HomeMy WebLinkAbout1205 W 13 StCITY OF SANFORD PLUMBING PERMIT APPLICATION
Permit Number. Date: (1 L—1 I o z
The undersigned hereby applies for a permit to install the following plumbing:
Owners Name: Jeuw j cAGGSoN.
Address of Job: _ w • 13T -. 3 fkw— -oe D 32Z'11
Plumbing Contractor. o-er CA-44.A
Residential: rl Non -Residential:
Number Amount
Addition, Alteration, Repair (Residential & Non -Residential)
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: i4Eper _
Application Fee: 10.00
TOTAL DUE: 0
By Signing this application I am stating that I am in compliance with City of Sanford Plumbing Code.
Applicant's Signature
Q =-b 0061-A-Z" L .
State License Number