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2011-05-02 16:3�3. Cox Fire Protection 813-980-Q631 » , p 2�2 <br /> 8t3-780.0020 C:ity Qt L6phyf?uIIS hlfB <br /> Permit Appl'ICation r•au-s��.�so�oo21 <br /> DaleReeslved � �� Pha�eCordactfwPamit '� j �, µ777 <br /> owners Name � i':r�l� i d�' $f9hp� 1�pc�(, �� CA CO W�}� Ownefs Phone Number S�;� ��2 � <br /> Owr�ersAddress '7��.'j Lanct� �'�c�, a' �.�es� � c3 63`d <br /> Fea SimP�B 7ftleholde► ►dame Titleholdar Phone 1Vumbe� �� �� <br /> Fee S1mpleTidehoiderAddress <br /> ,tob,�aa� 385R5 �o++� {��u,u.�e. , z�,p�► rh i �f � 5 � ��., 3 35�'�- , _. � <br /> Sub Divis'ron � # <br /> Patr.el # <br /> ❑ eio Waste �ge _ ANNUAL � F ' � ' . . � <br /> a Wrdg�on Tertt � - <br /> Comm Ext�ust Kkchen �bodlDuct Q H�zaidous 6haterlal (T'fer II or FtQ FacW! r� ANNUAL <br /> � CordroNed Bunt � hlood Instailatlon / -- <br /> � Eme►9encY Generd� � 30 k►v � LP/Naputal Gas�l�tallatioto r � <br /> � E�De�I' Generatpr � 30 kw � LP/Natural Gas-Al�q�, i�.i � <br /> � Flre ProtecUOn Mein6enance - ANNUJLL � Places oE Assembly-ANN ��� <br /> i i <br /> Sprinkler � ❑ � � � � Recr�Hona! Bum � l/ <br /> F� aa►m [] o o n� ❑ sa�►ers <br /> ���+s �] o n o� � sw�� s m:au�,e� <br /> � Wood S�rsssio^ ❑❑ n o� � star�dpipes cSp�inkler Sy�) <br /> Flro Alann tnslaUation � TorGh ROOfmglTar Kattla <br /> � � F � � Q Waste Tlro Sta�aga /WNUAL <br /> Fme Works <br /> � F��� � ANNUAt <br /> �O. ""� Vaivation of project <br /> Fuel Tanks <br /> � � <br /> Conbactor � . � . .., � , . , , , „—,—� <br /> S[9nature �"Y � t� 4 d'1. �Y!C . <br /> Register�9d Y Fae Cune�R Y N <br /> Address 1 �roFe��b �c. 3�3'7 ueense� O/� a�! <br /> E�EC1'RICIAN <br /> gig�t�e �Pa�Y <br /> Registered Y% N Fee cwrent Y/ N <br /> Address <br /> Llcanse � `�"� <br /> PLUMBER <br /> � �P�Y <br /> nddre�s <br /> �g�stered I Y/ N I Fee Curr�nt Y/ N ' <br /> �cNaw� <br /> �s � <br /> sig�n,re C°"'par�' <br /> �� Y/ N Fea Currenx Y/ N <br /> Addreas <br /> Licenso # <br /> or� <br /> signature � <br /> �� <br /> �� u ��� - Y�N - <br /> ��: � � - � _ ., , w '.'� � �. ,.. <br /> ��u ou! ap�ucaaor, �anqata,,,. . .. <br /> Owner & CorHrsctor sign back of BPPI�ication� not�Zad (Or� eoPY ��9n6d Gbntract with owner) <br /> If over S'1600, a Notfce of Comrrbncsn�M Is req�ared (MeChanical work ovar 3SOOD) <br /> s�pPN �(2) sats of dra�Mngs wnh app�ica}�le documeMatlon <br /> Allow 10.14 days for review sRer submlefa! date. Pa�el #• obtalned f�om Peoperty Tax Notice (t�p;//apprelser.pasoogov.com) <br /> �"..hor',� � �. �.G WQ,a'v � �er �� �X <br /> � ,� . �`�'�'(.JC�..1'2�.. � f ��-( 2. �''� <br />