /> Signature - Registered ' Fee Current mum <br /> Address r _ ...es L.,..-... • I <br /> OTHER I Company - - <br /> Signature Registered IllarM . Fee Currant <br /> /�irec�.oAd - J usene I I <br /> F E outapplication - <br /> Osmer & Cordractor sign back of appGcanon, notarized (Or, copy ofeigned cantract with owner) • <br /> rf own $2800. a Notk:e of Commencement is regtdred.(Megi®t work over $5000) - <br /> Supply two (2) seta of drsrafurgs with applcabie doom entelk t . <br /> Allow 10-14 days for review V' • '" • J-'- t ,Lit A- mo <br /> eted from Proowiv Tax Notice a er. <br /> (hil)xfl ppra(a t>astaganroom) <br /> STEAM & PRESSURE CLEANING <br /> -Building Rise Air Duct Clea Certified Kitchen <br /> 9 Exhaust Cleaning <br /> Commercial Sidewalks <br /> Industrial Concrete <br /> Bruce Anderson _ <br /> — — -- <br /> Phone: 1- 888- CLEAN -18 Licensed, Bonded, Insured <br /> Cell: 863 - 224 -1155 Serving Florida Since 1989 <br /> Email: pressureson@tampabay.rrcom Free Estimates <br />