HomeMy WebLinkAbout1539 TAMARACK AVE; ; 73-440; Permit2
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PLUMBING PERMIT APPLICATION
JOII P.0D11 ESS
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LOT NO.
LEGP.L I 1 DESC ...
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OWNER MAIL. AOD .. !.99 ZIP PHONE:
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CON T,.AC TO" M_,IL AODf\ESS Pl<ONE LICt.N:SE. NO,
3 ot•• Plumbirm 5 ,1 t~ rl b 7' -05.S
.A,.CHITECT Ofl DESIGNER MAIL. ADDfU;ss PHONC LICltNSE NO,
4
ENGINEER MAIL AOD .. t.SS PHONt. LICUtSE NO.
5
Ll!NOl:,t MAIL AODIU'..SS BIIIANCH
6
USE Of' l!IUl\,.OING
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□NEW 0 ADDITION 0 ALTERATION 0 REPAIR
10.:
8 Class of work:
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9 Describe work: t r ter repl 0 nt I~
.. \ ~ PERMIT FEES IC'i
No. Type of Fixture or Item Fee
SPECIAL CONDITIONS: WATER CL.OSET (TOIL.ET) $
BATHTUB
L.AVATORY (WASH BASIN)
SHOWER
KITCHEN SINK & DISP.
DISHWASHER
APPLICATION ACCEPTl:O IIY : PLANS CHECKED BY ,,_PPAOVEO FOR ISSUJNCf BY L.AUNDRY TRAY . ' /1/p: {Y /1 CL.OTHES WASHER
J. WATER HEATER
NOTICE URINAL.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-DRINKING FOUNTAIN
TION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF FL.OCR-SINK OR DRAIN CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM-SL.OP SINK
MENCED. GASSYSTEMS,NO.OUTL.ETS I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE ANO CORRECT. WATER PIPING & TREATING EQUIP. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED WASTE INTERCEPTOR HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOL.ATE OR CANCEL THE VACUUM BREAKERS PROVISIONS OF ANY OTHER STATE OR LOCAL. L.AW REGUL.ATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. L.AWN SPRINKL.ER SYSTEM
SEWER
CESSPOOL 2,/Jv /1 ~
/ / 2/ i,J SEPTIC TANK & PIT
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SIGNATUR~ 0,. CONT"AC.TOIII O" AUTt,tOIIIVO AG:[.NT \OP.TE)
" PERMIT $
TOTAL FEE $ ,,, (_ u
•!GNAT "I!: OP' OWN£" (IP" OWNEIII &UILDER} (DATE)
WHEN PROPERLY VALIDATED UN THIS SPACEI THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.o. CASH PERMIT VALIDATION CK. M.O. CASH
TEMP. FILE