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SCHEROLE. ©

PLUMBING PERMIT, TYPE: PLUMBING FIXTURES

APPLICATION DATE PERMIT NO.

This permit is issued to the Owner/Agent named below, for the purpose of
the plumbing oF related work described herein. ‘the valicity of this
permit is subject f£0 compliance with the plans and other documents
submitted with the parmit application, and to the compliance with the

"Budiding and Plumbing Bylaw".

DESCRIPTION OF WORK

ADDRESS

Lov

ORMER CORTRACLOR

Name Name

Address Address

City City

Postal Code Telephone Postal Code Telephone

SIGNATURE OF NAME
OWNER/ AGENT. TELEPHONE

NOTES

PERMIT FEES:

Water Closet(s) Floor Drain(s)
Wash Basin(s) Auto Washer(s)
Bath Tub(s) Laundry Tub(s)
Shower (s) Dish Washer
Sink(s) Roof Drain(s)

Water Tank(s) Bidet
Other

TOTAL TEES:

THE ISSUANCE OF THIS PERMIT SHALL IN NO CASE BE TAKEN AS ASSUMPTION
REGPONSIBILITY BY THE CI"Y FOR ERRORS OR VIOLATIONS OF CODES, STATUTES

BYLAWS

BUILDING DATE
OFFICIAL ISSUED

STEM

2735
24