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PLUMBING PERMIT, TYPE: PLUMBING FIXTURES

APPLICATION DATE PERMIT Nu.

This permit is issued to the Owner/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

COIR CONTRA RO

Name Name

hddress Address

City City

Postal Code Telephone Postal Code Telephone

SIGNATURE OF NAME

OWNER / AGENT TALEPHONE

NOTES

PERMIT FEES:

Water Closet(s) Floor Drain(s)

Wash Basin(s) Auto Washer(s)
Bath Tub(s) Laundry Tub(s)

Shower (8) Dish Washer

Sink(s) Roof Drain(s).

Water Tank(s) Bidet
Other

TOTAL FEES:

THE ISSUANCE OF THYS PERMIT SHALL IN NO CASE BE TAKEN AS ASSUMPTION OF
RESPONSIBILIVY BY THE CITY FOR ERRORS OR VIOLATIONS OF CODES, STATUTES OR

BYLAWS

BUILDING DATE
OFFICIAL ISSUED

TEM

2735
24

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