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<br />/3 L; <br />/,' -, '?~~ <br />C-c-lifu~ ~. . '~ J <br /> <br />Job Address <br /> <br />. ~~ J~E <br />~ (]lL <br />. .'-p/l' /l <br /> <br />J . -i 1 ' <br />bA~J!Je>t-~ <br /> <br />II <br /> <br />c:J:n Of ZEPU"llUl:J:LLS, l"LOR:J:PA <br />PLU~m:J:NG' :,AP~L:J:c'",'nON <br /> <br />C.~tificat. Numb,er. <br />Plumbing Contractor <br />Owner's Name <br /> <br />. <br /> <br />Date <br /> <br />_~-(Lj~7/ <br /> <br />! ' <br /> <br />Application is hereby made to make the following P.lumbing inst:1l1ation in accordance! <br />~ithCity of Zephyrhills Plumbing,Ordinance. <br /> <br /> MINIMUM PERMIT FEE . . . . . . . . . ... . . . . e.. . . . . . . . . . . $ 1.5.00 <br /> DESCRIPTION OF ~\IORK , NO. @ FEE <br /> " <br /> For rrobile h- .... lunilY.' ' d,. , I 15.00 ,.. <br /> CXl"e P :l.n.g... : - ..' ,-,'.. . . <br /> . <br /> For each plumbing fixture, floor drain or '..1,. '., <br /> trap ~including ~ater and drainage piping) .' . 2.50 <br /> For each house sewer. . . . . . . . . . ~ . . . . . . . . . . . . . . . ., 5.00 <br /> For each house sewer having to be replaced or <br /> repaired....................;..~........~..... . .5.00 <br /> each hea ter. and/or v eOn t. . . : ..~.:. . . . . . . '. ',. 2.50 <br /> For \ia t~;r .:-. <br /> For installation, alteration or repair of water <br /> piping and/or water treating equipment..,.... 5.00 <br /> .. <br /> For repair or alteration of. drainage or vent <br /> piping................. '0'.................... '0' . 5.00 <br /> , , I " <br /> For vacumm breakers or backflow protective <br />, devices installed subsequent' to the install- <br /> ation of the piping or equipment S ~rved I <br /> One. to Five. . ~ . . . . . . . . . . . . . . . .0. . . . . . . . . . . . . . '. , 2.50 <br /> ..... <br /> Over Five, each......... .o...!t..........:..... " , 1.50 <br /> , <br /> TOTAL FEE <br /> <br />Re1nspections: When extra inspection tripe are. necessary 4ue to anyone of the following <br />reasons, a charge of ten $10,00 doll~rs shall b~,made f6r each trip. <br /> <br />(a) Wrong address. . <br />(b) Condemned work resulting from faulty construction. <br />(c) Repairs or corrections not made when inspection called. for. <br />(d) Work not ready for inspection when called. . <br /> <br />The payment of reinspection fees shall be made bef,orena ~.further p~its will be <br />to the person .owing same.. ~ I U ~ <br /> <br />SIGNATURE OY::APPLICANT.. : h;<') ( ~1 <br />. '--/ \ <br /> <br />" <br /> <br />issued <br />