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PINAL COUNTY BUILDING SAFETY

PINAL COUNTY community DEVELOPMENT BUILDING SAFETY DIVISION 31 N. PINAL ST. BLDG. F, FLORENCE, AZ 85132/520-866-6405 SOLAR/MPE APPLICATION TYPE OF APPLICATION: COMMERCIAL_____ MECH_____ PLUMB_____ ELEC_____SOLAR_____ PARCEL_____ STREET ADDRESS: _____CITY/STATE/ZIP_____ PROPERTY OWNER (S) _____ADDRESS_____ CITY/STATE/ZIP_____PHONE#_____ RENTER/TENANT (S) _____ADDRESS_____ CITY/STATE/ZIP_____PHONE#_____ CONTRACTOR _____ADDRESS_____ CITY/STATE/ZIP_____PHONE _____ LICENSE/CLASS #_____ CLASS OF WORK: (Check one:) NEW (or) REPAIR # OF AMPS _____ # OF BTU S_____LENGTH OF RUN _____ SIZE OF PIPE _____ TYPE OF PIPE _____ # OF KW (PHOTOVOLTAIC SYSTEMS) _____ Type of system.

COMMUNITY DEVELOPMENT 31 North Pinal Street, Building F, PO Box 2973, Florence, AZ 85132 T 520-866-6442 FREE 888-431-1311 F 520-866-6530 www.pinalcountyaz.gov

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