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s��-�ao-oo2�� City of Zephyrhilis Fire Fax-a�saso-oo2•
<br /> Permit Application
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<br /> �:v^e�s Aadress �Q aJ 1C �7� LUTZ� �� 335�l�-(��7� �
<br /> �ea S�mple Trtiehoiner Name �—_ _�� 7meh01der Phone Number It '�
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<br /> �_� Bio-Nazard Waste Storage-ANNUAL � y8zardous Materiat(Tier II or RQ Facility)ANNUAL
<br /> � Comm Exhaost Kitchen Nood/Duct Q Hcod installation
<br /> � Conirotled Bum a LPINeturei Gas-lnstallaUon
<br /> ( i Emergency Generator�30 kw �1
<br /> i ! �PINat�!�I Gt s-ANNUAI Sale
<br /> J Emergency Generator:>30 kw a Places ofAssembly-ANNUAL
<br /> � fire Protechon Ma�ntenance.ANNUAL a Rer.�e0tional 8um
<br /> �� emi n] er ❑
<br /> Spnnkler ❑ ❑ p Sparkler5
<br /> Fire Aiarm Q ❑ p �' � ❑ Sprinkler System installalions �1 "
<br /> Hood Cleaning � O � ❑ � � Standpipes(Sprinkter Sys) '� j�v ` �
<br /> Hoa.Suppression � C ❑ O � � 7orch Roofin
<br /> � g/Tar KetUe
<br /> Fire Alarm�nstallahon a Wgs�Tire Storage qNNUAI
<br /> i � Fire Pumps
<br /> �� Fire Works
<br /> � Flammable Application•ANNUAL '��—�
<br /> � Valuation of Pro�ect
<br /> Fuel Tanks
<br /> ❑ Other
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<br /> Registered Y/I1( Fee Current Y/N
<br /> ;�.caress 3531 lf,e ,}png Rd.
<br /> -.'�-r,�C;AN License# F 000 11I
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<br /> Registered Y/N �ee Current Y/N
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<br /> Registered Y/iV Fee Curcent Y/N
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<br /> L�cense# �
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<br /> S,�n�;u�� Company
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<br /> Regisiered Y/N Fee Currant Y/N
<br /> Ucense# �'
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<br /> ;"dress
<br /> Registered � Y/N� F�Current Y/N J
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<br /> `�i!out appli�UOn�pmpletety . _ -
<br /> C�wnet&ConUactor sign back�f applicatip�,�p�y�ized{Or,wpy oF s;9��a conUact with ow�u�
<br /> �'ove�52500,a Notice ot Commencement is required(MeehaniCa�yyork over g500Q)
<br /> Supply cwo(2)sets o0 draw,ngs with app�icable documentation
<br /> Ai+ow 10-�4 days for review after submitta!date.
<br /> Parcel#-obtained from Ptoparty Tax Notice(http//appra�ser.pascogov com}
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