HomeMy WebLinkAbout1345 BUENA VISTA WAY; ; 77-8071; PermitPLUMBING PERMIT APPLICATION
LOT NO. LEGAL I DESCR.
TRACT MLK
PHONE STATE LIC. NO. CITY?LIC. NO. MAIL ADDRESS CONTRACTOR I 1345 Bpana vista kp’lsb& ! R. VI Fdkxmz?
PPLICATION ACCEPT^ BY PLANS CHEC~EO BY
ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO
APPROVED FOR ISSUANCE BY
I P ;p.
LICENSE NO. ENGINEER MAIL ADDRESS PHONE
URINAL I
t Describe work:
GAS SYSTEMS: NO. OUTLETS I I
iPECIAL CONDITIONS:
NOTICE c”
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 ABANDONED FOR A
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM-
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.
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDLIclu-Yu.
SIGNATURE OF OWNER (IF OWNER BUILDER) (DATE1
PERMIT FEES I
‘No. 1 Type of Fixture or Itern L 1 L Fee
’ 1 WAT~R CLOSET (TOILET) I$ 1
I BATHTUB Ill
LAVATORY (WASH BASIN)
SHOWER c
KITCHEN SINK I DlSP
DISHWASHER
e
1 LAUNDRY TRAY Ill
CLOTHES WASHER 1 WATER HEATER
I FLOOR--SINK OR DRAIN Ill
I SLOPSINK Ill
I WASTE INTERCEPTOR Ill
I VACUUM BREAKERS Ill
I LAWN SPRINKLER SYSTEM I-- I I
NUMBER CLEANOUTS SEWER
CESSPOOL
” SEPTIC TANK 6 PIT
ROOF DRAINS
ISSUANCE FEE $1
TOTAL FEES $1 Y
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERM IT VALIDATION cu. M.O. CASH
INSPECTOR