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APPLICATION FOR PLUMBING. ERMIT
OWNER
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Name
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Lot
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PLUMBER
Name
Address Tel.
MATURE OF INSTALLATION
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Fi. to re
DESCRIPTION OF WORK
Showers
I'3 I k ..•a a: i
Wash Basin
Toilet
Slop Sinks
Kitchen Sinks
Fiolar Drain
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Drinking
a, V 4%e A lu i tua IM b
n;fl %At. -L.- - Ira.
Clothes Washer
Riiii nimr. OcOlifilT
u•! M b i n Permit i - F . ■ F of i• ■ RB ■ i f ■ i 6 . 6. $
Sewer Inspection . i . . ■ . . . . . i i . . . f ■ i + F
Inspection f Pipe . F . . . . ■ 1 . F . . i i . . . * ■
Inspection f Fixtures . i . .... } .. ,
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TOTAL
Received: Date7w
By
INSPECTOR"S
0
N
S
I(JN REX13URG ID oarE
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THE UNDERSIGNED HEREBY APPLIES FQR A PERMIT FOR TNS tnrnaV �,��.-,., ,.,,�. _ ____� NO'
IN MNU A N ED 11THE A I F I UIU TE
S AND SPECIFICATIONS.
OWNEFS
.S 010E -,
PHONE 111 pill
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ARCHrMCT Atel
STRUCTURE;
rylir 0A
Lj REMODELEIIER -}
Q ADDITION
11 RESIDENCE comm. LJ REPAIR
FOOTINGS U RELIGIOUS Q FENCE [j L) FIRE DAMAGEPATIO CJ C;ARPORT
'�' BA. EM E i T FLOORS E: U GARAGE 0 AWNING
MCONCFIETE-
t CET CEILING ROOF
LII SIR L ONRY L) FULL Q WOOD L)� WWIHEA
H EAT INSULATED
TIDE TfR ORETOTHER JNMASONRY
WOOD BUILT UP. .
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GASWALLS
LiCONCRETE . CONCRETE � L T�#� Q OIL �CEILING
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VENEER EJ DRYWALL TILE U GOND H. U COAL Q FLOORS
METAL TSL Ll FIREP
FLT r�Tr LL E Lj PER)ETER
Thi's permit iS issuedsubject to the r6 -STUCCO TILE FSE � �L�TF�I
regulations contained in the UniforM Building Code and
that the work to be done as shown r the la aZoningRegulation
ns s f Fbur and i� I
�r�rtin willCompleted i agreed
regulations
rt inn rl- iu n f the I oe ��
REMARKS.
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FEE PAID
CASH `
BUILDING
INSPECTOR [SATE ADDRESS
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