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a�s-�ao-oo2o City of Zephyrhilfs Fire F�-s��-�so-oos� <br /> Permit Application <br /> Date Received � F'hone Conlaci for Permit <br /> - .�� ... _. .. . <br /> __" _"�______�:_-_:_-�..4:..;_-_�..-�—..,':.:'• '.:?'_iG�-c_.v.::._.. .-.___"_____'""' _ _---_'__-.-�_�.- • . . -..,--. :_,..__ .____. .. '--.:�_:_..:.�..v._y_j.T-_... <br /> 1 .�.^_^' �. <br /> Owne�s Name O+vner's Phone Number �� � <br /> L_ti.�i.�� <br /> �wners Address '� �C"� <br /> Fee Simple Titieholder Name Tideholder Phone Number C� C� � <br /> Fee Simple TNleholder Address <br /> - .a_�_�-.�..,x:cn-=w=�t�==:-=::.�=::aC::,`..'s.:��_..'=-;�t�a�:r..-e'•-.-';�-.-m-,.`='=---�au""e'i.�yr�s"�`.��',e�'`_:+=._.•x�r�:''. .." _ _ _�i+-.'-z_,_"r,__'—__ ' - <br /> --- .:.:=.�•�r_ _ �.::;�.�'".�..: _ - �.._._.��u-�-�u...`.....-:�:T�-..�. <br /> Job Address i ' �^ J�_ �' m �� <br /> �,�� Lot!k <br /> Sub Division Parcel# <br /> '..'^'�'�'.�?`=.:��..�.:.�._.P�.�.i:d_3:..�'}...�xS'zl:.�_{'5�'�'���-�k:�.+"_�zZ...t�'i-?='_S:n=�+�c..�.s,;::.�:�,=-.r--r-���x�,s� :�."T'.�=�,.=".�<_,y^ �" <br /> Q - a=: . ....i'4'�::_=.:';�:.;"_.._F�-'__�"_'".s�""`3:iz�4Jri._�E%E�L�t'C�.s« <br /> Bialiazarcl Waste Slorage-ANNUAt � �umigation Tent <br /> � Comm Exhaust Kitchen NoodlQuct � NazaMous Mate�sl(Tier II or RQ Faciiityj ANNUAL <br /> QControlled Surn � Haod installation <br /> � Emergency Generator<30!cw � LPMatural Gas-Instalfatlon <br /> � Emergency Generator>30!cw , � LPlNatura!Gas-ANtJUAL Sale <br /> Q F(re Protecdon Meintenance-ANNUAL � Piaces of Assembly-A�INUAL <br /> Sprinkler �� �p� Br D Recrea�onal Bum �� <br /> F i r e A l a r m � d D Q �� � SParkiers -� l�3° <br /> Hood Cleaning � ❑ ❑ ❑ � � SprinklerSystern Installa6ans <br /> Hood Suppression � ❑ ❑ C1 � � Standpipes(Sprinkler Sysj <br /> � Fire Alarm Installation � Torch Roofing/iar KetUe <br /> Q �ire Pumps � Wasie Tire Storage AMNUAL <br /> � Fire Works <br /> � Ffemmabte ApplicaUon-ANNUAL <br /> � ��� Valuation oi Project <br /> Fuei Tanks <br /> � othe�: <br /> ,-- - . -__ - -__: .-_ _.: =--= ._ - ---.-y---�:._��_,... , _. -._.- -_=___----:__--� -_,.:-:�T-.,.-_ -_r.__ ..._.._.. - =i-_�=_.:_u .-. <br /> conUactor �x._ ..,-��,-u:— <br /> Company c <br /> Signatnre Registered Y/�) Fee Current Y/N <br /> aaa��s � <br /> License# <br /> ELECTRICiAN <br /> Company <br /> Signature _._ <br /> Regtstered Y/N Fea c,urrent Y/I�! <br /> Address <br /> License# <br /> PLUMBER <br /> Company <br /> Signature • <br /> Registered Y/N Fee C:urrent Y/N <br /> Address <br /> License# <br /> MECFIANfCA C��^y <br /> Signature Registered Y/N fee Current Y/N <br /> Add�ess <br /> License# � <br /> OTHER <br /> Company <br /> Signafure Registered Y J�! Fee Curren! Y/(�I <br /> Address <br /> OirecG _.,.� - - .. -- . _ _.,__._,-_v�-.—�--r...�z•:- -�- • ._�.T r_--- -. -.—,�-,� ..-,.... �icense# ' . <br /> ons: ,� , _ <br /> - - - . -=--.�•r,-T�--_-_=� <br /> Fitl out application comptetely. <br /> O�mer&Contractor sign back of appflcaUon,notarized(Or,copy of signed conUact witi�owner) <br /> If over$2500,a Notice of Commencement is required(Mechanical work aver�5400) <br /> Supply iwo(2)sets of drawings with applicabla documenta6on <br /> Allow 40-14 days for review aker submittal date. Parcet#-obtained from Properiy Tax No6ce(http;!/appraiser.pascogov.com) <br />