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813-780-0020
<br /> - City of ZephyrhiAs Fire
<br /> Date Received ermft pp 1�{�0� o2i
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<br /> s Name ��Q 3
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<br /> BiaHazardVlfasteStorage-AMNUAL _ - _ ..-�-�,_.��_,.,:r..,._:-._;_ .. ��
<br /> � Comm Exhaust Kitchen yoodlpuct C� Hazardous Material�er II or RQ Facility)qNNUAI
<br /> ❑ ��trdled Bum � F'�O°d�ilation
<br /> ❑ E"�9e�cy Generetor<30 kw a LPlNahrr8l Gastnstalfation
<br /> ❑ Emergency Generator>30 kw � �/�'���-�NUAL Sal�
<br /> � Fire''ratection Maintenance.�� � p�ce$�'�S�b1y-ANNUAL
<br /> � �� � Recxeational Bum
<br /> Sprinkie� V � Y /�
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<br /> Fire Alarm ❑ SAarkiers
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<br /> Nood Cleaning a � � ���r System Insta(Iations
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<br /> Hood SuPP�essan � � � Stendpipes(gPnnkler$ys)
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<br /> Fire Alarm insfa112tip� T��RO°h'�T�Kettfe
<br /> � Fire Pumps a 1Naste Tire Storage qNNUAL
<br /> � Fire Works
<br /> � FlammableApplica�o�_,qN��
<br /> ❑ Fuel Tanks
<br /> ❑ Other: Valuation of Project
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<br /> �aaress 3531 �1 Registered Y/�
<br /> Fee Current Y/N
<br /> LFCTRICIAN ���� Q � !A
<br /> `��gnature ,Z,
<br /> compeny
<br /> Address R��e�d Y/N
<br /> Fee Current Y/N
<br />�'+UMBER ��ce►t3@ iC
<br />'�gnature
<br /> Compsny —"
<br /> Address R���d Y/N
<br /> Fee Current Y/N
<br /> t,9ECHANICAL t���
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<br /> �P�Y
<br /> Address Repis�8►ed Y/N
<br />...��F Fee Current Y/N
<br /> ' ucense#
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<br /> Company
<br /> �adress Re9istered Y/N
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<br /> l�cense#
<br /> Fill out aPPlication Completety _ -� -�-_ �.- - --E' - -:��.rT��. �
<br /> Owner&Contractpr sipn back of applicapp� �p��� �� "'- '
<br /> It over g2500,a Notice of Commen (Or,COpY of�i9�d�n�act with rnn,ner)
<br /> SupplY two(2)sets of drawings w��t��u����icai'HOrk over S50pp)
<br /> Allow 1 p_�4 days fa review after su�������
<br /> br►attal date. Parcel#-
<br /> obtained from Proper�,Tax Notic�(http_//aAPraiser.pascogov.com)
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