Laserfiche WebLink
__ U O " 7 F Bi3- T80-0021 € <br /> 813 - 8O 2L City of ZephyrhUis'Fi <br /> Permit Application _ <br /> Contact for Permit 1 L I U <br /> ate Recei .-1-1? ! f <br /> wners Name 1 Q S I Owner's Phone Number T EE 1 o 11 1 <br /> o rs Address 1 ---1 X133 ( Nr OCQ 7 pHQ.�.k %5 \ c L I <br /> ee SimpleTitieholder Name I I Titleholder Phone Number I 11 11 I <br /> ee Simple beholder Address <br /> Err REEEEEEEm <br /> I L ort# �I i <br /> ob Address 1 1 <br /> 1 I Parcel # <br /> ( <br /> iUb Division <br /> Blued Waste Storage - .ANNUAL n Fumigation Tent <br /> El Hdous Material (Tier II or RQ Faculty) ANNUAL <br /> Comm Furst Kitchen Hood/Duct Hazardous <br /> Controlled Bum [J Hood installation <br /> DI Emergency Generator < 30 kw n LP/Natcral Gas-Installation <br /> CJ Emergency Generator> 30 kw n LP/Natural Gas- ANNUAL Sale <br /> CD Fire Protectkin Maintenance - ANNUAL n Places of Assernbhr-ANNUAL <br /> Sprinkler Li ❑ ❑ ❑ ❑ Recreational Bum <br /> Fire Alarm • 0 ❑ ❑ ❑ y I a Sparklers <br /> Hood weaning X ❑ ❑ I I ❑ Sprinlder System Installations <br /> Hood Suppression 0 ❑ ❑ I ( 1 ❑ Standpipes (Sprinkler Sys) <br /> ❑ Fire Alarm Installation n Torch Roofs ng/Tar Kettle <br /> F Tura Waste a Storage ANNUAL <br /> Fire Pumps <br /> Fire Works I Valuation of Project <br /> Flammable Application- ANNUAL ' <br /> Fuel Tanks <br /> NI Other. <br /> Company I <br /> contractor � A v►. • • , • Registered Y / N I Fee current l Y / N ' <br /> Signature _ <br /> Address 11111 KIi -. t .- rig ' License # I <br /> ELECTFUC I Y/ N Fee Currant Y / N CompanY <br /> Signature Registered <br /> 1 License* <br /> Address I <br /> PLU ` Registered L Y/ N I Fee Current I Y/ N CompanY <br /> S I License I <br /> Address I I L <br /> MECHANICAL' <br /> I Registered Y / N ' Fee arrant I Y / N i <br /> Signature Registered I <br /> Address , <br /> 1 License # <br /> OTHER <br /> sigrmaftiue I I Registered i Y/ N 1 Fee Current I Y/ N I <br /> License # <br /> Address <br /> Directions: <br /> Fill out application completely. <br /> Owner & Contractor sign back of application, notarized (Or, copy of signed contract with owner) <br /> ti over $2500, a Notice of Commencement is required .(Mechanical work over $5000) <br /> Supply two (2) sets of drawings wl h applicable documentation Parcel # - obtained from Property Tax Notice (Mtp! /appraiser.P 9ov n) <br /> Mow 10-14 days for review after submtttel date. <br />