Permits 469 Aquatic Drive CITY OF ATLANTIC BEACH
APPLICATION FOR PLUMBING PERMIT
JOB LOCATION: q69 ATLAaaTicz, 94.wA
OWNER OF PROPERTY: A-514
BUILDING CONTRACTOR:
PLUMBING CONTRACTOR 16 d6
AND ADDRESS:
TELEPHONE NUMBER: 2Z3- 35es
STATE LICENSE NO: lool
TYPE OF BUILDING:
TYPE OF WORK:
HOW MANY OF THE FOLLOWING FIXTURES INSTALLED
SINKS SHOWERS
LAVATORY _WATER HEATERS
BATH TUBS -DISHWASHERS
URINALS -DISPOSALS
CLOSETS -WASHING MACHINE
FLOOR DRAINS SHOWER PANS
OTHER- -
TOTAL FIXTURE COUNT: x $3.50 + $15.00 $
----------------------------------------------------------------
INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH
THE MOST RECENT EDITION'OF THE SOUTHERN STANDARD PLUMBING CODE.
CALL A DAY AHEAD TO SCHEDULE INSPECTIONS - (904) 247-5826
�*O 3044
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