HomeMy WebLinkAbout1170 TAMARACK AVE; ; 1970; PermitPLUMBING PERMIT APPLICATION
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MAIL AOO .. [SS
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8 Class of work:,, 't::J...NEW 0 ADDITION 0 AL TE RATION
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9 Describe work:
SPEefAL CONDITIONS:
APPLICATION ACCEPTED BY: PLANS CHECKED BY, APPROVED FOR ISSUANCE BY:
NOTICE
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-
TION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM-
MENCED.
I HEREBY CERTIFY THAT I HAVE READ AND E XAMINED THIS
APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PRO V IS IONS OF LAWS AND ORDINANCES G OVERNING 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.
BIIIANCH
0 REPAIR
PERMIT FEES
No. Type of Fixture or Item
WATER CLOSET (TOILET)
BATHTUB
LAVATORY (WASH BASIN)
SHOWER
KITCHEN SINK & DISP.
DISHWASHER
LAUNDRY TRAY
CLOTHES WASHER
WATER HEATER
URINAL
DRINKING FOUNTAIN
FLOOR-SINK OR DRAIN
SLOP SINK
J GASSYSTEMS:NO.OUTLETS
WATER PIPING & TREATING EQUIP.
WASTE INTERCEPTOR
VACUUM BREAKERS
LAWN SPRINKLER SYSTEM
SEWER
CESSPOOL
SEPTIC TANK & PIT
WHEN PR6°"PE'fi.l.Y VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. {M.o . CASH PERMIT VALIDATION CK. M.o.
INSPECTOR
Form 100.2 9·69 RC0,.0 £R f'PIOM: IN TS::-AfrrJ 4 T lr\M A I
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Fee
$
.
CASH