HomeMy WebLinkAbout124 W 2 StCITY OF SANFORD PLUMBING PERMIT APPLICATION
Permit Number. Date: 9 — 'a / — C) `"),
The undersigned hereby applies for a permit to install the following plumbing:
Owner's Name: `I n SE. FAI n 4 m
Address of Job: I 'a{ Lc.J 'd S+ ,g. r d
Plumbing Contractor.
Residential: Non -Residential:
l.
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: 7'' w -in v-
ew r- w&4r Lnec
Application Fee: 10.00
TOTAL DUE:
By Signing this application I am stating that I am in compliance with City of Sanford Plumbing Code.
Applicant's ignature
C5C 05?aact
State License Number