HomeMy WebLinkAboutNO PERMIT NUMBER (7) No. Street Lot No.
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a APPLICATION_[OR,�UMBINC PERMIT
E ® C JJ'Sf�RLLi
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y � ary No.
,E Dale O yytS 14 1968 Permit No.
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3 Fee &7,z-
Application
7
d A hcation is hereby m ��t permit to install plumbingpipes
wand/or fixtures listed on 911�ersth�ide h rr es o all said prices an r fixtures
in accordance with the provisions of the Plumbing Code of ity of Cope tin Oil all er •
E laws applicable thereto.
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A A Use of Premises ,' s c ,i r o u
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' 0 Owner/, G', /`tii SSU C-;4- Address vn -rte frN o
_ E BYCTGF«S � �NSsC Address 10/99 left ra.oad A+-
3 Contractor,Agent
PhoneAO
State LicenseApprov
rl tubing Inspector �
FIXTURES NUMBER MAIN DRAIN
Units Fees Units Fees
Water Heater Size
Water Closet Material
Bath Tub M
Shower Lavatories"t e k Dish Washer
Waste Dis osal
Wash Tra AINAGE
Washin Machine
Water Softener Material
Bar Sink To Main Drain
Comb.Sink&Tray To Curb
Dental Unit
Drinking Fountain
Floor Drain WATER SYSTEM
Hopper Size
Restaurant Sink Material
Sand TrapTOTAL FEES
Urinal Fixture Fee
Area Drain Main Drain Fee
Water Leader Storm Drain Fee
Sprinkler System Water Sys.Fee
Relief Valve 11 Gas Fee
Vac Breaker
Skimmer
Filter
Permit Fee
Total Total Fee