HomeMy WebLinkAbout0977A (5) "'°"'�'�'`°"'°�''�"'°"°"`"'""°" APPLICATION FOR PLUMBING PERMIT ',II
I hereby afllrvn IIw1 I he ce.rifkaro fi comenl la sql( �y�y�q )'
nwR,Or a cenifimle ol Workari CompansWion Iro�ianc8, CE etl l�V.10�81) �l 1
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CMRieO eppy is her06y fur�i�hed.
fORAPFIiCANT10F1LlINl��IORTYPE) lUILOING /)�
�Camfied mpr e filed wi�h rhe nry buildi +��u !� .
nw,depon,nen�, NUMeER FI%tURE OR�TLM � rEc
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so os�obemme aubjan 10�he Wxken'Cnm�»nmKon lows. �
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�il�E 70 APPLIGW�:If.aNer mokmp�his Cemhm�e o1 ��
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fo�,mid my liconm o in full fmcm and e(fxt 3 Rv sr37Fm ��qq� VALID�A _TION O ,
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�ols: qUMBING PERMIF ISSUING fEE S -
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Mafeawem Cads): G TM.No.
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l,p�ow.Mr Qf�ly propeny,will do rhe work mq�he
1rycNr rwt inf�ed«offe.ed 1a ale($BceiO� � .
hW�,9uiinqA Ond F0leaaior�s Code).
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1 herey�.nfii.m thol�hero�s o conm�crion lendiny upenry Ipr '
�ha peAormpnce of�he woh for wh�ch�hrs permn h�uuad '
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I clelil�Ilql I Ap�e�eYd 11�rs vpplicalion om1 able Ilql llip �
abpre intormotbn u carrect.I ograe to comaly wnh all Counry
«di��ms o�d Smro lows�vyrylating vl�mb�ng,and hero6y
ou�horin rep.menmti.n oi�hie Coun�y�o en�er�pon the �
o6ov}mpn n�prppp erlfitP lion purpo�as. .
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