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Ci1y ofZephytt�ilis'Fir�e- F�-a�s-�so-oo2� �� <br /> s��-�eo�oa2o Pe�t Appiicatbn <br /> = - Pt,orie conEact iw Petmtt <br /> Date Reoeived ` p��s Ptwr�e Number � L.LJZ—.-1 <<�`� <br /> pwners Name �^' . <br /> � ZS2� �'a�t � v \ �'.�- <br /> ow�rs Aaar� � � N � (� � � <br /> L_ _.J <br /> Fee Simple Titlehdder Name <br /> Fee SimpleTitlet� �dd� -� <br /> Lot # <br /> Job Addtess <br /> parcel # <br /> Sub Divisicn <br /> a � Fwr�gation Tent <br /> Bio-Hazatd Wasbs Smrage - AN!lUAL <br /> � Comm E�aust lGtdien HoodlO�xc � F Iazat�da�a Material (Tier il or RQ FaulitY) ANNUAL <br /> � Controlled Bum � Flood insiallafbn <br /> � �r�gency Ge�etabr < 30 kw � LPMawra� Gas-insta�iatio� <br /> � Emergency Ger�erator > 3o kw Q LP/Naaral Gas,ANNUAL Sale _� <br /> 0 0 ��,��� 3 3 <br /> F� � ��-�� � � � � � B�, �� 1 � <br /> spr;nkler a ❑ ❑ ❑ f <br /> Rre Alarm O ❑ ❑� a SP �� <br /> �� � � � c� a �5���� <br /> Hood S�P►essi°^ � � ❑ ❑ � � S1andPiPes �SPrir�kle� SYS} <br /> � � Torch Roofin9Rar Ketfie <br /> Fire Alarrr� It�staNaUon <br /> F'ire Purr►Ps � Was6e Tire Storage ANNUAL <br /> r-,� wo.ks �—'�'� Vatuation of Project <br /> ��,�,ac�e a�a�uo�+-a�ua�. <br /> Fuel Ta�ks <br /> r. <br /> Contractor � ' �� Y/ N Fee curterrt Y/ N <br /> SignaWre <br /> Lkense # <br /> Address - <br /> �crFtic � Y/ N Fee current Y/ N <br /> s�s� <br /> �# <br /> Aaa� <br /> PLUMBER � Y / N <br /> �red Y / N Fee c�nc <br /> s�� <br /> Licer�e # <br /> Address <br /> MECHANICAL � <br /> Registered Y/ N Fee curtent Y/ N <br /> Signature <br /> • Lioense # <br /> Addreas <br /> OTHER �� <br /> � Y 1 N Fee Girrent Y/ N <br /> Signature <br /> �# <br /> Address <br /> pirections: <br /> Fill out appllt�tlon corr�pieteiY- <br /> owner s coMractor sign t�dc of applicatlon. notarfzed (Or. c�pr of s�n� �aec wft1, o,�) <br /> If over S250U. a Notice of Comms�rt is reci��►� (�r�al work arer 5.+��) <br /> gupp�y two (2) sMs of drawings witla appiicabie documerMaS� <br /> ANow 10-14 days for review after subrNttal date. Psroel #- obtained from PropertY Tax Nodce (htfP��PP����•P�O9°V.com) <br />