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PLUMBING PERMIT, TYPE: PIREL INE / SPRINKLER

APPLICATION DATE PERMIT NO.

This permit is issued to the Gwner/Agent named below, for the purpose of
the plumbing or related work described herein. The validity of this
permit is subject to compliance with the plans and other documents
submitted with the permit application, and to the compliance with the

"Building and Plumbing Bylaw".

DESCRIPTION OF WORK

ADDRESS

LOT ZONING

CRETE CONTRACTOR

Name Nene

Addreas Address

City City

Postal Code Yelephone Postal Code Telephone

SIGNATURE OF NAME
OWNER/AGENT | TELEPHONE

NOTES

PERMIT FEES:
Fire Hydrant(s) fire Hydrant(s)
fireline Metres of Line

Sprinkler Head(s) Haad(s)

Siamese Con. Connection(s)
Hose Cabinet(s) Cabinet(s)

Hose Outlet(s) Outlet(s)
Wat/Dry Outlet(s) Outlet(s)
Standpipe(s) ' Standpipe(s)
Special Inspect. No. of Inspect.
Other Specify

TOTAL FEES:

THE ISSUANCE OF THIS PERMIT SHALL IN NO CASE BE TAKEN AS ASSUMP'TION OF
RESPONSIBILITY BY THE CITY FOR ERRORS OR VIOLATIONS OF CODES, STATUTES OF

BYLAWS

BUILDING DATE ITEM

OFFICIAL ISSUED
2735

23