Laserfiche WebLink
ri�.3-780-0020 �Y��PhYrf1iIISFI� Fax-813-7&�21 i= <br /> Pertrrit Appticatian -=- <br /> oa6s Recxived - Phorie contactior PerrNt � � � <br /> � -.-,Q.-�.��° .� <br /> c�rs►�„� <br /> � Owrie�'s P11one Aknflber .�_��� g7�� <br /> ow+,ers add�s � � �—' <br /> Fee Simpie T�Name Titleholder PFane Nurnber � � � <br /> Fee S�bTitle�A� <br /> Job Address �# �� <br /> Sub Division ��� <br /> � Bio�nd Was�B S�orage-ANIHIAL Q Furs�on TeM <br /> � Comm Exteau�FG6�hen HoodlOuct a F��rial CC'�I{or RQ Fac�t�r)ANNUAL <br /> o �,� o ��, <br /> 0 �����, � ����, <br /> p E,,,�,,�>30�, C] �,r�a��►�u�u.s� <br /> 0 �B�u«,�-,�,n� � �� ___._____ <br /> � �.� <br /> sw;►r� � ❑ ❑ ❑ Q �sum <br /> Ff�e,4tarm � o ❑ ❑ � � s� <br /> �� �, o 0 0 o S�S�� <br /> �,�, � o 0 0 0 0 ��S�S�� <br /> � Ffre Alartn UutaNation � Tat;h Rao1�gJTar Ks�e <br /> �� a SNasi�Tue S�age ANNIlAL <br /> Rre Works <br /> �anrrrebie Aapscanor►-a�uat- Valuation of Projeet <br /> Fuel Ta�cs <br /> er. <br /> Go�actor .. �Y <br /> g�� Regis6e�ed Y/N Fee c� Y/N <br /> qddress Lic�se# <br /> ELE ��Y <br /> g;9�� Re� Y/N Fee currsnt Y/N <br /> pd� l�cense# <br /> PLUMBER � <br /> g��,,,g Regi�red Y/N Fee curront Y/N <br /> q� ikxn4e# <br /> MEC ��Y <br /> gig� Rogis�ed Y/N r-ee C�amn Y/N <br /> Addrass Lice�e# <br /> o-rH� � <br /> sigrehxe R�ed Y/N Fee Currant Y/N <br /> Address Lic��ae# <br /> � <br /> Direcfions: <br /> Fil a�t applica�on car�plelely. <br /> Owner 8 Conb�aign baok of appGc�io�,notarmad(Or.eopl�of aigned contract with owner) <br /> If ov�S250Q.a Notloe of Co�d is raquired.(�Aed�ardcai work o�rer S�M�) <br /> Supply d�(2)sets af draMdngs with apQ6cabie doaaner�lat� <br /> ANow 16-�4 days fior teview afler aubrtitlal daffi. Par�el#-obtair►ed ttom Property Tax Notice(httP:Uappraiser.pa�ogov.com) <br />