HomeMy WebLinkAbout2014 AVENUE OF THE TREES; ; 77-10362; PermitPLUMBING PERMIT APPLICATION
LOT NO. ILI LEGAL 1 DESCR.
TRACT
STATE LIC. NO. CITY LlC. NO.
2O1t,Ar~*Ofth- 729.1.7825
MAIL ADORESS PHONE
L. E. HW 2
CONTRACTOll
WATER CLOSET (TOILET)
BATHTUB
LAVATORY (WASH BASIN)
LICENSE NO.
3 m38S
ARCHITECT OR DESIGNER MAIL ADDRESS PHONE I
$
4
5
ENGINEER MAIL ADDRESS PHONE LICENSE NO.
COMPENSATION INS. CARRIER MAIL ADDRESS ORANCH
aPPLICATION ACCEPTED BY
7
8 Class of work: 0 NEW 0 ADDITION 0 ALTERATION 0 REPAIR
PLANSCHECKED BY APPROVED FOR ISSUANCE 01
9 Describe work: LprtrlllrNaDa**-
URINAL I
SPECIAL CONDITIONS:
I GAS SYSTEMS. NO. OUTLETS 1
NOTICE
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-
TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS,OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR AEANDON€l&$.OR A
MENCED.
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK I$ COM-
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO 5E TRUE AN0 CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
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SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT
SlGNATURE OF OWNER (IF OWNER SVILDERI (DATE)
PERMIT FEES I
No. I TvDe of Fixture or Item I Fee I
I SHOWER Ill
KITCHEN SINK & DISP.
DISHWASHER
LAUNDRY TRAY
CLOTHES WASHER
1 WATER HEATER Ill
I -FLOOR--SINK OR DRAIN !It I SLOPSINK Ill
WASTE INTERCEPTOR
SEWER NUMBER CLEANOUTS
Y
TOTAL FEES $1
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. . CASH
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