HomeMy WebLinkAbout115 E Woodland DrCITY OF SANFORD PLUMBING PERMIT APPLICATION
Permit Number: 02r /16 Date• M %M -2 b10-Z
The undersigned hereby applies for a. permit to install the following plumbing:
Owner's Name: TARS
Address of Job: l WIE • l,.l000 wr Sew n L 3 113
Plumbing Contractor. MK.%+'yLoZ
Residential: Non -Residential:
Number Amount
Addition, Alteration, Repair (Residential & Non-Residential),d
New Residential:
One Water Closet
Additional Water Closet
Commercial: Minimum Permit Fee $25.00
Fixtures, Floor Drain, Trap
Sewer Piping
Water Piping
Gas Piping
Manufactured Building
Description of Work:
It '. ftx T--Ver w
Application Fee: 10.00
TOTAL DUE: CtD
By Signing this application I am stating that I am in compliance with City of Sanford Plumbing Code.
Applicant's Sig ature
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State License Number