HomeMy Public PortalAbout9219 SPARKLETT ST_Plumbing__ ,.�..�, D 17 It-tw APPLICATION FOR PERMIT
DEPARTMENT OF IIAN ASAFETY
IDIOM=Y LDS 08 ANGELND ES
WILLIAM J..OF
FOX. CHIEF ENGINEER PLUMBING
LUMBING i
PIERMIT mu.
FOR APPLICANT TO FILL IN011nR G,(/y/
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PLUMB[R�S ' No
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K FIRST INBP[OTI ON /� IBSUm
ADDRESS
BUILDING
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CITY w TTEL. 450 Gr Na o' 8 ADDRESS
COUNTY / D Y 6 ,g, r-i LOCALITY
LICENSE
NEAREST
PERMIT FEES OROS•
NUMBER ME o1 FtKTUIIE OR ITEM FE[ Zw
MAIL
If WATER CLOSET(TOILET) @ O 30 / ADDRESS v
BATH TUB @ O Bo CITY TEL. ND t 79.r
SHOWER @ MBO 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) @ 050 APPUCATION AND STAT[ THAT THC ABOVE IB OORRCOT
AND AGREE TO COMPLY WITH ALL COUNTY Oft IMAMOEB
KITCHEN BINK @ O BO AND STAT[ LAWS REGULATING PLUMBIN0.
LAUNDRY TUB OR TRAY @ O SO ANOEDLEB COUNTY UO[MB®[SS ORR I THE
THE LEGAL OWNER
G.AB SYSTEM UTL[TB m COG OF THE RESID[I(TIAL OP[ D ORIS[ ABOVE.
WATER H[AT[R @ O e0 SID ATTLPrR�RETY`F G, �j
SLOP OINK @ COG INSPECTION RECORD
►LODR BINK @ O BO
FLOOR DRAIN @ DOD
DISHWASHER @ Mein
DRINKING FOUNTAIN @ MBO
URINAL @ MBO
NOUS[ SEWER @ 050 _
IY
O
APPROVALS
DAT[ INRF[ItTOR•R MAML
ROUGH PLUMBING
GAB PIPING
OAS VENT y'
CESSPOOL @ 100 CESSPOOL
SEPTIC TANKS SEPTIC TANK
DRAIN ) PIT ( ) @ 1 OD SEWER
PERMIT ? 00 GAS TEST
UTILITY OM NOTIFIED
TOTAL FEE • /S� 1
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