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81�780-0020 City ofZephyrhiUsFiras. Fax-a�saeo-oo21 t� <br /> Pertnit Appiicatlon -=�-� <br /> Date'r�ecsiveu - Phorie Corrtact tor Permit -�_Q <br /> Owners Name OMrt�s Phone Number .[_��� �� � <br /> Oumer'S Address v ' 1 T !r <br /> Fee SimP���der Name ?iUeholder Phone Number � � � <br /> Fee Simplelitieholder Addres.a <br /> Job Address Lot# �� <br /> Sub Division ���# <br /> aBio-Hazard Waste Storage-ANNUAL � F�nigafian Tent <br /> � �m���� � Hazazdous Material(lier 11 or RQ Facility)ANNUAL <br /> o ��� . o �,� <br /> � Emergertcy Generator<30 kw � LP/Wahual Gas-Ir►stailafion <br /> � Emergerx,y Genera6or>36 kw � LPMahual Gas-ANNUAL Sale - <br /> Q Fire Pra�ctfon Mai�tx:e-ANNUAL � Places of Assembiy-ANNUAL <br /> � �� <br /> S�inlder � ❑ ❑ ❑ � Reaestional8um <br /> Fre/Uarm � ❑ ❑ ❑ � a SP� <br /> Flood Gea�ng ❑ � ❑ �� � SPri�kle�SYstem��g�ilations <br /> Flood Suppression � ❑ ❑ O L_� � StendPiPes(SPrinWer SYs) <br /> � Fire Atarm Instaliation � To�h Raofinglfar Kedte <br /> Rre Purt�s a Waste Tite 3tora9e ANNUAL <br /> Ftre Works <br /> ����,..,��� Valuation of Project <br /> Fuei Tanks <br /> r. <br /> Contractor � � Comparry <br /> S�9� Regisbered Y/N Fae Cunent Y/N <br /> �S Lit�nse# <br /> ELECTRIC ��Y <br /> signaaae Registered Y/N Fee ctmern Y/N <br /> Address �# <br /> PLUI�ER �Y <br /> g�9�� Registered Y/N Fee Curtent Y/N <br /> qd� Lk�nse# <br /> MECHANICAL CO�^Y <br /> g�g�� t�egtstered Y/N Fee curtent Y/N <br /> Addr�s License# <br /> OTHER �^y <br /> Signahne Ftegistered Y/N Fee Currern Y/N <br /> q� Licen�# <br /> Directlons: <br /> Fill out aPD��- <br /> Owner 8�Co�trador sign b�lc of appNcation.notarized(Or,coPY aF signed contract with owner) <br /> If over 52500.a Notice o#Co�rrr►enoe�nent fs requhed.(�nical wak over S.i000) <br /> Suppiy two(2)s�s oE drawings with appGcable doax�tion <br /> Allow 10-14 days tor review�sulxr�ittal date. Paroel#-obtained from Property Tax Notice(MIpJ/appraiser.pascogov.corn) <br />