HomeMy WebLinkAboutPLUMBING PERMIT APPLICATION - 04-00090 - 271 Mark Ave - New SFRx
W.To-7 I i a
i APPLICATION FOR PLUMBING PERMIT
OWNER FEES
IN a me 0%c I? i" mi, i's
Ad -dress j
Te 1.
Lot f a Add .
PLUMBER
Name
1.
Address
'Tel." ..
Use
Ji"A■■■Ai+!lI
uorl mese
NATURE OF INSTALLATION
DESCRIPTION OF WORK
Plumbing P rm1t ■ i � T ■ k 3 ■ 6 ■ F y f E 4 ■ F ■ i F
Sewer Inspection . . F i • . . i F ■ ! ! i ■ ■ ■ i ■
Inspection of Pipe .1 1P B, j,
Inspection of Fixtures
TOTAL
Fid: Date
By
INSPECTOR'S
Bath TubsUrinal
0
Showers ink Trap
W
Laundry Trays Water Heater
WEE
'hinOther
Toilet
r s
Siop Sinks
k
l its h rr Sinks
Floor Drain
Rough Plumbing
Drinking Fountains Lawn Sprinklers Sewer
Water Softeners
Other
Dish Washing Mach-
Finish Plumbing
Clothes ahef l
r r
x
CI -Ty OF X RG
APPLICATION FOR PLUMBING PERMIT
OW- NER FEES
Name
Address _ Tel.,
Lot BIk* Add.
PLUMBER
Name
Address Tel.
NATURE AF INSTALLATION
Use
P e -s i i -i k PJ 3 1 ffV'L k 'I r -L V4
FY%YtI Irltbra
DESCRIPTION QF WORK
Bath Tubs
Showers
LaLndry Trays
Wash Basin
Toilet
Slop Sinks
Kitchen Sinks
Fluor Drain
Drin +Cin Fountains
'mater Softeners
Dish Washing Mach.
Ithes Washer
Urinal
`ink Trap
"mater Heater
the r
Lawn Sprinklers
Plumbing Permit . . ■ . . T . . . . i . T . . k . . ¢ .
Sewer Inspection r ■ a i T . . ■ . i . • F ■ ■ �. k r f y.
Inspection of Papp • • k • . . r ■ . i . . . T T k . 7
Inspection of Fixtures . k ........ r . � .. .
_
TOTAL
INSP. N
Received: Date
By
INSPECTOR'S RECORD
XX
;�.. _.
E
L
S
41
APPLICATION FOR PLUMBING PERMIT
OW- NER FEES
Name
Address _ Tel.,
Lot BIk* Add.
PLUMBER
Name
Address Tel.
NATURE AF INSTALLATION
Use
P e -s i i -i k PJ 3 1 ffV'L k 'I r -L V4
FY%YtI Irltbra
DESCRIPTION QF WORK
Bath Tubs
Showers
LaLndry Trays
Wash Basin
Toilet
Slop Sinks
Kitchen Sinks
Fluor Drain
Drin +Cin Fountains
'mater Softeners
Dish Washing Mach.
Ithes Washer
Urinal
`ink Trap
"mater Heater
the r
Lawn Sprinklers
Plumbing Permit . . ■ . . T . . . . i . T . . k . . ¢ .
Sewer Inspection r ■ a i T . . ■ . i . • F ■ ■ �. k r f y.
Inspection of Papp • • k • . . r ■ . i . . . T T k . 7
Inspection of Fixtures . k ........ r . � .. .
_
TOTAL
INSP. N
Received: Date
By
INSPECTOR'S RECORD
XX
;�.. _.
E
L