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. log70 <br /> .• <br /> 813.7840020 City 01 ZAphyrhills fir.Ohltrztt Fax -013 - 7840021 <br /> Permit Application <br /> Date Received Fhons C« for Permit 1 (I I I J <br /> co.n.rs .. - i r - ref -, ��sen,r/�:� . Number l I 1 <br /> ownera /lddress ,, 11,Ai:t T�1.ZT`!ri�Wi:F <br /> Fee Simple 'Titleholder Name Titleholder Phone • I 1 1 I <br /> Fee Sk1;dre11tl,hold$IMdrss <br /> Job Address J / _ -___ -- IIEIIE <br /> Sub Division Parcel # <br /> Q Rio-Hazard Waste Storage - ANNUAL a Fumigation Tent • <br /> El Ccm m Exhaust Kitchen HoodlDuct = Hmr Materiel (Tier ilex RO Facer) ANNUAL <br /> 0 Controlled Bum = Hood installation <br /> Emergency Generator < 30 kw LPMaGral Gss = ti on <br /> Emergency Generator> 30 kw LpMatural Gee^/ ftWLL Sale <br /> Re Proleellorr Makrlerrence - ANNUAL a Places or Assembly ANNUAL <br /> i — n IMEI ES EM V. B Sp/bider Li O O O _ Recreatlonn Burn <br /> Fete Ahern 0 O 0 _ Seedier* <br /> Hood Clearing O O 0 SpNrlder8yMem Installations <br /> Hood Suppression 0 e 0 � Sri) <br /> Fire nn InstMatlan El _ Torch Rooting/far Kettle <br /> Fire pumps - <br /> - - Waste lire Storage ANNUAL • <br /> Are Woks <br /> Remittable - 1 Valuation of Project <br /> • - Fuel Tanks <br /> ® e <br /> Contractor �y V - :—V4ar it-A1C �`1_�' .I� =A°��, <br /> ssignature � A �i lin rT ,... w [ __.. ed 11 KOWA <br /> Address I f� ;l ,1 &F ®.� ,:- : ° °• �:: z ri^`� ®.. Mom* : "# ,.rofi.r, s a ; <br /> ELE - r Company <br /> Signature Registered Y/ N Fee c unurd ( Y/ N 1 <br /> Address I License # 1 I <br /> PLUMBER s . Company ( <br /> Signature Registered I Y/ N) Fes anent 1 Y/ N 1 <br /> Address I license I I <br /> MECHANICA1 Company <br /> Reglelered I Y/ N 1 Fee CUMIN 1 Y/ N I 1 <br /> Address 1 License iT I <br /> OTHER <br /> . Company <br /> Signature I ( Reglelsred I Y / N• I Fee G u mi 1 Y /N 1 I <br /> Address 1 1 U ens .. 1 <br /> ok Ctlons: _ <br /> f�MoutappMoatian <br /> Omer *i Conbador tiraIRO40 On, Or - el signed =Wad Wei owner) <br /> if over $3000 a Notice , , work over $5000) <br /> Supply two Moots at p <br /> AM -, <br /> OW 10.14 days for a stdatif al,dde ' ' , 4 Parcel * - obtained from Property Tax Notice (httpdhppralser.Wscogov ) <br /> w ✓F1' • <br />