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s�a�s��oo2o Clty ofZephyrFtills Fax-81s-78o-002� <br /> � Permit Application _ <br /> Date Received f� 13 r 1 � Phone Contact for Pertnit 7 I� <br /> Owner's Name Owners Phone Number ��. � <br /> Owners Address � 1 � <br /> Fee Simple Titieholder Name TiUeholder Phone Number ��� <br /> Fee Simple Titleholder Address <br /> Job Address Q �� � 'r t I S — � Lot# � <br /> Sub Division Parcel # <br /> � Bio-Hazard Waste Storage - ANNUAL � Fumigation Terrt <br /> � Comm Exhaust Kitchen Hood/Duct � Hazardous Material �er II or RQ Facilily) ANNUAL <br /> � Controlled Bum � Hood Installatlon <br /> � Emergency Generator < 30 kw � LPMatural Gas-installation <br /> � Emergency Generator> 30 kw � LP/Naturel Gas-ANNUAL Sale J�� <br /> � Fire Protec6on Maintenance - ANNUAL � Places of Assembly-ANNUAL j� E% <br /> �y emi �n er � <br /> 5prinkler � � � �� � Recreationat Bum . <br /> Fire Alarm � � ❑ � �� � 5parklers <br /> Hood Cleaning � O ❑ ❑� � Sprinkler System Instailations <br /> Hood Suppression � � � ❑�� � Standpipes (Sprinkler 5ys) <br /> � Fire Alarm Instailation � Toroh Roofing!'far Kettle <br /> � Fire Pumps � Waste Tire Storage ANNUAL <br /> Fire Works <br /> Fiammable Application-ANNUAL Valuation of Project <br /> Fuel Tanks <br /> Q Othe - <br /> ConVactor Company �� <br /> Signature Registered Y/ N Fee Current Y N ?�� /� <br /> J 7 <br /> Add�ess License # <br /> ELECTRICIAN Company <br /> Signature ' Registered Y/ N Fee Curtent Y/ N <br /> Address License # <br /> PLUMBER Company <br /> Signature Registered Y/ N Fee Current Y/ N <br /> Address License # <br /> MECHANICAL 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 /> Address License # <br /> Directions: <br /> FII out application completely. <br /> Owner 8 CoMractor sign back of application, notarized (Or, copy of signed conVact with owner) <br /> ff over $2500, a Notice of Commencemerrt is 2quired,(Mechanical work over $5000) <br /> Supply two (2) sets of drewings rvith applicable documentation <br /> Allow 10-14 days for review after submittal date. Parcel #- obtained from Property Tax Notice (httpJlappreiser.pascogov.com) <br />