HomeMy WebLinkAbout1999-0963CITY OF GRAPEVINE FP
PLUMBING PERMIT APPLICATION APR 3 0 ly�y
PLEASE PRINT
PERMIT x BLDG PERMIT f DATE
JOB ADDRESS _
DESCRIPTION OF WORK /'j
/Q�1C Woo-r lvl 4�G I.•r1 yr• ox 14
I PROPERTY OWNER CONTRACTORnn
ADDRESS ADDRESS C® or /D /%
7S0f'f- /to/i
CITY,ST,ZIP CITY,ST,ZIP
PHONE NUMBER ( ) PHONE NUMBER ( Y'72) �C� 9sC1 Z
PERMIT ISSUING FEE ....................................................
.:..:..................................... : .............................
_
$ 20.00 0
SUPPLEMENTAL PERMIT FEE.......:.........:.:.......: ...................................................... ..............................$ 10.00
SINGLE FAMILY RESIDENCE
ONEBATH ......................................................................................................... ........6.....................$ 54.00
TWO BATH .......................................................................... ............................... ............................. $ 82.00
•THREE OR MORE BATHS ...................................................:....... ............................... ........................5110.00
r
PLUMBING FIXTURE OR TRAP ......... ....111. 1a X $ 7.00
... .
SEWER'SERVICE .....I.: ........................ .......................... X b 16.00
INDUSTRIAL WASTE PRETREATMENTwINTERCEPTOR ,EXCEPTING
GREASE INTERCEPTORS FUNCTIONING AS FIXTURE TRAPS ..................... -X$ 7.00 -I -OD
INSTALLATION, ALTERATION OR REPAIR OF WATER PIPING ......... .........
% X$ 7.00
FIXTURE REPAIR OR ALTERATION OF DRAINAGE AND VENT PIPING.... X$ b 7.00
LAWN SPRINKLER SYSTEM ON ANY ONE METER INCLUDING BACKFLOW
PROTECTION DEVICES.'. .....1..1 .1.111... ......... X b 7.00
ONE TO FIVE ATMOSPHERIC -TYPE VACUUM BREAKERS ........................ ....I... X $ 5.00
EACH ADDITIONAL ATMOSPHERIC- TYPE VACUUM BREAKERS. ............. I............................ X$ 1.00
BACKFLOW PROTECTION DEVICE OTHER THAN ATMOSPHERIC -TYPE
VACUUM BREAKERS, 2 INCHES AND SMALLER ............................. ...... ......................... I X$ 7.00 706
BACKFLOW PROTECTION DEVICE OTHER THAN ATMOSPHERIC -TYPE
VACUUM BREAKERS, OVER 2 INCHES ........................................................ I................. X$ 15.00
GAS PIPING SYSTEMS ONE TO FIVE OUTLETS ...................................... ............................._'�k\ Xs 5.00 /6-60
GAS PIPING SYSTEM EACH ADDITIONAL OUTLET ............. ......................a........ I................ X$ 1.00
WATERHEATER .................................................................................. ...............a............. X$ 7.0/0 / 7,00
TOTAL FEES $
TI HEREBY CERTIFY THAT THE FOREGOING IS CORRECT TO THE BEST OF MY KNOWLEDGE AND ALL WORK WILL BE PERFORMED ACCORDING
O THE DOCUMENTS APPROVED BY THE BUILDING DEPARTMENT AND IN COMPLIANCE WITH THE CITY OF GRAPEVINE ORDINANCES
REGULATING ON TRUCTION. IT IS UNDERSTOOD THAT THE ISSUANCE OF THIS PERMIT DOES NOT GRANT OR AUTHORIZE ANY VIOLATION
OF ANY D O ORDIN E OF THE CITY OF GRAPEVINE.
SI URE OF ON I HAU I R UR AUTHORIZED AGENT PRINTED NAME
HOMEOWNER FOR HOMEOWNERS PERMITS)
P 0 BOX 95104, GRAPEVINE, TEXAS 76099 (817)410-3165 O: \FORM \PLUMBING.PN