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s�3-�ec}ot�:. City ofZephyrhiils�'t�e� Fax-st3-7so-oo2� <br /> Permit Appiication ` <br /> Date Racei�red —� = Phorie CorMact[or Pertrdt � �, ��_-` <br /> w ��� <br /> Owners Name �2� V Owners Phone N�unber �� �� <br /> Owner's Addtess ( � � � � <br /> Fee Senple Titlehoider Name Titleholde►Phone Nim�ber � � �� <br /> Fee SanpieT�Address <br /> Job Address Lot# �� <br /> Sub Division Par�el# <br /> a Bb+�ard WasQe Smrage-ANNUAL � Fumi�tlon TaM <br /> � Comm E�d�aust IG�chen HoodlDuct � Ff�Maferiat(f'rer il or RQ Fadlity)ANNUAL <br /> � Corrtroded B�an � Flood ir�iistion <br /> � Emergency Gen�al�<30 kw � LPfPiahral Gas-Ir►s�llstlon <br /> � Emarge�cy G�or>30 kw � LP/Nahaal Gas-At�M1tlAL Sale <br /> � Fire Pro�dion Ma&Mer�-ANNUAL � Places of Assembly-ANNUAL _ _._� <br /> � �� �� 3 <br /> o 0 0 � � �� �� <br /> Fu+�aarm � n � ❑ Q � sparlaers "`�� <br /> Fbod C�rdn9 A ❑ LI �� � SP��� <br /> Hood SuPP►'�a► ❑ ❑ ❑ � Q StendpiPes(SPrinWer SYs? <br /> � Fire Afatm k�on Q Tor�h Roof ng/Tar Ketlle <br /> Fue Purnps Q Waste The Storage ANNUAL <br /> F'me Works <br /> Re"""°de'4pp��a�«'''►�u� � Vaivafion of Project <br /> Fuel Tanks <br /> r. <br /> convacmr � w � <br /> Si9"adue Registered Y/N Fee cunent Y/N <br /> '�'� Lic�# <br /> ELECTRIC � � <br /> �"a� Registered Y/N r-ee Current Y/N <br /> '�d"� Licer�se# <br /> PLUMBER �, <br /> signadae Regis�ered Y/N Fee C�ent Y/(d <br /> �d� Lioense# <br /> MECHANlCAL � <br /> S�g"a� Regis�red Y!N Fee curent Y/N <br /> �d"� lic�e# <br /> OTHER � <br /> S�"� Re�ed Y/N Fee Currer,t Y/N <br /> � L.ice�e# <br /> i3irections: <br /> Fiq ait appBcalion cornplelely. <br /> owaier 8 Corricaetor sign badc af aPP�bn�notar(zad(Or.copY of st9ned c�ntrec!wfth owrrer) <br /> If over 52500,a Nottce of Corrvne�ncement is requirsd.(I�Aec�u�cal work over S50D0) <br /> S�PP�Y two(2)s�s of drawinps witl�applicabie docurt�errf�tlon <br /> A{{ow 1[3-14 days for revisw a4Ur subrr�ittal date. Psr�el#-obtained irom Property Tax Plotice(htlP��PP��er.pascogov.com} <br />