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41,t? <br />adq fthphAir, 9t, <br />30q <br />L1a I <br />lW <br />s <br />lvla.rn <br />I hdtor.tfm t!.t I ri.r.no to.n r't Cdr-ro.'! Lx.o- L& lo. rt lolo*rE @s lS* <br />7OO 5. &fl!.!. rl.' Prot raont Co(b Ary c{rr or co.rnn *ruch ,.qu... . p.rtur lo co.!!rn cr <br />.in inp.or. d.rtotdr, o. r.p.a,..y t'mur., p.ro. lo ri! rm.@. .rro r.q!re! ti. lldlcel lor <br />o.h F.hn lo 1i5 . {r.d .D!.r!mt rhd h. lt lo..Eod girunr ro h. 9lorEo.. ot h. Cdr& <br />lo. r lE3l- Lri lOrgar I lclrnnricl,rg e,fi S.ctoi 70OOr ol OMr.r 3 o, r'l. 8!lr.s rrd <br />Pt!a.s.nc..Lrsrr.lh.|'!t dlcllh..rlro,nedth.b.r.ldnt.dl.Fd.Eftplo A,lYv'C. <br />uql ol S.co6 7031.5 !Y my .cC.5r rd . rrnn &!ncr. rh. .pdEer lo . cMl Fqtty oa E <br />,i.. 6e lh. hud..d rlolb. Mool <br />"x::W,TTL:._ <br />O*n.rau[d., Del..!llon <br />J Srrqr ,04!A l. .r osd ol th. p.oo..t, <br />.$!o.r. ,* do rt dt. ..d nE lrcruG 'r E <br />Cont..cto. U.€ Only <br />ol coMt ro 5i-in&r, o. . c.drtcd. ol Wo.kd'. Cmo.n <br />d *'ih rh. Ctry bqu.o .iF.lbn .r.D..rMr <br />, .tt r ,rl.thg t*] C..rila.!. ol Errnpto., you .hould b.coh. ,&F.t o tlr. yro.i.l! CdO <br />rto.a.olrrclrolnr.L.!o.cod.,yo(rr&!rlo.rhwlhcdclyhrhi]cn,.st ..ddr60." <br />Wo.t.rt Comp.or.lion D.clir.lloo <br />FIXTURES <br />ornnrcrc,al NO. EACH TOTAL <br />SE WER <br />GAS PIPING <br />GAS SERVICE <br />MISCELLANEOUS <br />il <br />4lumal t.nr+_ <br />l5m <br />I zom <br />) <br />4.00 <br />10.00 <br />5.m <br />4.00 <br />4.00 <br />4.00 <br />3.00 <br />300 <br />4.00 <br />8.00 <br />5.00 <br />3.00 <br />3.00 <br />5.00 <br />r .00 <br />5.00 <br />10m <br />tb <br />10 00 <br />(mlnlmum S35.OO) <br />TOTALPERMITFEE ( m lnlmulri 336.oo) <br />3 9 PERM|T nO 03859 <br />(- <br />FxPIRED <br />E - \t-tG".sATR 1tl{26{00cb 3313! <br />APPLICATION AND <br />PLUMBING PERMIT <br />(IYPEWRIlE OR PIIINT IN INK) <br />o I a,r"orsoNrAANA <br />20 CIVIC CENTER PLAZA <br />834-4186 <br />APPLICANT FILL IN AREA BELOW <br />@g <br />Izo <br />(,a <br />Disrriburion: l.lnspecrorCopy 2 Fil€Copy 3. FrnanceCopv 4. ApplicanlCopy <br />[,i <br />b <br />t <br />E <br />k <br />F <br />', Er7-ftw <br />L <br />10.00 <br />3.00 <br />3.00 <br />30.00 <br />Lo <br />20 <br />4o <br />OATE <br />I t r.bv .itoft in r I .m rfr^Ld !n(r, rh€ proyraoi. ., chlpr.r 9, osl'm 3 ol ln. Eu&..s rnd <br />Prd...or Cod.. ..d hr tE6!. n n loll ldc. .nd .llel <br />Erpiraiion <br />AppIc6nr's D.clararron <br />-- l-- /' <br />414-- ''ul <br />Pcaurr rssuao BY rs. r 2- <br />VALIDAIION IOFFICT USE ONLYI <br />lAccouNl ar-4r2r