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813- 780-0020 City ofZepbyvhile Fire• Fax-813-780-0021 <br /> Pennit App n <br /> Dais Received . i" <br /> - Phone Canie tfsrPanm <br /> OMSrras Name IZr ly "L7 /S / So,JtC— icS7e A 1 I f)rennii.bon.Number j P)_3 1 17'.2 I -{ ya <br /> owners addran 1 / '1S> T 2 4'r4, ( R <br /> Fee 8arrpieTiNholder I 1 TibirolderPhoes Nissber 1 11. 11 <br /> Fe. StmpleilieholderAddler• <br /> Jab Adds <br /> Sub Division . <br /> ate_ aroma <br /> a W - p <br /> D . 000,11 EshsuBe Kim= Hoodouct Q lieaa (Tier II arNQFeclittr)AlatIJ*L <br /> . ❑ Q Flood insbbilon <br /> 0 - Eareqpn1,► Generator <30 bur + <br /> ensiwrayOrmse dor> 30 kw • Labele.t tba*IINUAL Sob . <br /> Roe Protsciioa# -AINML . .PMoesc( llseddP**IW. <br /> RBI ®1 <br /> 0 Are Alwyn 0 0 v Sp.iaen: <br /> a.. . 0 Q" 0 - sliddder> • ., _ <br /> Hood berpreselon 0 0 81. gms inkier I <br /> AreArm in. - - , . Tarahlisoigo_erKeme . . . : • . <br /> For Pumps Weser Tee etoregaA NUAL <br /> fialNarks <br /> RerniableApplestin-ANNUM. ( Valuation of Prof . <br /> Fuel Taala <br /> - 0 = I <br /> - <br /> I <br /> $4n•ese rtegUbnd Y/N - r Fee Cement ' Y/N ) <br /> address i 1 _ . 1 °! 1 • I <br /> �gnubae 1 <br /> Y /N'i Fmstweent -;{ YIN 1 <br /> Address r Lioems• 1 - -- [ _ - : <br /> PLR <br /> Registered - J YI Fee Cane* <br /> 1 . - ..- - • 1 License* I' <br /> MECHANICAL, .: ...- <br /> Registered + Y/ N J Few Owed J Y! N J <br /> Add"sss, 1 License* I 1 <br /> OTHER ' <br /> e 1�m.✓Z._ <br /> 1 s1ed ► S ..z E <br /> r Fes Qbert Y/ N <br /> Address X33& - ,. 01 License* Wt. . 6° <br /> Fs cutappticaeon compbrdy. <br /> Owner& Carbector sign heck af appiotlion. misdeed (Or, cap/at signed contract with aerie* <br /> ff over S2500, a lido. of Oommsncenunt is regeeed.(beche dod look owsr=6000) <br /> Supply two (24 sob cramming: ellh apploabb doctimmialion <br /> Mom 014ddrisforrerisw idler gobbled dens penny*- obliged from Properly Tax Rollos�,pocogov.conj <br />