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<br /> Box 66��275.Q��ey ParkwaY)-=�;.:�:. . . , r < < ;,sr � � . '� � �;� �� �
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<br /> � 1� - ---You may�P1Y fdr plumbing permits by mail or in persan ai,�ili�'City�,-offces�" . '}� `�����i�'�
<br /> 2, �Permit cards wi1! be se�t by return mail aft�or�a review:'is c.�mp��'' �;PERMTTS 'AItE�',NOT��;VAx.11l
<br /> L11�IT�L..YDU RECEIV� A PERMI'Y�, WORK MiJST NOT BE�i���NTIL.'''THE'FERMiT:�CARD IS
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<br /> 3, - - •P1um�ing�permits.may�e issucd ONLY to liccnsec�phimb�ng conti�cxdrr,_�n�.to.propccty�nawacrs iesiding.
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<br /> ' �. "All�work•mttsi�be`done�3a�ccord :. . .e', ._ ...� ����`::,4!�,i�,:a�,� ,,, ,; c�I"f i:�Sl':.��4'S(c:.�.:;'�i•;e,.
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<br /> 6. �iIT�'vork�iiast be' `mSgCcted �add�azx tested before:it is oovered.,-�Cs11.,-�73-,��57.��24 hour;noticx xeqi�red.
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<br /> Ynstru � :"ns�CampletE all�items on this appXication: Comput,e.:�he:,;permit fee. �,Sign��and, date
<br /> the certification. INCOMPLETE APPLICATIONS WILL NOT4HE�PRQCFSSED:E If',.you}�ve
<br /> questions,:;c�11473-7357. .,. , . . : . . . ,,
<br /> Please check'Qme: � ✓ New Addition - .. -":'�tcp�.air ' � � �' '"Repl�ce
<br /> . .�:�: �:, _ , :: : ..v,,:l;.ltesidential . ,-:..; �,,, ,�, Comme�cial.,��;,:��:,;.,;
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<br /> Owner'.aN�m�: l�t� J T�le�ho �Tu�mber: �,-36�-/9!a •��9�:a 8
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<br /> M�iling Address:. � �',-;` P=�.
<br /> Contractor's,�Name: - � ��: ��.'�ele�boneNiunber: �:•r��/��"f
<br /> M'ddlllg�d(�I'�SS: d f d I+'A'll� .� L'i�':�`�� �h;',a�R;4�:� ���.�p::l.S�-� _
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<br /> , PLiJMBII��F�TTJRE SCHEDUL�� ,
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<br /> FIXT[JR� SSMT 1ST 2ND OTHER. FIXTURE �BSM'T 1ST. 2NA OTHER
<br /> TypB FL FL �E . ��;- � ..
<br /> Water Closet Fioor Drains
<br /> Lavatory Sewer Ejector ': � .
<br /> BathNb , ��5' T�Y � �
<br /> Shower Washer � ..
<br /> I{itchen Sink Water Heater �
<br /> Dispasal Water Sof[ener
<br /> Dishwasher '. Wet Bar
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