HomeMy WebLinkAbout1120 Florida Ave04/09/2002 08:56 4073245677 PiNEAIRE APARTMENT H PAGE K
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CITY OF SAN—FFORD PLUMBING PERMIT APPLICATION
Permit Number Z r - Date.
The undersigned hereby applies for a pennit to install thef following plambin
Owner's Name: _ s8 _AC774 P ('Y CaZ 70s K
Address of Job: l! /'L( Q/(L5 71 i
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Plumbing Contractor:
Residenlial: Non -Residential;
Number Amount
Addition Altera 18 Non -Residential)
Ncw Residential -
One Water Closet
Additional Water Closet
Commercial: Minimum Permit Fee $25.00
Fixtures, Floor Drain, Trap
Sewer Piping~'
Water Piping
Gas Pi nq
Manufactured Building
Descri tion of Work:
O vCi
Application Fee: 10.06 j
ITOTAI- DUE:__ -
By Signing this application I am staling that I am in rompliancc with City of Sanford Plumbing Code.
ApplicatitS Signature
3_-7 sue ...-.. .
Ante t.icun,c Number
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