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• <br /> 813- 780-0020 City of ZBP <br /> ills Fi Fax -813- 780-0021 <br /> .. Pernik Application • • . <br /> Date Rdodwd • ` Lommommonalmij Co Permit I I I I • <br /> Owner's Warm �j <br /> owners Mdrws [!:L2ri/�B3�J��� /�M'T! �1��411111111111, <br /> Fee Simple Titleholder Name • Titleholder Phone Number <br /> I • I I <br /> Fee Simple Ttleholderllddress I <br /> Job Address Lot 8 <br /> Sub Division Parch # <br /> Biod Waste Storage - ANNUAL Q Fumigation Tent • <br /> Q Comm E,deust Kitchen Hood/Duct El Hssardous Ms ui$I {Tier 1I or RQ Facility) ANNUAL <br /> a Controlled Bum = Hood installation <br /> emergency Generator < 30 kw LPINaUaal -lotion <br /> emergency Generator > 30 kw LP/Natural caas,i�NMUAL Sal' <br /> Fire ProMcdon Maintenance - ANNUAL Places of Assembly-ANNUAL • <br /> . EMI Effi v-L-Tm R Sprkider Li 0 0 0 Recreational Bum [9 <br /> Fire Alarm 0 0 0 _ Spenders <br /> Hood Clearing 0 0 0 • Swink* System itstaYtlons • . <br /> Hood Suppression 0 } 1\1 MrdK O Standpipes (Spr Sys) <br /> Fire-Alum m Installation n _ Torch Rooting /Tar Kettle ' <br /> Fir. Pumps - ' _ Waste Tire Storage ANNUAL <br /> • FTsnrnabM Appticatlon- ANNUAL • I .' Valuation of Project <br /> Fuel Tanis <br /> Cantle-Ea °® 9► .' W 17/i :712 n4 , - - A!&.!, • <br /> Signittrre � ,®Tet8 Retuteae IttelatTaili . • . <br /> Address r41:1d .;,-%4 ° ____ 7- . r._ 1r .. Mom* : : '. n' ,rr r 12, �; • <br /> ELE Company <br /> Sign T Registered Y/ N Fee C J Y/ N 1 - <br /> Address ' License ft ' • <br /> PLUMBER Company I <br /> • Signature I Registered I Y/ N. J Fee J Y/ N 1 <br /> Address l ) License it I I • • <br /> mEcHApal ' . Company <br /> RplpM.d Y/ N j Fee Currant J Y/ N 1 <br /> • <br /> Add ess , • • Licens I 1 <br /> OTHER . . Company <br /> Signature • L <br /> . <br /> ) R.gtar.d I Y1 N • 1 Fee Conant 1 ' Y / N J I <br /> ''' <br /> } . { ' �.. y" '' Wei owner) <br /> ti over $2500, a NOON ,, t work over 13000) • <br /> UPI*** (2):8rle d i . <br /> • <br /> Mow 1 $Se <br /> 0.14 days for rst toll IMI• . Parce # - obtei ed from Property Tax Notice (hltpyhPP •Daeeogov.00m) <br />