AiG Ube be om: . . Auf ialpteesiaieainy sie : RRR EARN eee SCHEDULE E PLUMBING PERMIT, TYPE: FIRELINE/SPRINKLER APPLICATION DATE PERMIT NO. This permit is issued to the Owner 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 “Port Coquitlam Buiiding and Plumbing Bylaw". DESCRIPTION OF WORK ADDRESS LOT ZONING OHNER CONTRACTOR Address Address City City Postal Code Postal Cade Telephone SIGNATURE OF NAME OWNER/ AGENT TELEPHONE NOTES PERMIT FEES: Fire Hydrant(s) Fire Hydrant(s) Fireline Metres of Line Sprinkler Head(s) Head(s) Siamese Con. Connection(s) Hose Cabinet(s) Cabinet(s) Hose Outlet(s) Outlet(s) Wet/Dry Outlet(s) Outlet(s) Standpipe({s) Standpipe(s) Special Inspect. No. of Inspec. Other Specify TOTAL FEES: THE ISSUANCE OF THIS PERMIT SHALL IN NO CASE BE TAKEN AS ASSUMPTION OF RESPONSIBILITY BY THE CITY FOR ERRORS OR VIOLATIONS OF CODES, STATUTES OR BYLAWS BUILDING OFFICIAL