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1986, 07-15 Permit: 00012116 Plumbing Fixtures
SIGNATURE OF APPLICATION OWNER OR AGENT DATE ADDRESS AV OWNER: .. (4t DATE: 07/15/06 ADDRESS: Ett, AV PLUMBING CITY: ST: ZIF: ''4NE WA 9921,( APPLICANT: ';:{URF: PLUMBING CONTRACTOR: , I.. ft(� & I! ff.; ADDRESS: CITY: ST: ZIP: PH: LIC ENSEYL: r::,;ir-cxt�tata :rUHNl.,F�rli62JJ ARCH/ENGINEER: ADDRESS: CITY: ST: ZIP: PARCELS: CENSUS TR: INSPECTOR: PLAT.:jy fj �t` •�0{.3E00 LOT & (BLOCK j 007 010 FINAL PLATNAME: FIELD EAST 2ND ADI) ZONES: ZONE FSB 5-1 5..2 RSB MOD F L FIXTURES USE OF PERMIT: JOB ADDRESS: l\ .AAD AY PLUMBING PERMIT PROJECT SEP.*: : j, DATE: 07/15/06 PLUMBING 0 FEES: PAID BY: CA CK CG NC COUNTER APP:)j / [ 4 I PLANS EXAM: DATE: cL.UMbING ''- r>T'tjffl 3 Tar Sink 0 Drinking Fount 0 C/W Pipe 01.Dish Washer 0 Laundry Tray 0 Sewer Eject 0 Lavatory 03 Urinal 0 Tub 02 Bidet 0 Garbage Electric Water Heater 01 Roof Drains 0 ':fewer N '.Septic/Health s 0 TOTAL FEE Floor Dra:1.n 01 Fee Kitchen Sink 01 Water Closet 03 Shower 0 Other 0 Disposal 0 IBIorrf'rf 10 !1!1[]V Fee Processing Fee $63.00 44.00 4.00 1.+.00 0