HomeMy Public PortalAbout6266 PRIMROSE AVE_Plumbing__ 7dR... Ti !'mot • APPLZCATMN FOR PS93ffr
DEPAaTmm OF soannG AZiD sAFBrY OF
cooPLUMBING
LUMBING 1
rlr�r LOS Al'mum
WILLIAM J. FOX. CHIEF ENGINEER
FOR APPLICANT TO FILL IN DIST�CTNO. GROUP ZONE PERMITNO.
PLUMBER WINTERBOTTOM BROS.,rINC. III V®nr READYFOR DATE INSUND
R AVC. FIRST INSPECTION
ADDRESS Al NAMOR& MUM
euILo1NG
CITY TKI- NO. ADDRESSp Ave.
COUNTY LICIDION No. Ills LOCALTY
NEAREST
PEIM Fina CROGG ST.
Mumma TTFE OF Fli'mm OR ITEM FEE OWNER
1 wwTof cLOGKr TOILsr O.d woom .%12 E. Live Q
1 swTH TUBa 0.50 C No
omovmn e 0.00 I MERSEY ACKNOWLEDGE THAT I HAVE READ THIS
LAVATORY WASH MARINI 0 O.d0 APPLICATION AND STATE THAT THE ABOVE IG CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
KITCHSH BINK 0 0.40 STATK LAwd REGULATING PLUMING.
1 CERTIFY T 1 dME K ABOVE VALID LOG
LAUNDRY TUB OR TRAY o.§0 CROSL6f CO LI % M T E OWNER
AS
OSYSTEM-3—curLcm O.00 •
WATER HKATER 0.90 PERMI
§LOP BINK 0.00
nponNINK 0.80
FLOOR DRAIN O.d0
DIIINWANHER O.d0
RI K NG POUNT O.00 FL
URINAL 0.d0 ,J
House GSWO! O.50 Z
MIdcKLLANKOus (!
d'
O
APPSOYims
DATE INSPECTOR'S NAME
ROUGH PLUIIBINa
am PIPING "r+�
GAG VONT
CESSPOOL 1.00 cMEPOOL
SEPTIC TANKi IIEPTIC TANK
DRAIN ( ) PIT ( ) 1.00 §KWOI
PERMIT . 1.001 GAS TS§T
TOTAL FEE
UTILITY CO. NOTIFIED
G E
FINAL