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llr / I LI/ L 1ifr1V1Y 1 1 . tl Alit LCrnLit 11LL.a DV1LJJ1 rAA rw. 01 1 0U - UULA � ,( , , , 1 r'. UUL <br /> .1is- 7a:.nazo - City ofZephyrNilsFet : -: ' 1 (✓'V Fax 818. 780.0021 . ilgi <br /> Permit Application. .. . :moo <br /> Dole Received • = •.. Phone Crxibel'for Permit W /`. . • <br /> Owner's Name _ s/ i W4 1 . �'' <br /> v- 02e4 . owner's Phone Number 577 . <br /> Owners Address - 0 Lf ____.11P-a• 4, . //S `/ 3 S a <br /> - <br /> Fee Stmpie Nam 1 itleholder•'Phone Number ! 11 11 I - <br /> FeeSimple'Tltleholder- Address 1 <br /> Job Addrean c5 C-011 - • /j- c ✓ &� I Lot* i <br /> • SubDivi Ion ?I� 1 'Patcelr= I <br /> 0 Edo Hazard Weste Storage ANNUAL • n Fumigation Tent <br /> R - Comm exhaust Kitchen Hood/Dust 1:-/ El Hazardous Material filer nor RQ Facility) ANNUAL. • <br /> • Controlled Bum • n Hood Inatalkalion <br /> - EI Emergency Generato < 30 kw � <br /> r LP /Natural Gas - Installation <br /> n •Emergency Generator > 30 kw I LP/Natural Gas - ANNUAL Sale C /e4'v r A/ <br /> ED Fire Proteoaon Maintenance - ANNUAL t * - El Places of MaermbIy,ANt+UTAI. /t <br /> Sprinkler Ll ❑ 0 Ci El Recreational Sum <br /> Fire Alarm ❑ 13 ^ D 1 . 1 . I I St a klers . i // 0 // t <br /> • Hood Cleaning X' 0 ❑ 1 El spunkier System lnstallaUons ____.---- <br /> Hood 9uItpraeeion O 0 0 1 1] Standpipes (Sprinkler Sys) <br /> • LJ Frra Alarm Instigation Q Torch Roofing/Ter Ketle • <br /> R Fire Pumps a Waste Tim Storage ANNUAL <br /> Fire Woke <br /> — 1 Flammable APPUctttion- ANNUAL r 4 Valuation of Project <br /> R Fuei Tanks <br /> Other. <br /> /f <br /> iynatvro � .�c,.� r S - Regiammd I Y / N 1 Fee Current I Y/ N I ' • <br /> s • l X / 3 ox , 907 7 - . I <br /> Address . _, tip# _ ! l <br /> Excutcial 1.,.9 /Ze /4 Signature ' Registered FY / N J Fee Current I Y / N <br /> Address � - •_ - Ucarse# I 1 <br /> PLUMBER /7 e uv 4 G W- -r!5 S C2 Compeny 1 <br /> Signature Registered I Y / N ] Fee Current I Y 1 N ( - <br /> Address .. manes I - I <br /> A T <br /> MECHA ■ • • / Company - <br /> • <br /> Sigrratui - "Registered WEE Fee Currant M <br /> Address 1 - — 1 license* 1 • • 1 <br /> OTHER - Company <br /> • <br /> Signature _ Registered . Fe Current NMI <br /> Address, - . Lleense# <br /> Dkeodone: • <br /> Fill out application completely. - . <br /> Owner & Cor back of application. notarized (Or, copy of signed canal= with owner) - <br /> if oust =2600. e Notice of Coinman ement Is tegtdred.(M.chmnkal work over $5000) <br /> Allow1 o-14 days for review d' rte. & *- Supply into (2) of cinemas with appticable dol:rmtenletlon n*d from Pronetty Tax Native (http: / /appraiser.paseogov.00m) <br /> Allow <br /> STEAM Sr PRESSURE CLEANING <br /> Building Exteriors Air Duct Cleaning Certified Kitchen <br /> • <br /> High Rise 9 Exhaust Cleaning <br /> Commercial Sidewalks <br /> Industrial Concrete <br /> ' %Ssa4e - S ' c A/ <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: pressuresonofampabay.n:com Free Estimates <br />