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si��ao-oo2o Cit�� of.Zephyrhi[(s Fire rax-613780-OD21 <br /> P�rrnit Apaii�ation <br /> i�ate Receivetl �� Phane Eeni��tror Parmit - �- � <br /> :w�ca:rrrs•:nt��,�N�az;�wa,rut:v;;y��.,..�,..... ...�.�-..�x� �•r, . __ �-,�••.�,,,�� <br /> C�vner's Name OwrYer's Pttohe Number � 3- � <br /> p�nmer's Addross � �� � <br /> Fee Simpie Titlehnlder Name Tiflehoider Phone Number <br /> ree Simple Titleholdar Address <br /> ;:,_,��,� �.L L/ � <br /> .;oo?.cdress <br /> � 1 o L i�3- v �ot# <br /> Sub Glvisicr Parcel# w, <br /> ;,�.��� � <br /> � Bio-Hazard Waste Storege-ANNUAL Fumigation Terrt <br /> � Comm Exhaust Kitcnen Hood/f�uat � hlazardous Matena!(Tiar II or RQ Peoility)ANNLlAL <br /> � Ccntr�lleti Bur � Hood 1115t8112ttidn <br /> � o �, e"„_�.;:��ti, � L!'l�larurai Gas-Ittstatlation <br /> � merg_nc, Ger_�.. � <br /> �j Em�raency Gerera;or,30'scw � LPIh121ural Gas-ANNLIAL Sale <br /> i=i '_'_' n'2aes rf r��..nh�,.�K�!tJAL <br /> ! C'irE w^ct>ct;o^ �✓�2i-��ena�^e-Ah(�:Lir'.L , i <br /> �—� ,,{ y emi rt� or ' � <br /> Sprrkler � -, �1 � � � Recreatlonal Bum ?�� <br /> � j� I�J <br /> c;'e.�i,� � C .� ❑ L_� � 9parklers � t <br /> �J y V j� j� 5 nnkfer S stem Installetfans <br /> ��`j�Hood Cloaning � '� � L�l u p y <br /> Hnoci Suaprassion � � � ❑ � � 5tandpfpes(5pnnkfsr Sys) <br /> � Fire Alartn instaliation � Torch Rooflng/TarKettle <br /> Fire pi�mps � Waste Tire 5tc+tage ANNUA: <br /> � rire Worlcs .r.r�+.� <br /> � �;ammahie,ap�f�cat�on-aMNUa.t r�� Valustion af Project <br /> � Fusi Tanks <br /> � �.�,$t',Bt: <br /> Etii7i::1,'dw'4��'J�' �"J'' �• <br /> Contractor � i C�mp9ny <br /> S.gnaturr � Registered l� Fee Current E�f <br /> Address ,P License# <br /> ELECTRIG(AN Company �— <br /> 5ianat�re Reglstered Y 1 N Fae Current Y/l�l <br /> Address Lic2nse# � <br /> PLUMBER Ccmpany <br /> Signature Register�d Y 1 N r r"ee Gurrsnt 'Y/N � <br /> L'�canse# <br /> Flddress f -- <br /> MECHAMCAL l Company <br /> Signature � Registared Y/N Fse Current Y 1 N <br /> Address Llcense# — <br /> o��F� I Company <br /> Signature I Registered Y/ N Fee Current Y 1 N <br /> Address �— l.icense# ������ <br /> 'd�'�S�lCCP7WS� eawunwv�vnmww:�rawwu:�.,-,,.-��.�•....u�u�caarwwe�uuauwia�uecoaunee�w,�x�r,x r�,nwuarou�w++�n'.aa�e�caeu�ri+r,w,�i ,�am��••._.�',y;;;a""...°"'mri. <br /> DirecEGl15. <br /> �;II out applieation compietely <br /> Owner 8 Contractcr sigr�acr,c`zppilcation,notarized(Or,cop�✓af signed co�tract with owner) <br /> !f over�25D�,a Natice of Commencemertt fs reauirEd fMenhanicai work over 55600) , <br /> S�pplv twe i2�sets oPdrawinns with apR����bla documenta'inn <br /> ,4;;ow�0-1 a days`or review a`�er submlttai dace. Parr.el�:�-chtained?rnm Prnperty Tax Netiae(http:llappraiser.pascogov.cem� <br /> J-����� i�-- <br />