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uI./1 /ZUVI /p1U11 11 :44 AM LA'1171(li1LL IiU1 IA) 1[Ili PRA NO. tl1i /UU r. LIUL <br /> 813- 77aO020 City ofZephyrhUleFI :•:': - Fax413- 780.8021 . ilS i <br /> Permit Application. .. - <br /> - Tit <br /> Date Received - - Phone Oc n!net for Permit • 1 <br /> Owner's Name . �YraT/L!'liii1 Phone Number " <br /> Owner's Address 36 Z S /9 v €■vv Zr - . % • <br /> Fee Simpielltlehdder Name TitleholdeePhone fiber 1 _ 1 I 1 1 I <br /> Fee Stmpie' rldehotder•Addreeo <br /> :obAddress 36-z 4- a .0 t 'e ' tot# 1 <br /> sere Divlafon T . Parcel # _ L . <br /> elassessasor <br /> 0 Bto -hazard Weals storage ANNUAL- ' .n Fumigation Tent • <br /> R - Comm 8diaust Kitchen Hood/Dust ED Hazardous Material (Tier 11 or RQ Peaty) ANNUAL. <br /> • LJ (Z--/ controlled Burn- • (l Hood Instal a1Ion <br /> El Emergency Generators 30 kw I1 LP /Natural Gas <br /> Emergency Generator a• 30 kw n LP/Natural Gee - ANNUAL Sale C /'P ' '7 <br /> n Fire Pmteation Maintenance - ANNUAL - = Places of Aese 1Y-AN 1AL- A a / ,,✓ e <br /> ® . ®.0 r ' J � <br /> Sprinkler 0 ❑ I O ❑ Recreational Bum – 7 / 7/, 0 Fire Alan 0 ❑ 0 - n Surfriders <br /> System installations <br /> Hood Gleaming el El 0 3 <br /> Hood Supprntraon no ❑ O Standpipes (Sp:adder Sys) ,w <br /> ` <br /> - FiraAiann Installation - mem Roonnefrar!Caere - -1 v w <br /> Fire Pumps D Wye Tara Storage ANNUAL - <br /> Re Works <br /> Flammable Application- ANNUAL. -r:-. - . 1 Valuation of Project <br /> R Fuel Tanks <br /> • Other. I _ <br /> Signature , .. r.? 4.1,_,...../.. - I Y / N j Fee current 1 Y / N) ' <br /> Address 0 _ - of �. r L - ,_ tJcm :Company • <br /> Si huC &etre <br /> , -( • '3 3t� 7 • filtered FY f N j Lee GwYent j Y/ N j I <br /> Address I — I 1 • Licartss# j <br /> PLUNBER I Company I. <br /> Signatrre Registered Y/ N j Fee current j Y / N j <br /> Address j 1 license # l I - <br /> • MECHAM Company <br /> Signature • Registered - Fee Current EWA • <br /> Address r •License# f <br /> OTHER • - - Company • <br /> Signature Registered EMU . Fee Cwrent EMI . <br /> llt:erne a 1 <br /> Address �aseietrra atm ttaewr <br /> bromism: <br /> FS out applicetion Owner a Go ttraobre tic of aeon. notarized (On copy or ated arnbact with owner) <br /> duvet 02600. a Notice of C.onunencemera is regtdred.Bilechanical we* over $5000) . <br /> Supply two (2) seta of tinzeinps with applicable docwner� w�.r+.,! A _ ' from lalvnsrb Tax Make a fear. Cv ooze <br /> Allow 10-14 days forrevlew ( Pi t ) <br /> STEAM & PRESSURE CLEANING <br /> Building Exteriors Air Duct Cleanin Certified Cleaning <br /> n <br /> H h Rise <br /> Commercial Sidewalks <br /> Industrial Concrete <br /> Bruce Anderson _ .. _ _ _ .. ._.__^ Phone: 1-888- CLEAN -18 Licensed, Bonded, Insured <br /> Cell: 883- 224-1155 Serving Florida Since 1989 <br /> Email: pressureson@tampabay.ncom Free Estimates <br />