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1Ji;■,/ LU/ L000/ JULY UJ. 10 rM Lr,rrirIri 1LLJ t5U!LUINU 1'AX No. 'd12 P. 001 <br /> �,Q_, � <br /> 813- 780 P�" City of ze <br /> M c tY phyrhllls Fire Pax- 813 -7130 -0021 <br /> f ) /' (9 y �/ • Permit Application <br /> bate Received . <br /> Date Con tact Phone 'tor Permit <br /> Owner's Name `�s13 N y ' s ---e:. Q .... _ . ,r......�_.� <br /> OwtYet''s P done Number Si 3 f Ti5 —1 IMEI <br /> Owner's Address .) (o Coo o • G Ar\t` [. W' p Z.t.P h ,.- � , \Li rL 3:3 s `t . 1 <br /> Fee Simple Titleholder Name. <br /> Titleholder Phone Nurghpr. 11 11 I <br /> Fee Simple Titleholder Address 1 <br /> Jab Address' \' - &A .Itc b.0 c__, <br /> Sub Division <br /> I Lot # <br /> �...� Panel # <br /> 1 1 .., Sio Ftazerd waste Storage - ANNUAL <br /> El • Fumigation 'rent <br /> Gomm Exhaust Kitchen Hood/Duct Hazardous i Material (Tier I1 or RQ Facility) ANNUAL. <br /> Controlled gum Hood Installation <br /> • n Emergency Generator < 30 kw ri • <br /> n LP/Natural Gas- Inetallatian <br /> 1= <br /> mer Generator a 30 kw ' J t__ Jj LP /Natural Gas- ANNUAL Sale <br /> Fire Protection Maintenance - ANNUAL • a ti�.` <br /> • Plaoe9.pfA § sembly- ANNUAL J9 S • <br /> SPrtnkler • o Y ' O �'i vtner � <br /> • <br /> Recreational bum <br /> Fire Alarm j''� rkl ,fr <br /> El O Q 1 1 L - I Spenders • 'P /3c /z c \ CJ <br /> Hood Cleaning 1 0 Dr 0 I CI Sprinkler System Mate/Mons Hood Suppression n 0: 0 ' 0 .1 • I a Standpipes,'(Spdnkter sYs.) <br /> • Fire Alarm lnstallatlon Torch Roof] nglTar Kettle f 9 '. <br /> Fire Pumps • ,r/ / <br /> .Waste Tire Storage ANNUAL <br /> Fire Works <br /> - Flammable Application. ANNUAL : l <br /> 71 Valuation of Project <br /> Fuel Tanks.: . <br /> • <br /> Q Other: ... <br /> Contractor <br /> Signature 1 0 Company s .. - 0,) -c 2.da.` ST4bN. C 1444.7;1 <br /> Registered Meil Fee Current [� <br /> ss -j �J1C4. � ,/I.TIJ► ST_ . <br /> Addre <br /> ELEC7RlCIA�ry Cp7• tr�� — L _ _ i.ia enee # 1 I <br /> Signature 5,,. GS t> e. • .- (DZ ZZ.-"-1 . - . • Tee, , - s4 sa� I • Co <br /> ompany <br /> 1 Registered Y/ N 1 Fee Current 1 .Y / N I • <br /> - <br /> Address i <br /> PLUMBER 1 License # 1 • 1 • <br /> Signature 1 <br /> • Registered Y/ N 1 Current 1 Y/ N 1 <br /> Address l <br /> —" I Dense # <br /> MECHANICAL - <br /> ura <br /> 5ig Company Current 1 <br /> - Registered • Y / N 1 Fee Cunt ( L N 1 <br />