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29011
pq�j CITY OF GLENDALE U/V fr l 0 v- d� c BUILDING PE MIT " X E INSPECTOR COPY Community Development Group Rj rr ��,,',,AAA,,, 5850 West Glendale Avenue eJ (// Cl'�—iTW © GLEND ,E Glendale,Arizona 85301-2599 ' v 4 Office: (623)930-2800 Inspections:(623)915-3263 Permit No. 29011 Insp Issue Date: 05/31/2006 ' : PROJECT:INFORMATION: Project No. Sq.Ft. Valuation 0 0 Address City/State -.. 'M 19303 N 62ND DR ttiGLENDALrAZL} •- ' Permit Type BS-PLBG Location Parcel Subdivision " -T Litt# ' Issued By Statistical Code STD# r , KULIKOWSKIP 700 OWNER: INFORMATION ----- ':Sewer Elec Gas Meter ,. Telephone Name -- - `� k; ,,. ' `FF Cert Req RICHARD RUIZ (602)395=2999 ''571.,-- 'i" ti' Address _ ri. r �":+' 19303 N 62ND DR CHANDLER AZ a T Construction Type Occupancy Group PRIME CONTRACTOR INFORMATION Name :` i -. Telephone --, ARIZONA PLUMBING SERVICES INC r (602)484 0666 Address - ti#s" -.,,,. __ 3112 W VIRGINIA AVENUE PHOENIX AZ 85009 • Contractor License No. License Type Salestax License No r ':? 080062 L-31 100019600 Description of Work/Special Conditions-(./. - _ i! .', - "fir-' ._' RUIZ-WATER HEATER , - :, Inspector cr - rte -' '. 'Date of Finat'_' .F Certificate of Occupancy Number 4 t. METER CLEARANCES INFORMATION 1 r} Electrical Date i Gas Date I hereby certify that I am the owner or duly authorized owner's agent,that I have read this application and that all information is correct. I further certify that I have read,understand and will comply with all the provisions outlined hereon. I also certify that the plot plan submitted is a complete and accurate plan showing any and all existing proposed structures on the subject property. Signature Date Provisions: The applicant is advised that issuance of this permit will not relieve responsibility of the owner or owners agents to comply with the provisions of all laws and ordinances, including federal, state and local jurisdictions,which regulate construction and performance of construction, or with any private deed restrictions. This permit becomes null and void if the construction work authorized is not begun within 180 days from the date of issue or if at any time prior to final inspection and approval the work is suspended or abandoned for a period of 180 days.