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-81 ofZephyrhMer t 41 1 m0002, - <br /> Pearl* AppNcation .. . <br /> Ate Receive 1 1 P 1 1 L --11 1 <br /> Dwntm' Hams - 1 ' . 0 \<"426. 1 1 ` 19 1 -1 - <br /> Owning Address 1 --- cam 7. CD A"\\ (l\Os� 7 /24 g . <br /> Fee Simple Name Simple—titleholder I 1 TttiehalaerPhone Humber 1 11 11 I <br /> Fee SimpleTidahsider Mdress ( 1 <br /> Job Address — Lot# <br /> Sub Division Parcel # <br /> ❑ Bin Hazwd Waste Storage ANNU L ❑ Fumigation Tent <br /> ❑ Conan Exhaust lOtchen HoodfDuct n Hazerdons Materiel {Tier ti or RQ Facility) ANNUAL <br /> ❑ Controlled Bum ❑ Hood Installation . <br /> Eme gency Generator < 30 kw ❑ 'P"Whxal Gaeartnallation <br /> Emergency Gerrerator> 30 kw El LP/Hakim! Ges•ANNUAI. Sate <br /> Fire Protection Maintenance - ANNUAL - Q - . _ <br /> ® IE. ®' <br /> Sprinkler ❑ n ❑ ❑ Reaeational Bran <br /> Fk5Al n - ❑ ❑ ❑ ❑ Sparklers <br /> Hood Owning t] ❑ 13 ��+1Nt'* sptriderSystem irdaNeeona <br /> Hood Suppression D ❑ ❑ ❑ ! ❑ StandiAPos raPrinklor SYs) <br /> Rre Alarm ineteleMon H Toren Roo&g/Tar kege <br /> Fee Pumps - Waste The Storage ANNUAL <br /> Are Works <br /> Application- Flammable ANNUAL 1 I valuation of Project <br /> Fuel Tanks <br /> i e . 1 <br /> . <br /> = rt ` <br /> Signature ° .ty:m►` _ , Registered 1 Y / N I Fee Current J Y / N <br /> Address 111111111r4 . .�' -; ` � ienva li s. ►:.: License ) 1 <br /> compan <br /> _ - R egirAwed [ Y / N j F ee C Trent , Y J <br /> Address 1 1 Lioarse# 1 1 Swaim PLUMBER I Company <br /> I Registered I Y/ N, Fie Current ) Y/ N 1 1 <br /> Add I 1 License# 1 1 <br /> Registered I Y/ N , Fee Currant 1 Y/ N! - I <br /> Address 1 1 -License# 1 - 1 <br /> - <br /> Sitillikure I iiegislered I Y 1 N I Foe Orient J Y/ N 1 <br /> Address License # <br /> RD out appleabin completely. <br /> . - <br /> Mawr & Contactor sign beet of application. notarized (0 . capq of signed contract aditi owner) - <br /> 1 over $ 00, a Notice of Commencement is regriredA"sdradcai work Over MOD) <br /> Supply two in Sets of drawings weir applicable doo.nerrtadon. -- • <br /> Attar► -14 days for western after subrnittal date_ Parcel t- obtained from Property Tax Mabee ( appraiser pa.Wgor►.om) <br />