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Urw1 Li/ ZUUi;1wr 11: ma LL1't1TltruLLa 1$UIL111INU PRA 110. j1j j � ` r. UUL <br /> a13- a-on2o • City ofZephyrhllls i •: -- 1 `�" Fax - 1113480-0021 . ;I::1 <br /> Permit Application. .. - •.rao <br /> Date Received <br /> ''' Pitorie Crxrtsct'for Penn{t <br /> Owner's Name MIMI/MEMEL Owner's Phone Number .f 1.1_ 1 • <br /> Owners Address i' , - /1 1 - r 1 S 3 Z <br /> Fee Slmpie•Tltlehcider Name 1 iBAholderPhone Number L ( 1 <br /> Fee Mingle 1 • ,I <br /> MMIIIMIMIO <br /> Job Address a 6:411 ' i V G[ . z y , r / .S 1 - 3 3 �� 1 ,� -_ 1 <br /> Sub Divialon ? / <br /> . • Parcel # 1 ---- <br /> 0 Bto•Hazard Waste Storage ANNUAL . 'j ', Fumigation Ten J <br /> R . Comm Exhaust Kitchen HoocWuct - El Hazardous Material [fler I! or RQ Facility) ANNUAL. <br /> Controlled Bum 1:--f ' • r-1 H ood Installation <br /> • a Emergency Generators 30 kw LP/N:Aral Gas -b wWlalion <br /> Q - Emergency Generator y 30 kw n L PtNatural Gas - ANNUAL Sale ^ /�� ^ ,,,, <br /> I 1 Fire Prate:Non Maintenance -ANNUAL - Places Of Assembly -A 4NUAL ` , w / <br /> Lam] • ®.1 -/ <br /> Sprirdder © 0 O 0 i 1 R ecreational Burn t v` v <br /> • <br /> Fire Alamo 0 ❑ 0 fl Sparlders <br /> 1 Z <br /> Hoed Cleaning 0 lic, 0 - 1 Sprinkler System lnstalaIbn$ <br /> Hood Stu prewrion 0 0 0 1 fl Standpipes (Spdrdder Sys) <br /> Fire Mawr installation - p Torch RoGingliar Keine - <br /> TJ nes Pumps ED Waste Tlrr Storage ANNUAL <br /> Fire Works i 3 v , (/ U - <br /> —I Flammable A00000911- ANNUAL 1 --- ' . - 1 Valuation of Protect <br /> . R Fuel Tanks <br /> tether: .a <br /> Contractor / 7 .4c srt-- -- Company 1 <br /> Signature .. Registered } Y / N 1 Fee Current 1 Y/ N I <br /> Adder wordami m modus ar . —. _ I - <br /> ELECrtZtCinN Tiignature _ � 4 9,eEl#9' 4 V / T / • j 3 6 ! c i • : Re rYIN ( Fee Current Y / N 1 _ + <br /> Address r - - License# I I <br /> PLUMBER n f ! n, Company <br /> S <br /> I. <br /> ignature ! G Registered r Y / N ' Fee Current 1 Y / N <br /> Address I _ I License # I 1 <br /> • MECHAM / � Cody <br /> re / � ( (V! / . • Regibtpred I V/ N 1 Fee Currant ( Y J N f I <br /> Si <br /> Auld r--- LiCan$e# I • I <br /> OTHER -/ 7-e ny - <br /> A ~1 141:V1411 # <br /> bb eetione: - o <br /> RII out application Owner 6 Contractors-Ian �� <br /> applttattnn notarized (a: Copy of figneti contract with <br /> if aver MOO. a Nonce of Commeisceinerit Is regrdred.edeamrrirai work over 65000) • - <br /> • <br /> Supply iwo CA seta of dretsrmgswith app documentation doc . <br /> Mow 10 days for review :r '" ' '-'- vi drt - . d from Pnaterty Tex Noice (Mtp:/ /appraiser.pascogov oom) . <br /> • STEAM 6v PRESSURE CLEANING / k e -ss e S CrV <br /> Bud Exteriors <br /> High Air Duct Cleaning Certified Kitchen • <br /> Commercial Exhaust i <br /> Sidewalks Cleaning <br /> S / 9 •� Q 7 <br /> Industrial Concrete / <br /> Li/lee A Oi (• <br /> 73 6cLi <br /> Bruce Anderson _ <br /> A — — -- <br /> Phone: 1- 888 - CLEAN -18 Licensed, Bonded, Insured <br /> Cell: 863 - 224-1155 Serving Florida Since 1989 <br /> Email: pressureson#tampabay.rrcom Free Estimates <br />