Laserfiche WebLink
o io-�o�-v��v �,iiy oi �epnyrnms rire r8X-iSlS-/2fU-UUZI <br /> Permit Application <br /> Date Received Phone Contact for Permit � � � <br /> Owner's Name Owner's Phone Number � � � <br /> Owner's Address .30 ,j�'� /{%� !�'fr O I� / r <br /> Fee Simple Titleholder Name Titleholder Phone Number � � � <br /> Fee Simple Titleholder Address <br /> Job Address Lot# �� <br /> Sub Division Parcel# <br /> � Bio-Hazard Waste Storage-ANNUAL a Fumigation Tent <br /> � Comm Exhaust Kitchen Hood/Duct � Hazardous Material(Tier II or RQ Facility)ANNUAL <br /> � Controlled Burn � Hood Installation <br /> � Emergency Generator<30 kw � LP/Natural Gas-Installation <br /> � Emergency Generator>30 kw � LPlNatural Gas-ANNUAL Sale <br /> � Fire Protection Maintenance-ANNUAL a Places of Assembly-ANNUAL <br /> � emi � er <br /> Sprinkler � ❑ ❑ ❑ � Recreational Burn <br /> Fire Alarm � ❑ ❑ ❑ � � Sparklers <br /> Hood Cleaning � '� � ❑ � � Sprinkler System Installations <br /> Hood Suppression � � � ❑ � � Standpipes(Sprinkler Sys) <br /> a Fire Alarm Installation a Torch Roofing/Tar Kettle <br /> � Fire Pumps � Waste Tire Storage ANNUAL <br /> � Fire Works <br /> � Flammable Application-ANNUAL � Valuation of Project <br /> � Fuel Tanks <br /> 0 Other• <br /> Contractor Company <br /> Signature Registered Y/N Fee Current Y/N <br /> Address License# <br /> ELECTRICIAN Company <br /> Signature Registered Y/N Fee Current Y/N <br /> Address License# <br /> PLUMBER Company <br /> Signature Registered Y/N Fee Current Y/N <br /> Address License# <br /> MECHANICAL Company <br /> Signature Registered Y/N Fee Current Y/N <br /> Address License# <br /> OTHER Company y� <br /> Signature G`-"'��- Registered Y N Fee Current Y N <br /> Address Q/ o,� �/s��e L � L. License# <br /> Directions. <br /> Fili out application completely <br /> Owner&Contractor sign back of application,notarized(Or,copy of signed contract with owner) <br /> If over$2500,a Notice of Commencement is required(Mechanical work over$5000) <br /> Supply two(2)sets of drawings with applicable documentation <br /> Allow 10-14 days for review after submittai date. Parcel#-obtained from Property Tax Notice(http./lappraiser.pascogov.com) <br />