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8�3-�so-oo2o City of_Zephyrhills Fir.e Fax-et3-�e0-oo21 <br /> • Permit Application <br /> �ate Received �/`� �'�� �/�/ Phone Contact for Pertnit�_���"��(�'�'1 <br /> �:3wz:r�-d�:���r�..:=......,«�........�...�.,...�-,...-.�...���ass:�--,.�z�� a��ra�.ar-- ,3 �_� <br /> )wner's Name � C��/c i,�� Owners Phone Number (� �� �,r Y <br /> )wner's Address . (/i 7�15 ���{;"� J � � <br /> ee Simple Titleholder Name Titleholder Phone Number �� �� <br /> ee Simple Tii�eholder Address <br /> ���w�z�ez�e� ss - ---�+- <br /> -"��- ��da�����_!��:. <br /> fi�`D� � � � � <br /> ob Address � � („ "� ��. Lot # <br /> �ub Division Parcel # <br /> �y <br /> a Bio-Hazard Waste Storege - ANNUAL a Fumigation Tent <br /> � Comm Exhaust Kitchen Hood/Duct � Hazardous Material �er II or RQ Facility) ANNUAL <br /> a Controlled Bum � Hood installation <br /> a Emergency Generetor < 30 kw a LP/Natural Gas-Installation �(� <br /> � ( �.� <br /> Emergency Ge�erator > 30 kw � LP/Natural Gas-ANNUAL Sale <br /> � Fire Protection Maintenance - ANNUAL a Places of Assembly-ANNUAL � <br /> r y emi � er � <br /> Sprinkler � ❑ O ❑ � � Recreational8um <br /> Fire Alarm � ❑ ❑ ❑ � � Sparklers <br /> Hood Cleaning ❑ � ❑ � � <br /> Sprinkler System Installations <br /> Hood Suppression ❑ ❑ O�� � Standpipes (Sprinkler Sys) <br /> � Fire Alarm Installa6on � Torch RoofinglTar KettJe <br /> � Fire Pumps � Waste Tire Storage ANNUAL <br /> a Fire Works <br /> Fiammable Appiication- ANNUAL <br /> �--, Valuation of Project <br /> � Fuel Tanks <br /> � Other: <br /> �ontractor � Company <br /> Signature Registered Y/ N Fee Current Y/ N <br /> Address License # <br /> ELECTRICIAN Company <br /> Signature Registered Y/ N Fee Curreni Y/ N <br /> Address <br /> License # <br /> PLUMBER Company <br /> Signature Registered Y/ N Fee Current Y/ N <br /> Address License # <br /> MECHANICAL Company <br /> -- ••• - - ..,.� <br />