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CITY OF ATLANTIC BEACH
APPLICATION FOR PLUMBING PEMUT
Date
Location
Plu-Tbing Fi3:rn LO 7-r:�)
-master Plumber "d-,:qR r Li
City/County Occupational License No.
State Certificate No.
Builder or Contractor
Type of Bui
SINKS SHOWEM
1AVAT01ff 'WATER HEATEBS
BATH TLJBS DISHWASHERS
LTRINALS DISPOSALS
CIOSETS, IWASHING bVX11INE
FLOOR DPAINS
OTHER A 4� 4t-,4--�
TOTAL FIXTURE 0OLWr
INSTALLATION OF PLUMBING AND FLXM:ES MUST BE IN ACOORDANCE WITH THE MOST
IECENT EDITION OF THE SOLMEM SMMM PLUMBING CODE.