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, ����ao-oozn City of Zephyfiills�Firs• F�-&i3-�ao-oa2� <br /> Permit Application <br /> )ate Received "7 2 7 /� Phone Co�tact for Permit ,SZ _ _ _ (v � ���' n �� <br /> :s�+.:�:� ,�ao..,.. . ,,a.., . . <br /> �wner's Name LQn-� /✓1k.+v ��Y <� - L Ownet's Phone Number .� �� C <br /> �wner'sAddress 2�/ / f //�-tt/ C � i S <br /> =ee Simple T�leholder Name Titleholder Phone Number �� �� � <br /> =ee SimpleTiUeholder Address <br /> .{�aa ��s`�;r•�&�� <br /> Job Address ,j� ,ZD T T�LC Lot # C <br /> Sub Division Paroel # <br /> .» �"€�.�r �r: x,�r•��s�t <br /> � Bio-Hazard Waste 5torage - ANNUAL Q Fumigation Tent <br /> � Comm Exhaust }Gtchen HoodlDuct Q Hazardous Materiat �er fi or RQ Facil3ty) ANNUAL <br /> � ConVol{ed 8um � Hood Installation <br /> � Emergency Generator < 30 kw � LPlNaturel Gas-InstallaGon <br /> � Ertrorgency Generator> 30 kw � LPlNatural Gas-ANNUAl. Sale <br /> a Fire Protection Maintenance - ANNUAL a Places of Assembly-ANNUAL <br /> �y mi � er <br /> Sprinkler �❑ O O� � Racreational Bum � 2 � <br /> Fre Alarm � ❑ ❑ ❑ � � SparlJers � � <br /> Hood Cleaning � O � ❑� Q Sprinlder System instaliatlons <br /> t�oe�sr,vQressioR �❑ a o� Q StandpiQes (Sprinkler 5ys) <br /> '"� Fire A1arm Installation � � Torofi Roofir�glTar KetUe <br /> Fire P, ur�ps_.- ---'' � Waste Tire Storage ANNUAL <br /> � Fire Worics <br /> Flammable Applicatlon-ANNUAL S"�p " Valua�on of Project <br /> Fue( Tanks <br /> Q Other: <br /> � _ � <br /> Contractor Comparry <br /> Signature � Registered Y/ N Fee Current Y/ N <br /> Address License # <br /> ELECTRICIAN • Company S/�� L� r /-' /�G S},r� <br /> Signature � Registered / N �Current Y/ N <br /> Address < < ,t Ucense # Opp <br /> PLUMBER Company <br /> Signature Registered Y/ N Fee Curtent Y/ N <br /> Address License # <br /> MECHANICA� Company <br /> Signature Registered Y/ N Fee Current Y/ N <br /> Address License # <br /> OTHER Company <br /> Signature Registered Y/ N Fee Current Y/ N <br /> Addrass License # <br /> �mw�¢�9�Af^��.�+. � �a ,.... -- z ._..;,,�,>__ , �.n.�... , m.. <br /> �IfBCllOf15: ���� X � <br /> FII aut application completely. <br /> Owner 8 Contraetor sign back of applicatior�, notarized (Or, copy of signed contract with owner} <br /> lf over 52500, a Notiae of Commencement is required (Mechanical work over 350oQ) . <br /> Suppiy two (2) sets of drawings with applicable dacumerrtation <br /> Allow 10-14 days for review after submittai date. Parcel #- abtained frorrt Property Tax NoUce (http:/lappraiser.pascogov.com) <br />