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. • <br /> • i <br /> 813-780-0020 City of Zephyrhilis Plaeottr, Fax <br /> Permit Application - - <br /> ---., • <br /> Date Recelval . • • 1 , ' Phone Coact for Permit 1 U —1 -1 <br /> Ovmer's Name - i Owner's Phone Number 1 1 1 '1 1--,—J <br /> comers Address 1 37// 4/X,RA/D /.., vv., . 1 <br /> Fee Simple Titleholder Name 1 I Tidehoider Phone Number I 11 11 I <br /> Fee SknpieTilleholdsr Address ,. .. <br /> 11111111111111RN, . . <br /> Job Address Lot 1 <br /> Sub Division Parcel 0 <br /> E:3 Biohazard Waste Storage - ANNU AL 1:::3 Fumigation Tent • <br /> Conwn Exhaust lOtchen Hood/Duct El Hazardous Melerlal (Tier II or RO Facility) ANNUAL. <br /> ED Controlled BUM 1:=1 Hood Installation <br /> Emergency Generator < 30 kw <br /> Emwgency Generator > 30 kw <br /> Protection Maintenance - ANNUAL <br /> IMI HE Eff. 1 LP/Netural Gowlnstallation <br /> LP/Natural Gas4NNUAL Sale <br /> e <br /> Places of AseembirANNUAL <br /> Spinider 0 0 0 Ftecreational Burn <br /> Fire Alarm 0 0 0 Speeders <br /> Hood Cleaning 0 0 0 SprInklerSylem Inebibions • <br /> Hood Suppression o o Standpipes (Sprkeder Sys) • <br /> • . <br /> RreAlarrn Installation _ _ Ei Torch RoolIng/Tar Kate. • <br /> • • <br /> Fire Amps •_ __. .. - West. 'The Storage ANNUAL ' <br /> Rai Woks ■ <br /> Flarmtabla Application- ANNUAL . <br /> ) I Valuation of Project <br /> • Foal Tank, <br /> 1111 * • _ <br /> . . <br /> 416 S el ISIMIIN V ORNIMOMIN....1 <br /> convict& isr-450.13■In . oxicomy Krzzi,-Lyst.27.4", <br /> si iiir t i 71 i r ,..,,,,Aili ....„ , ,_ . _ ___ ReOlibled rie.4111 ill&all_ i <br /> Address W:;Lite.,' - ;&,`51,17APPAr - 41W 741Pilikr ... U <br /> ELE • <br /> Signet11=1111111111.1111111 Company <br /> 's. Reglalwed Fee Current 111011.1 - <br /> Address Uglily** i <br /> PLUMBER Company I <br /> Signature Reekterel Y / N , I Fee Current I Y f N I <br /> Address I 1 Ucerwe #I <br /> mEcHAtael Company <br /> Registered I Y! N j Foe Current J Y / N <br /> Addams 1 1 License # 1 1 <br /> OTHER I • Company <br /> Signature Registered Fee Current Y !N y I N i <br /> • 4,A,Ilis 1.1one* 0 I , <br /> Directions: ' <br /> FIN Cut application — . ot o , -. , <br /> Om er.. Cielracier );'. . - : aptad ad :‘ ; A . Waled soniMat with owner) <br /> irevar$2800, a Notice , — . , „ , , . ,, - voork ovar13000) <br /> Supptytroxi (Blasts of , • ' _,' „ > <br /> Alm io days for aillaoaullailININNli. ; 14e !!arcel * • obtakied from Property Tax fleece eittpdleppraber.pasoogov.com) <br /> ' ' ,•', • • ....• •••,„ •,..,', . <br />