Laserfiche WebLink
813-78Abnzo City ofZephyrhiils i=ire•. , �ax-8t3-76o-0021 <br /> ' . Porn11t Appiication <br /> Date Raceived ' Ptwne ContecCfor Psrmit <br /> f <br /> i <br /> 4v+mera s�ame S Q N+, g '� r.� 4 �.A f_j ZL <br /> 1 S � C)wriet's Phone Number <br /> � o�,ar�a�es� 6 6 o t� � !�t i.� t���3� � ,,�:�i t ��� 3 3 S�z . v <br /> � �ee si ' <br /> mple Tilleholder Name. r`-`�� � � <br /> I Tltlehoider F�aae Nurt�bpr J <br /> ! Fee simple lTUeholder Rdaress � <br /> Job Address � �t�/�`� {�:S /�-�'j�J�� (°—'—"-7 <br /> Sub Dlvfslon L�t� t I <br /> �--_1 <br /> . Parcel# <br /> OB10-Hazard waste 5tarage-nNNUAL � FumlgaUon 7en4 <br /> � Comm E,chaust Kltchen Hovd/Duct � Hazardous Malerial{T[er II or 3�Q Facllityj ANNUAL <br /> � Controlled Bum � Hood Instatlatiurt <br /> i � �mergency Gonerator�30 kw � LPINatural Gas-knatallation <br /> � � Flnergency�eneraior>90 kw � LPONalural Gas-ANrsUAL Sale <br /> � � , <br /> Fira Prolectlon Maintansnce�ANNUq►� o Places of A�sembly-ANµUA[. <br /> , ��ry am � er .30� S,TA2�C" <br /> SPrinkler ❑ ❑ D � RecreaUonal gurn (� fa-i 'E.� <br /> I Ftre/vam� � Q ❑ `7 � Sparklera / <br /> 1 Hood Cfeaning � p (�'--� r_1 2 /�-�.} � <br /> l� � L--....� L._J SP�nklcr'SysFAm f�ate11eUons • } � <br /> Hood Suppresslo� � ❑� p ` p C� a Siandpipes(Sprfnkter Sys) <br /> aFfre Alarm Ins[allazion � Torch RoofirlglTttr Kett1e �'.f-I{L y�� <br /> � Fitc Pumps � Wss[e Tlre Storage ANNUAL �l 7� <br /> . F;re Works <br /> � Flammabfe AppllcaUon-AnrNUAL <br /> � �� V�luation of Pra)ect <br /> Fu5(Tanks <br /> QOther. _._ <br /> contractor / <br /> ' Signaturo C�J Comvany ►�c>v � (l.. TS�,�drr`� �D,,,., ' <br /> Addrees 1'*� '7 2,-c_ 1 • . Registared Fee CuRent J N <br /> �...o C t�.S �t f`p � _r�n 'i-'���.-.�.�( Licenee#! <br /> • ELEGTRICIAN CompanY <br /> s�9nH�re Ragiotered Y/N Fee CuRenc Y/N <br /> Addrape -- <br /> �icensQ{t <br /> PLUMBER � <br /> CompAny <br /> 5ig�� Regtstered Y/I�[ Fee Currerrt Y'/N <br /> Addross – <br /> L{cerue te <br /> MECHANICAL — <br /> Com�n�y ^I <br /> 31gna[ure _.� <br /> . Re9istered Y/N Fee Cur►ant Y/N <br /> Addresg ' Llc;anae# T <br /> OTH�t � Gompany "�'�'—`7 <br /> Slgnatura Regl�cered Y;N Fae Currr,nt Y 1 N —� <br /> AddCbss .— - <br /> Ucensti# <br /> OkecUo�a " <br /> Flll out appUcatfon eompiet»ty. W <br /> Owner E Contracfor sign back af spppCadon,notarizsd(pr,copy of signed contrect with ownor) <br /> I if over$z$OQ,a Notice of C�mencament la required.(Mechanical vmrk pv�f$BOOP} <br /> SURPIy iwo(2)aeis ot d�wings with appllG�blC docUmentaiia� <br /> Allow 10-14 days for ravlew efter gubmrttal date Parc61#-optslned from Pnpperty Tax M1t�ce{h�(P;//appralSCr.pascogov.cnrp) <br />