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//523 <br /> Fax-813.780-0021 ii: 813-780-0020 - j City of Zephyrhillenwk <br /> Pon* Applcation teReceived =- = -- Phaecarmtier Permit ��. <br /> veers Name c ) 0 . 0 . _ - - - t A A w s O w l e t ram ims 11 \\53 I <br /> Melt Address 1 - 1 iSo Ga•\ QJL 7-,2■ ,.et:. 4;, 1 <br /> le Name I I Tillahoidar Phone Nenaber I I 11 I <br /> rumple _ �. _.__-, ,:� . __�_�z_ _ : .- _.. <br /> ub Division Parcel it <br /> El Sio limed Waste Storage -AMAML LJ Fumigation Tent <br /> ED Comm Extorted KitcitenHood/Duct o Hazardous Material (Tier gar Rn Facility) ANNUAL <br /> El Bum o Hood bmialhiian <br /> a Ernergerrry Genareter < 30 kw 0 LPM°Yeat Ges-lostallation <br /> Gneryancr eerrenator> 30 Ws n LP/Netesal GawANNUAL Sale <br /> Fk a Protection Maintenance - APORPAL n s of <br /> S ❑ ❑ ❑ Remeationed Bran <br /> (ate Norm ❑ 0 0 1 1 Sparklers <br /> Hood Cleaning M ❑ ` 0 1 1 Sprinkler System installeaons <br /> Hood Suppression 0 0 0 I 1 eianciPiPos Pl ) <br /> Fee Mann k on Q Tomb Roo <br /> Alarm <br /> Roe Pumps - n Waste The Storage ANNUAL <br /> Fie Woks 1 Valuation of Project <br /> Fuel Tanks <br /> Contractor } > �. • Revered l YIN 1 Fes Current + YIN 1 <br /> 1 <br /> Address 111111.11N t r [ 7p4 °i . ) ! `- <br /> Y Company <br /> B-ISCfRCIANL____ . <br /> N ( ` <br /> address 1 1 Licensee 1 1 <br /> PLUMBER I Company 1 <br /> I Registered I Y! N I Fee Current J Y! N 1 <br /> Addams J ( License # I 1 <br /> mEGHAracig. <br /> og r7► <br /> I Rsgist..ed Cunard 1 N 1 Fee Crt ' YIN t <br /> Addis= 1 License ft <br /> OR <br /> Signalers 1 Registered L YIN 1 Fee Currant ! YIN J <br /> Address 1 License ft 1 <br /> DIrectiontc <br /> FS out appikallon cmtow y. <br /> Owner & Gutaaetoragr beat of application. rroe.tasd (0, copy of signed contract with ate) <br /> Never Nim0. a Ncloe of Commencereent is required (Ysdarrical work over $5000) - <br /> Allow 11014 daps for review rather submittal mare. Parcel #- obtained from Properly Tax NoSce (littpltappadaer.pggev.com) <br />