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• <br /> r (O 2 . <br /> S13-7804020 CV City ofzephyrhals. Fax -813. 780-0021 <br /> .. Permit Application • - • <br /> Date I Contact for Pam* 1 11 I i I <br /> Owners Kam P __��'L�!1iir�e; °wises Phone Number I 1 <br /> Owners Address 11Pwi iAl frA i �'�!...0.1. �' _ - � �a <br /> Fee Simple TMeholder Nava Titleholder Phone Number MI <br /> Fee Si mpIs718ehoidsrAddress 1 , <br /> Job Address Lot S <br /> Sub Division Parcel 0 <br /> 0 Bk>Hweard Waste Storage - AMU AL a Fsunigatlon Tent • <br /> EJ Comm Exhaust Kitchen Hood/Duct El Hemndorsa Maeda (Tier 1I or RO Faddy) ANNUAL <br /> p Cenbotled Bum ED Hood Installation <br /> Emergency Gwarebr < 30 kw <br /> LP/Natural Gas- Iratatlatlon <br /> Emergency Generator> 30 kw LPINa4ua1 Sale <br /> Fie Protection I�takM lance - ANNUAL Places of Assembly-ANNUAL <br /> Spadder i 0 0 0 M Recreational Burn <br /> Rre Alarm 0 0 0 Spwlders <br /> flood Clewing 0 0 0 S !beam .-'- ore <br /> Hood $rtppreaelon O 0 Ar 0 Standpipes (Spri ice) • <br /> • <br /> RreAlenn MfaMrtlon _ Torch Roofing/Tar Kolar ' <br /> Fim Pumps . — - - . - El J Was Tire Storage ANNUAL <br /> Rwranabl. Application- ANNUAL j I valuation of Project <br /> • . Frei Tanks . <br /> Signal. �� mi' c « mpara V ' ,rriff a �,f :I 4 �°�'�J <br /> ���`r1►fa . - ReffIli led riEeilillitiiill . <br /> Address w ;lid ' ..: .1 /F11,14: - "7. A1/ .. Uofrn.s * V fo A.0.F5 ‘9 <br /> ELE - Company <br /> Signatu a Registered Y / N Fee Current - <br /> Address I s p <br /> 1 license d I 1 <br /> PLUMBER I <br /> Signature L Fee Curnwt 1 Y/ N I J <br /> Address I 1 License * I 1 <br /> S IEGUUe N <br /> • Registered 1 Y/ N 1 F« Carstens i . Y/ N <br /> Address 1 I Liana. d I I <br /> OTHER I . <br /> Sigrature Registered I Y / N• j Fee Current 1 Y 1 N( <br /> • <br /> Andress 1 1 Licence #1 .1 '� <br /> : . <br /> Owner we ra <br /> ] <br /> ofo' (rt r. - mama signed h owner) <br /> if aver 52500. a Notc. Qlrlgreett4lll ant, ! milt or Ste) <br /> SupOhFlwo Masts et <br /> Aka 10-14 days'kr alwaublifiiktd tee , } Parcel 5- obtained from Property Tax Notice OdiFdisPpraMer peeoopov.00rn) <br />