Laserfiche WebLink
City ofZephyrhiltsFir�� F�-s��-�so-ooz� _ <br /> a� a-7so-oo2o Permit Applicafiion - _ - <br /> - PFw�e Corrmcticr Pemnit <br /> Date R�eived Q <br /> ' . Owners Phone Nurnber -[_��� � U � �,ZZ <br /> Ovmers Name � , <br /> \t ` � <br /> Owners Address <br /> Fee Simple Tideholder Name Titleholder Ptane Nurnber �� <br /> Fee Simple?ItleholderAddress <br /> Lot # � <br /> Job Address <br /> Parcel # <br /> Sub Division <br /> � Bio-liazatd Waste S'�orage - ANNUAL � Fumigatbn Terrt <br /> � � �� �� Ha�rdous Material (Tier II or RQ FacNity) ANNUAL <br /> � Controlled Bum � Flood Ir�stailatlon <br /> � Eme�gerwy Ger�erator < 30 kw a LP/WaWral Gas-instaltatior► <br /> a Emergency Generabr > 30 kw � lPMahn'al Gas-ANNUAL Sale � <br /> a Fre Protedion Mairrtenance - ANNUAL � Places of Assembh�-A►tiNUAL <br /> ❑� ��� � <br /> Sprinlder ❑ O ❑ R�tiona� Bum <br /> � C� L� S� <br /> Fire Alartn O 0 D <br /> Hood qeanin9 ❑ � ❑� � SP���� SY�m instailations <br /> Flood Suppression <br /> � � � ❑ � � ��P�P� �Sptirdcler SYs) <br /> a Fire Alarm Irutailation � Torch RoofinglTar Kettle <br /> Fire Pwnps o Waste Tire Stotage ANNUAL <br /> Flre works <br /> ��� ��� � Valuation of Project <br /> Fuel Tanks <br /> er. <br /> Contractor � � }�g�eced Y/ N Fee Curtent Y/ N <br /> Signature <br /> Add� � Licer�e # <br /> ELECTRICIA ��� <br /> Slgnatwe Reyiste�ed Y/ N Fee Curtent Y/ N <br /> Addness ��� # <br /> PLUMBER � <br /> Slgnewre Reyistered Y/ N Fee Cwrer►t Y/ N <br /> �� Lice�ae # <br /> MECHANICAL CO <br /> signawre Reg[stered Y/ N Fee curtent Y/ N <br /> Address �� # <br /> OTHER � <br /> Signature Registered Y/ N F� Current Y/ N <br /> �� � # <br /> DirecUons: <br /> Fili out epplication compfate�Y• <br /> Owner � C.ontractor si9n back of applicatlon. notarized (Or. coPY ��9� �� with ownerj <br /> If over 52500, a Nottce aF C.ormner�ement is ►equired (Mec.�hanical woric ov� 5500U) <br /> gupply two (2) aets of drawings wHh appiicabie docurt�errtadon <br /> Allow 10-14 days for review afler s�rrYttal date. Pancel #- obtained from PropeRY Tax Notice (httP��aPP��•Pa�9ov.com) <br />