HomeMy WebLinkAbout2038 CALETA CT; ; 78-6136; PermitPLUMBING PERMIT APPLICATION
OLK TRACT
2
PHON E STATE LIC. NO. CITY LlC. NO. CONTRACTOR MAIL ADDRESS
SPECIAL CONDITIONS:
LICENSE NO.
PERMIT FEES
No. Type of Fixture or Item I Fee I WATER CLOSET (TOILET) 1% I
4
5
6
7
B Class of work: a NEW 0 ADDSTION 0 ALTERATION 0 REPAIR
ENGINEER MAIL ADDRESS PHONE LICENSE NO.
COMPENSATION INS. CARRIER MAIL ADDRESS MRANCH
9
bPPLICATION ACCEPTEO BY PLANS CHECkED BY APPROVED FOR ISSUANCE BY
i DATE
DISHWASHER
LAUNDRY TRAY
CLOTHES WASHER
f I
W' .I
r* WATER HEATER
I LAVATORY (WASH DASIN) I I
NOTICE
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-
TlON AUTHORIZED IS NOT COMMENCED WITHIN 120DAYS.OR IF
CONSTRUCTION OR WORK ISSUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM-
1 SHOWER
URINAL
DRINKING FOUNTAIN
FLOOR-SINK OR DRAIN
SLOP SINK
;,- -!f fS
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT LOATE)
SIGNATURE OF OWNER (lr OWNER BUILDER) IDATEI
SEWER NUMBER CLEANOUTS
CESSPOOL
SEPTIC TANK & PIT
ROOF DRAINS
ISSUANCE FEE
TOTAL FEES
MENCED.
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND 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.
GAS SYSTEMS. NO. OUTLETS
VACUUM BREAKERS
IN SPECTOR