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313-7c "-� CityofZephyrhilis Fir ran-o�o-�ov-vv�� <br /> _ . Permit Applica±ion _ _ _. <br /> Dat° Received � —� Phone Con�act for Pertnit $13 �(iZ i ��J,� ' <br /> ; ����.a�.��.��,,.<_:W .�..� .w.KU:....,.�,_:_._.... �X��s���s.�t:;@�-->�� � �:.�.._,_ • �:.._._ -• .._.._� -- -� - .:. :..� ._ �.M <br /> Own=_r's Name l l�l�/ 1C.�1nJ R.�%'�F1C.. L,(,G Ownels Phone Number �� � <br /> OwnstsAddress Z� �j �1 L�Ll. l� N � a 9od�Iz.�oZ <br /> r'ee Simpl=_ Titleholder Name Titleholder Phon= Number �� ��� <br /> F�e Simple Titlsfiolder Address <br /> _� . ,...�-`s;� �s.'�E"t`?="';K�k€ = : .�. i .�-'-.`"�r`',�ir.'?Y<''r' ° -� ° °a� 4 :?�'�..^.:��w;�I`��.y,n_-`�°�:a�:�';x�'_i : <br /> Job Address ' / �Jf7L � (��'ZC I��.J� • LC.S �'- • Lot # C� <br /> Sub Division �'�( Z(� Parcel � �• Z j� L, • �� ' m 6 <br /> - ��� <br /> z � Bio-Hazard Wast= Storege -ANNUAL � Fumigation Tent <br /> � Comm Exhaust 4Citch=n HoodlDuct � Hazardous Material (Tier I� or RQ Facility) AtJNUAL <br /> � Controlled Bum a Hood lnstallation <br /> � Emergency Generator < 30 kw � LPlNatural Gas-Installation <br /> � Emeroency Generator> 30 kw � LP/Natural Gas-ANNUAL Sale <br /> � Fire Protection Maintenance - ANNUAL � Places of Assembiy-ANNUAL <br /> tr y emi Qn ar �. <br /> Sprinkler C� ❑ ❑ � Recreatioral Bum / � ��� <br /> / I Fire Alarm � ❑ ❑ � � Sparkiers � <br /> Hood Cleaning � ❑ � O� a SprinklQr System (nstallations <br /> Hood Suppression � ❑ ❑ O�� � Standpipes (Sprinkler Sys) <br /> � Fire Alartn installation � Torch Roofing/Tar Kettle <br /> Fire Pumps � Waste Tire Storega ANNUAL <br /> Fire Works <br /> Flammable Application- ANNUAL 2 S, bU Valuation of Project <br /> Fuei Tanks <br /> Q Other: <br /> Contractor Company <br /> Signature Registered Y/ N Fee Current Y/ N <br /> Address License # <br /> ELECTRICIAN Company <br /> Signature Registered 1' /�I Fee Current l� / N <br /> Address License # <br /> PLUM9ER Company <br /> Signature Registered Y/ N Fes CuRent Y/ N <br /> Address License # <br /> MECHANICAL Company <br /> Signature Registered l� / N Fee Current Y/ N <br /> Add2ss License # <br /> oTH�R T Company (Z� f�rl F!/t�' �f11 !'�K. <br /> Signature Registered / N Fea Current L / N <br /> Address 1 d� S"`. �C.. i License n � �) �' <br /> .�..-.��._.,., - a.x..Y- •�:�.,n.. - -- �...�.. ...-� . v..�, _..�._ - - - �_�.._.,�.>.�_�...,,s �j�:�� <br /> ; Directions: <br /> FIl ottt application completely. <br /> Owner & Con!ractor si�n back of aoplication, no:arized (Or, copy of signed contrect with owner) <br /> If over S2500, a Notice of Commencement is required {Mechanical work over 95000) <br /> Supply two (2) s=;s of drewings with appiicable documentation <br /> Aifow 10-14 days for review aft=r submittal date. Paroel r- obtained from Property Tax No;ice (��ttoJ/a��aiser ;�ascogov.com) <br />