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813 - 780.0020 City of Zephyrhilisfiuee:T2n Fax -013 - 780.0021 <br /> Permit Application - - <br /> Date Remind = .77 -111111NIEV ����► <br /> owner's Name .. - ' r� �� /A //I' // %2,`�W/,IIf7F emses Phone Number l 1 <br /> ��S �WGAEPc- ��W�.4i5%1. %t. IIIW <br /> Owners Address ( I � I <br /> Fee Simple TIll.talder Name Titleholder Phan Number <br /> Fee SI mplellielaidar Addres 1 I <br /> leMilemillanill01111M0111110W .411111111111r <br /> Lot Job Address <br /> Sub Division Parcel # <br /> 'j <br /> E3 Bb- Hazard Waste Storage - ANNUAL El Fumigation Tent • <br /> ED Comm Exhaust 10tchen HoodlDuct El Hszadous Malarial (Tier 0 or RQ Facility) ANNUAL <br /> a controlled Bum ED Hood installation <br /> Emergency Generator .c 30 kw LPMa4aal <br /> EnNrgancy Generator > 30 kw <br /> LPMah.at Gas- 4NNUAL Sale ._..' <br /> Fire Protection Iddmtsrmno. - ANNUAL L Paws of Asaembiy,ANNUAy = ' 1 f <br /> EMI Eel <br /> Sark-Mar i 0 0 0 ®- Raaaation sum /1 / <br /> Fire Mum O O O <br /> M SP•licisfa ,.., ... <br /> Hood Ciaan 0 O O Inetagatiatn • <br /> Hood Suppeesion 0 ki 0 stsndvipas tsvdrrad.r sys) <br /> • <br /> PreAanm kabNetlon <br /> AN Pumps <br /> - Torch RoopnglTar Kettle - - Ei l waste Tire Storage ANNUAL <br /> FireWorks <br /> • <br /> Fiaranaba yo , Ai ) •1 Valuation of Project <br /> FusI Tanks <br /> ® tbtr. - <br /> ® ..,._o. canpwny Kai : 74.21.4 3''/'4/.. ='* A <br /> Conteadlcr <br /> signal's ,� n .®/ • <br /> Addreee Ir- Ip� "� 4 ' 1741,4 e�7' ° Air ' ®. - Wen n* :: : " )�'.�� .1 �. � i..3; <br /> ELE - <br /> Signals. Registered Y / N Fee Currant 1111M11 - <br /> Address I Lkarw P <br /> PLUMBER , I ca i <br /> Sigralus <br /> Registered Y/ N J Fee Cunard Y / rd I I <br /> Address I <br /> 1 ucsnse it I I <br /> MkCHANICI 1 <br /> Regletened I Y/N I Fes current I Y/N <br /> l _ <br /> License * I 1 ' <br /> Address � 1 <br /> OTHER . ' Registered y N• Fan Current 1 Y/ N <br /> Signature License a <br /> - signed =Mad %%l el owner) • <br /> iOt�!h ttp�jt�d �.� <br /> If owr $2500. a No c atrrroh woek *kw $5000) <br /> Snow y 0-1 (days for ,• - *areal 0 • obtained from P Tax Notice (htlp�hpgnaMw:pas)QDov.ram) <br /> Mow 10-14 drays for revinrattbf#Slttal +date• • <br />