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81 � 78 °� 0 ° 2 ° City of Zephyrhiqs Ffre Fax•aisasaao2� <br /> Permit A{ipficat(on <br /> Dale h�ceived [�—�� Pnone Contaet for Permif 904 3$$ 17�t�- <br /> Ovmers Neme 'r}�L �' o me Owner�s Phone Numb� 56L 43p �g'� <br /> ow�ersaadr�s 774 Gqc4i Frarnin .a,m MA. 0)"{0{ <br /> Fee Slmple'fiileholder Name Titleholder Phone Number ��� <br /> Fee:Simpte TiqeholderAdd�ess - <br /> JobAddress h���� ba�� ���c�. Lot# ' ! <br /> ��� <br /> Sub Dtvisfon Pa�el i! 35<R5-�l-oa►�o-0886b. -oG►Ob <br /> Q Bi.o-HaYara Waste Stbrage - ANMUAL � FumigaUon Tent <br /> o Cnmm Exhaust IGlchen HoodlDucf O Hazardous Material (fier 11 or R�. FaciBry) AtitNUAL <br /> O Controlled Bum O Hopd tnstallatfon <br /> � Emergency Generatof < 30 kw � LPlPlatural Gas-Ihstapation <br /> Emergency Generetor a 301cw � LPlNataral Gas-ANNUAL Sal� <br /> � Fire ProtecUon Ma3ntel�ance - AN.NUAI. � Places oi Assembly-ANNUqC '/�� <br /> ❑ � em � et � f <br /> � � ff� �'� <br /> Sprinkl�r O ❑ ❑ Recreatlonai Burn �-� �' <br /> Flre;4larm � O U ❑� 5pariclers S� I V_ <br /> Hood�Cteanin9 � C] L1 ❑�� ❑ g l <br /> Sprinkl�r stem Inslallations ,,/Q�,, <br /> }iood Suppression � p p O � Standpipes {Spiinkler Sys) � (�� �; (� �� ' ( ��� <br /> Fire Alarm Insta�aUaf O � 1 ( ' , � �t � � tl � ( � <br /> 7broh Roofin ar Kettle � � <br /> Fir� Pumps � Waste Tite StOrdge ANNUAL � ,1 _ 3 <br /> Fira Worics � 1l� � <br /> � FlammableApplicBUan-JINNUAL , �7 ¢�� Vaivation af Projeet <br /> Fuei Tanks <br /> Q - oth��: - <br /> �C.ontractw Company ' 4 : �� '� �Sy� �nn. � <br /> Signature F�egisteted Yl N.. ., Fee Current �' / N . <br /> Add��s 3 :.. x: . o.�'a�rkw ,►; l� �., 2a.s ���ens� �r �Frsno�8 <br /> EIECTRtCIAN - � <br /> Company <br /> Signature Registered T! / N �ee Gurcent Y 1 N. <br /> Address License # <br /> PLUMBER <br /> Company � <br /> 3igna4ure Registered Y! N Fee Current Y/ t�1, <br /> ABdress <br /> License # <br /> MECHANICAL Company �� <br /> signature Reglstered �' N' Fee Current Y L N. <br /> f�di8S3 <br /> License # <br /> DTFkER ComQany <br /> Signature Reqistered Y/ N Fee Current Y! N <br /> Addres3 - <br /> — ----.,.�:- _._,_._.. ; .. _ ......:,..._._ .._. ucensgtt <br /> --- .. - .. _.__..__...__._ _ _ __. ._ _ . _. .. _. _ ._.....;_.. . ._, __: .�.._. <br /> Oireetions: . _ . <br /> Filf out applicaGort compiete{y. <br /> Own�r 8 Cb�sttacfbr s[gn'back ot app6catioc�, notarifed (Or, copy W signed cortVact wtth owner) <br /> if averS2500.. a Notk� of CommencelnenCts reqUired (Mechartical work over S500o} <br /> SuPP�Y �(� .sets of drawi�9s with appl3calXe documentatan <br /> Albw 7 U-14 days fbY r�vietiwafter submiKal date. Parcet #- obtalneG irom Property Tax Nodce (http:l/appraiser.pascogov.COm) <br />