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Itht, /1U / 11:44 Ala LiYliIltILL DU1LI/1INt., rAd NO. tili 101.1 r. II UL <br /> 813 - 784.0020 • City OfZephyrhilisFtl.* !• hf 101 \ Fax-813-780-0021 . ilti 1 <br /> Permit Application. . • l •. 330 <br /> Date Received • re G for Permit • <br /> O wner's Name r .?rzzAl 4..r-t- 41 947k 1 Owner's Phone Number :1777:1.i I = <br /> fr G <br /> Owners Address tor'q 4- f r 7 31 y d . 2 f ► � r 1/t . ,is - Fr , 33 s Z 1 <br /> Fee Simple Name ' 1 i lelwldeF'Phone [umber 1 1 1 1 1 ' I <br /> Fee Stmple`Adehalder Address <br /> :lobAddresa _ q . // 3 /vrf 2t-,A ,- £ , / S F/• 33 S / 2_ [ot# I 1 <br /> ' Sub•Diwialon , Parcel# 1___ i <br /> • <br /> 0 13lo-Hazald Waste Storage ANNUAL- ' n Fumigaitnn Tent <br /> • <br /> R . Comm Hood/Duct Hazardoua Material tiler II or RQ Facility) ANNUAL. <br /> Cotdrog6d Bum • r,/ • p Hood Installation <br /> • D Emergency Generator•K 30 kw fl l- WWaturai Gas -Ywa latton <br /> Q Emergency Generator > 30 kw n LP/Natural Gas- ANNUAL Sale / "'V 7 <br /> 0 Fire Protection Maintenance - ANNUAL • E] Places of As8embtyANJUAL_ ,5c.4 . a id, /r,, <br /> Sprinkler © ❑ ri 0 _ { J Recreailonel Hum 3/2 t/ / O <br /> Lire Ahura ki ❑ ❑ ❑ n S Peddes <br /> • <br /> Hood Clearing 0 g Fi s prinIder System installations <br /> Hood Suppression d Q O standpipes (Sprinkler Sys) <br /> Fire Alarm Installation Q Torch RooiirgtTsr Kettle • <br /> Rre Pumps Waste line Storage ANNUAL - - <br /> Fire Works • <br /> Flammable Application- ANNUAL • 7 • Valuation of Project <br /> R Fuel Tanks <br /> Other, 1 1 <br /> Sere • r i ...� S ' .. # Y 1 N 1 Fee current 1 Y/ N 1 <br /> Address r a lO C.)441-1_ / 'jcw •el 5 "L • r • . — I ' _ LI # _ I I - <br /> ELECTRICIAN Leo ft e ( 4 N , "FT • 73 &c ( :company _ I <br /> Signature _ _ ' Registered FY/N 1 Fee Current 1 Y / N 1 <br /> Address I 1 - • License# ! 1 <br /> P LUNGER I Company <br /> Signature Registered NOWA NOW Fee Current EWA <br /> Address License# L 1 • <br /> MECHANICAL' Company <br /> Signature - • Registered ' 1 - Fee Current t�J • <br /> Address — 1 •Licensed } 1 <br /> - <br /> OTHER Company <br /> Signature <br /> 71 <br /> FtegIstered `EL U • Fee Current EMI - <br /> Ad Tess � . Ueeme# i 1 <br /> t3kectlons: <br /> Fdi outapplication compiedety. - - <br /> Dwner d Cordrador sign back of apptiwdon. notarized (Or, copy of aimed frankest with owner) - <br /> 11 ever $2800. a Nodoe of Commencement Is recsdred.(Mesbaninal work over $5000) - • <br /> Supply two (x) seta of dt>rla ings Me app■lcable documentation . - <br /> Alow 10-14 days for review I Banal a - ,r rMi,rod from Praawbr Tex Noise ( appreieecpaseogay.com) <br /> STEAM & PRESSURE CLEANING <br /> Building Exteriors Air Duct Cleaning Cow' Kitchen Rise <br /> Commercial Exhaust Cleaning <br /> Sidewalks <br /> Industrial Concrete <br /> Bruce Anderson _ .. . _ .. _— <br /> Phone: 1- 888 - CLEAN -18 Licensed, Bow Insured <br /> Cell: 863- 224-1155 Serving Florida Since 1989 <br /> Email: pressureson @tampabaysrcom Free Estimates <br />