Laserfiche WebLink
. • <br /> • ,loZ2i <br /> • • <br /> City of ZephyrhflIs Fir.* -3 ?^ Fax- 813 - 780-0021 <br /> 813 -780. - Permit Application • • • <br /> Date Received . • 1 I • • Phone Co Permit 1 ( 1,,, J <br /> Owner's Name • • - -, 1 Ownws P <br /> � hone Number 1 1 1 '1 <br /> Owner's Address <br /> Fee Simple Titleholder Name • TMNtwlder Phone • 1 1 1 • I <br /> Fee SknpN'I1tleholder' [ <br /> Lot d <br /> Job Address <br /> Parcel 0 J • <br /> Sub Division , <br /> Sta./4 errd Waste Storage - ANNUAL • a Futigation Tern • <br /> o Comm Eataust Kitchen Hood/Duct El Hazardous Weds, (Tier 1I or RO FacMMy) ANNUAL <br /> o Bum o Hood installation <br /> Emergency Generator < 30 kw R LPnraarrai <br /> ji <br /> Emergency G .n�ator > 30 kw LP r>M Gas iyttNUAL Sal. <br /> Fire Protection Melamine - ANNUAL a Places of Assembly- ANNUAL • <br /> IMO IHE EM r'I-L-01 <br /> 0 0 0 _ Recreational Bu <br /> Fire Mom 0 0 0 _ Sparklers <br /> Hood Cleaning 0 0 0 _ ' m <br /> � �n . <br /> Hood Supa e•Mon 0 0 0 • Standpipes (SptirlderSys) , <br /> Fie AYinn Motion _ Torch RoolinWrar Kettle . - <br /> Fire Pumps - • R Waste Tire Storage ANNUAL <br /> Fire Rentable Re.b Valuation d hloject <br /> nrtrble Application -Ar ANNUAL .� <br /> Fuel Tanks <br /> ®1 <br /> .1611,161.‘0 �.�.�... Colrain', I�� "..7� "�/Kill - ��.1.1 � ° � `i, I IIIM <br /> ContactiOr _ y „mo w ..m -� • .. ,.: . <br /> . v No.nw:#E : �[ =170/ ..�3 .�. 3 ; <br /> Address V�J�1�.�` ,����.�'. ° ®�'.,. ����"/� ,�.. <br /> ELE Comp.nY <br /> Signore Registered Y / N F.. Cu er t <br /> Address <br /> PLUMBER <br /> Company Signature Y /,N .1 r Current 1 Y N I <br /> Address I License I <br /> mEcHANicA9 Company 1 <br /> Registered L Y / N I FM Cursed Y/ N 1 <br /> • Address ) license N I . <br /> OTHER L Company <br /> Signature Registered Registered Y/ N' 1 F. Calla I , / N 1 <br /> As '14 - Or.• , = e red cor teraetwith own.r) <br /> a <br /> If over $20110. a Witte, • , z work over $0000) <br /> Au ►� (dam for . , a ' # - obtained from Property Tax Notice (Ntp Pikrer-paeoogoV.c <br /> Aker 10-14 days for =isttbllilltM •... a a:. " . <br />