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Ju'. 5. ..2012 8: 18AM FIRE FIGHTER`�S�y°r�,epnyrnu�srue No, 3127�`�'P. 1'021
<br /> Permit Appiication
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<br /> �wnefs Name i✓L � S Ownars Phm10 Nurt►ber � ��4 1�jd C7
<br /> Hvners Add►ess e�j� ��V'G1 ��I�'� xJ' �S~7�
<br /> eo Simple T1Uefalder l�lama rtleho�.r phons Numbar � � �
<br /> ee Simple'TiUeho�der Addreas
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<br /> obAddress S�V1�� �� �2^ ? C J` �-' v f Lot* �
<br /> ub Division �^��
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<br /> ' o B�r„����-ANNUAl, o ���,T�
<br /> � Comm E�aust Kitchen Hoodlfluct � H�us AAekrlal(Tler II or RQ�aG�ityj ANNUAL
<br /> � Controtled Bum � Hood In3bitlatlon
<br /> � EmergencY Ganaraeor<30 kw � LPM�aI Gse-M�Ilatio�
<br /> � EmeigencY GanaraEor>30 kw � LPINalursl Gas�/►NNUAL 8a1�
<br /> aFire Pmtaction Malntenanee- � �� � Placas of Rssembly-A,NN(1AL
<br /> SpriMJe► � D O O � � Racnalbr�al BuM 2?jCi �
<br /> Flro Alarm � � G7 0 � � Spaiklers �P� I � ,J
<br /> Hood Geaninp � p O � � � SpAnklor System Inamllatlo�w
<br /> Hood Supprossion /� ❑ � O � � Stondppae(Sprioklar Sys)
<br /> aFire Alartn Inslallepon � Torch F�ooTny/.Tar Kstl�
<br /> Flre Pumps a Wasbe T{ro Sloregs ANNUAL
<br /> Fre Works
<br /> Flammabla aQpiication-ANNUAL Valuatlon of Project
<br /> Fual Tanks
<br /> Q Olher.
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<br /> ;��q� R�gf:t.red �Y/N_ Fos r►ent TY/N
<br /> nderes� � a, l3 o x L4h.d o�1.� 3 u���
<br /> :LECTRICIAN CamPanY
<br /> ;;p,�q,ra , Ragiorored Y/N Fso currorn Y I N
<br /> p�� Lioenee iF
<br /> '�IM�ER �P��Y
<br /> �grs�turs Rep�sared Y/N Fao c�.rent Y I N
<br /> Address Llcsna#
<br /> IECHANICAL Company
<br /> ;�n,�ure ►tegis�e�d Y 1 N Fee CurreM Y 1 N
<br /> Address Lioamo i�
<br /> rrr�a �a�►r
<br /> ;�„uN. Re��ste�.d Y 1 N Fes cutre�n Y I N
<br /> ,�adre� u�►�� � .__.`�'-1
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<br /> ��MM�Y: .....r.�..... ..r.
<br /> FI�I Oul ippl�C9�1W1 C0111pIS1Aly.
<br /> Owner 8 ConUacEOr Sipn 4ack of epplicstlon,nofaAtad(0►,wPY of 5iyned comraCt wnh owner�
<br /> B over i2500,a NoUce oi Commancer�ort�s required(AAecfw��al woilc oirer�5000)
<br /> SuDP�Y��)asts oE drawings wilh applkabk doeun�+ta6on
<br /> Allow 10.14 days for reviow aRer aubmitlol dato. ParGel#-oblainatl from Property Tax No�Ce(hqp;/lappraiser.pascogov.com)
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