1986, 05-27 Permit: 00011237 Plumbing FixturesSIGNATURE OF
OWNER ORAGENT.
mnAnnRFnx
III ADDRESS:
PLUMBINC PERMIT
APPLICATION
DATE
PLUMBINC
TOTAL FEE
FIXTURES: Bar Sink 0
Drinking
ADO RE SS:
O Floor Drain
0 Fee
C/W Pipe 01
Laondry Tra
WA
992
01 Ki-tche ri nk
01
LLUMB
ING
Water Close�
02
L ava�ory o�
ur3. � na
o Snower
o/
PH!
LIcENsEo:
Bzdet
0 Other
0
ooR=
Carbage Disposal
0
Sewer ? N Septic/HealTh
# 0
IARCE�-:
CENSUS TR:
INSPECTOR:
Fee
PLAT N—E:
o
It
USE OF PERIAIT:
III ADDRESS:
PLUMBINC PERMIT
APPLICATION
DATE
PLUMBINC
TOTAL FEE
FIXTURES: Bar Sink 0
Drinking
Foont
O Floor Drain
0 Fee
C/W Pipe 01
Laondry Tra
Dish
Washer
E
01 Ki-tche ri nk
01
Sewer
ec1
Water Close�
02
L ava�ory o�
ur3. � na
o Snower
o/
Too 01
Bzdet
0 Other
0
Carbage Disposal
0
Sewer ? N Septic/HealTh
# 0
Proces�ing
Fee
$5l.00
36.00
15.80
O9-77-0� ��7�� ��lOO�
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OFFICE COPY