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�1 <br /> 813780-0020 City of ZephyfhgIs fie m,, Fax -813- 780-0021 <br /> Permit Application - • <br /> Date Received =Y1 j Permit 1 11 11 <br /> Owners Name .. . I : ,/,:l . iIIw i i ,% o Phan Number I 1 1 • I I. <br /> Owners Address O 0 I �I ��/ <br /> Fee Simple Titleholder Name Phan Number I 1 I <br /> Fe. SkmpN?pshdder Address 1 I <br /> Job Address / Lot* <br /> Sub Division Parch d <br /> 0 Rio-Hazard Waste Storage - AMU <br /> NNUAL a Fumigation Tent • <br /> 0 Comm Exhaust Kltehen Hood/Duct El Himardour Material (Tier 11 or RD Fatty) ANNUAL <br /> o Controlled Bum CI Hood Installation <br /> Emergency Generals < 30 kw El LP1t4 x.l Gas-Installation <br /> Emergency gency Generator> 30 kw LPnr.n al G..,/)taNUAL Sale /, <br /> Fire Protection Maintenance - ANNUAL <br /> MI MI IEEI a Places of Assembly-ANNUAL -T <br /> Sprinter i 0 0 0 _ Promotional Bum <br /> Pk. Alarm 0 0 0 Spadd.rs <br /> Hood Clawing 0 0 0 Spelt der instillers - <br /> Hood Suppression 0 0 Standpipes (Sprinter Sys) • <br /> FM. Alan installation _ Rooting/Tar Kettle , <br /> Fire Pumps ps • - - - _ Waste lire Storage ANNUAL <br /> Firs Watt <br /> Ptem,mebt. Application- ANNUAL 1 .1 Valuation of Project <br /> Fuel Tanis <br /> ® e <br /> ,.20,,9..® <br /> Contiteibr ® d Pad is Afa'raiii'A <M''F141:r "* J <br /> Address It;dZ1f: :, . , .,/rArdr • ' .. r r .. _ Uoknss # r3 '.a o ro.r#.1. .s ii ; <br /> ELE - Company <br /> Signature 11111111111111111.111111 Registered Y/ N Fee Current J Y / N I <br /> Address I 1 t.icenes is I 1 <br /> PLUMBER I Company I I <br /> Signature Registered Y/ N 1 Fee Gault I Y/ N <br /> Address I I License * I I <br /> MECHANICAL' . _ <br /> . <br /> Regitered I Y l N J Fee Currant J Y/ N I I <br /> Address 't I License# I I <br /> OTHER Company E_____ I <br /> Septets L Registered Y / . Fie Current ! Y / N I <br /> License #� <br /> FI outapp atlsF <br /> Owrnr&'Ceinkllgte . r '; - 04 alerted contract with owner) <br /> *over >1 NO. a Nate �. - wakover*5000) <br /> Mow 10-14 days for is .sa !lktsl date. +` !Parch * - obtained from Property Tax Notice (MIP .//apprais.r pesoogov.com) <br /> • <br />