1480 NE 101 St (13)MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Estimated value of
project: $3861.00
Permit No. - -- --- Date -----6./24/8 Q. . - - - -
Application is hereby made for the approval of the detailed statement of the plans and specifications' herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of th Building Division
of Miami Shores Village shall be complied with, whether herein specified or not A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address Franco
Registered Architect and/or Engineer _..
Employing Plumber's Name ef s.on_... awn..3pr i nk 1 ex __Cpr p r No.. _.6010
Size Septic Tank_- _ - _- .- -- - -_ .... __ __ . Type of Tank _.__.___ _ __ _ ._ _ __ ..... _ -- .Capacity Gays.
Feet of Drain Tile____. _ _ -- ____ _Dist. Feet of Tank or Drain Field from Well.
Nature of Water Supply: City —Well. _ _City__ _ _ - _ __ - - Size of Soakage Pit
Amount of Permit $ . _. 7. 50 - -_
STATE OF FLORIDA,
COUNTY OF DADE.
- - ...... No._ —._ 1480 _ - — Street . NE 101 S t •
(Sign
Street..__ :._ PAg H Y .. 3 314 3
Location and Legal Description Lot____. —. -- -- .— ._.._.__ - -� -- - -- Block__ -_ Subdivision.
Street and Number where work is to be performed—No-1480 Street _ _.NE _ 1.01. _
State work to be performed and purpose of building (By Floors) _
New Building -- Remodeling______ __ __ - __ __ Addition.--- X _ -- __ -- •_ -- Repairs_
No. of Stories _ _.
- - Master Plumber.
Pkmbng In:pecto.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, rnd 1 as -om-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by hin in the work to be
performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or no ices as are
required by the Act. The undersigned agrees to employ only such sub-contractors, oP work to be perfo. red under this per nit, as are
licensed by Miami Shores Village.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personall appeared
to me well known, and who, being by me first duly sworn. upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all .acts
therein by him stated are true.
My Conunission Expires Notary Public, State of Florida — —
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made•neoessary by improper notice for inspection, •or faulty
materials and /or worlananship.
CLOS[TB
BATH
TUBS
SHOWERS
LAVA-
TORIES
SIN
SLOP
SINKS
LAUNDRY
TUBE
U
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT•NS
TOTAL
F XTURE6
CONTR.
LIST
CNEOK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'G
POOL
CONTR.
LIST
- --
CNECK
V
X
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Estimated value of
project: $3861.00
Permit No. - -- --- Date -----6./24/8 Q. . - - - -
Application is hereby made for the approval of the detailed statement of the plans and specifications' herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of th Building Division
of Miami Shores Village shall be complied with, whether herein specified or not A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address Franco
Registered Architect and/or Engineer _..
Employing Plumber's Name ef s.on_... awn..3pr i nk 1 ex __Cpr p r No.. _.6010
Size Septic Tank_- _ - _- .- -- - -_ .... __ __ . Type of Tank _.__.___ _ __ _ ._ _ __ ..... _ -- .Capacity Gays.
Feet of Drain Tile____. _ _ -- ____ _Dist. Feet of Tank or Drain Field from Well.
Nature of Water Supply: City —Well. _ _City__ _ _ - _ __ - - Size of Soakage Pit
Amount of Permit $ . _. 7. 50 - -_
STATE OF FLORIDA,
COUNTY OF DADE.
- - ...... No._ —._ 1480 _ - — Street . NE 101 S t •
(Sign
Street..__ :._ PAg H Y .. 3 314 3
Location and Legal Description Lot____. —. -- -- .— ._.._.__ - -� -- - -- Block__ -_ Subdivision.
Street and Number where work is to be performed—No-1480 Street _ _.NE _ 1.01. _
State work to be performed and purpose of building (By Floors) _
New Building -- Remodeling______ __ __ - __ __ Addition.--- X _ -- __ -- •_ -- Repairs_
No. of Stories _ _.
- - Master Plumber.
Pkmbng In:pecto.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, rnd 1 as -om-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by hin in the work to be
performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or no ices as are
required by the Act. The undersigned agrees to employ only such sub-contractors, oP work to be perfo. red under this per nit, as are
licensed by Miami Shores Village.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personall appeared
to me well known, and who, being by me first duly sworn. upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all .acts
therein by him stated are true.
My Conunission Expires Notary Public, State of Florida — —
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made•neoessary by improper notice for inspection, •or faulty
materials and /or worlananship.
Permit No ............ Date----..9 'L�: —
Application is hereby made for the approval of the detalled statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
M / ,, S/ b
Owner's Name and Address Ll2 , 17 NCC No.4J e0 !1 r Street_._L L - ......_.
Registered Architect and /or Engineer _P-er fo L e S , (;).9 __ e_d2t
L _ l= 51(2T)=/72 �/ s i - ...._ -•••• •••.
Employing Plumber's Name-- -
- ••-- �._ .�e.� NO..- .r� - ��,•�•- 8tleet...���� : .<..<....,,.........,.. -...
Location and Legal Description Lot Block_ Subdivision
/ S • '
Street and Number where work is to be performed —No ! 8-0._ a- Street a .-_ /:?(.. ._.........._ -_..._-
State work to be performed and purpose of building (By Floon)___ SE.1_.._._/22e T 4C /e CONA7 Ec % t= tJ!•2U/?C _ .
•
New Building - __._ ... . ..... ......... Remodeling___ _...__ Addition..._...__ Repairs No. of Stories
Size Septic Teak_.- --- - --• --- - - -- - - - -- Type of Tank_._
Feet of Drain Tile. -- —
Nature of Water Supply: City—Well
Amount of Permit $ S5 -e-
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Capacity Gal s..._.... ....... _._______..... ...- -_---.
—Dist. Feet of Tank or Drain Field from Well. - -. - -_ _
__— .__ of Soakage Pit
(Signed)-
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligat - s as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Perinan • Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices as are
required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
Numbing Inspector.
Muter Plumber.
STATE OF FLORIDA, t is.
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the ..._._..... ............. ......... _ _..
of the above described construction, that be has carefully read the foregoing application, and that be did sign the same, and that all facts
therein by him stated are true.
My Commission Expires Notary Public, State of Florida
NOTE: A re- inspection fee of $1.00 will be made when such re-inspection V made by improper notice for inspection, or faulty
materials and /or worlmsanship.
CLOSETS
BATH
TUBS
6HOW[RS
LAVA.
TORIES
SINKS
SLOP
SINKS
LAUNDRY
Twos
URINALS
CATCH
OA$IN
FLOOR
DRAIN
DRINKING
FOUNT•NS
TOTAL
FIXTURES
CONTR.
LIST
CHECK
SEPTIC
TANK
SEWER
CONK.
DRAIN
PIELO
SOAKAGE
PIT
GREASE'
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SW IM•G
POOL
CONTR.
r �
LIST
CHECK
Permit No ............ Date----..9 'L�: —
Application is hereby made for the approval of the detalled statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
M / ,, S/ b
Owner's Name and Address Ll2 , 17 NCC No.4J e0 !1 r Street_._L L - ......_.
Registered Architect and /or Engineer _P-er fo L e S , (;).9 __ e_d2t
L _ l= 51(2T)=/72 �/ s i - ...._ -•••• •••.
Employing Plumber's Name-- -
- ••-- �._ .�e.� NO..- .r� - ��,•�•- 8tleet...���� : .<..<....,,.........,.. -...
Location and Legal Description Lot Block_ Subdivision
/ S • '
Street and Number where work is to be performed —No ! 8-0._ a- Street a .-_ /:?(.. ._.........._ -_..._-
State work to be performed and purpose of building (By Floon)___ SE.1_.._._/22e T 4C /e CONA7 Ec % t= tJ!•2U/?C _ .
•
New Building - __._ ... . ..... ......... Remodeling___ _...__ Addition..._...__ Repairs No. of Stories
Size Septic Teak_.- --- - --• --- - - -- - - - -- Type of Tank_._
Feet of Drain Tile. -- —
Nature of Water Supply: City—Well
Amount of Permit $ S5 -e-
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Capacity Gal s..._.... ....... _._______..... ...- -_---.
—Dist. Feet of Tank or Drain Field from Well. - -. - -_ _
__— .__ of Soakage Pit
(Signed)-
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligat - s as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Perinan • Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices as are
required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
Numbing Inspector.
Muter Plumber.
STATE OF FLORIDA, t is.
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the ..._._..... ............. ......... _ _..
of the above described construction, that be has carefully read the foregoing application, and that be did sign the same, and that all facts
therein by him stated are true.
My Commission Expires Notary Public, State of Florida
NOTE: A re- inspection fee of $1.00 will be made when such re-inspection V made by improper notice for inspection, or faulty
materials and /or worlmsanship.
Permit No 5 77'.
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address
Registered Architect and/or
Employing Plumber's Name
Location and Legal Description Lot
Street and Number where work is to be performed—No
State work to be performed and purpose of building (By Floors)._
New Building Remodeling Addition_
Size Septic d1.Type of T Capacity Gals 'tze\ .
Feet of Drain TileZL. . eet of Tank or Drain Field from Well
Nature of Water Supply: City—Well
Amount of Permit $
STATE OF FLORIDA,
COUNTY OF DADE.
------------
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Block •
No. Street.
No. Street_
Subdivision ......
Street
_ Size of Soakage Pit
(Signed)
Date._
Repairs No. of Stories
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
required by the Act. The undersigned agrees to employ only such sub- ctors, work o .- .erform4_unde4his per* it, as are
licensed by Miami Shores Village.
(Signed).
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
to me well lmown, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
My Commission Expires Notary Public, State of Florida
NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made • necessary by improper notice for inspection, or faulty
materials and/or worlananship.
CLOSETS
BATH
TUBS
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBE
URINALB
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT'N6
TOTAL
FIXTURES
CONTR.
LIST
CHECK
-
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM' G
POOL
CONTR.
LIST
---
CHECK
Permit No 5 77'.
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address
Registered Architect and/or
Employing Plumber's Name
Location and Legal Description Lot
Street and Number where work is to be performed—No
State work to be performed and purpose of building (By Floors)._
New Building Remodeling Addition_
Size Septic d1.Type of T Capacity Gals 'tze\ .
Feet of Drain TileZL. . eet of Tank or Drain Field from Well
Nature of Water Supply: City—Well
Amount of Permit $
STATE OF FLORIDA,
COUNTY OF DADE.
------------
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Block •
No. Street.
No. Street_
Subdivision ......
Street
_ Size of Soakage Pit
(Signed)
Date._
Repairs No. of Stories
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
required by the Act. The undersigned agrees to employ only such sub- ctors, work o .- .erform4_unde4his per* it, as are
licensed by Miami Shores Village.
(Signed).
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
to me well lmown, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
My Commission Expires Notary Public, State of Florida
NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made • necessary by improper notice for inspection, or faulty
materials and/or worlananship.
Permit No._ . ,4
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of wor
Owner's Name and Address.
Registered Architect and /or En ' eer___
Employing Plumber's Name __.
__ !. /��/_��_y���� -_ �' ,�. �- - - - - -- f Subdivision / r r�
_
Location and Legal Description Lot- -_ l /__ '(!_ - / — Block / Subd = P - _. `'
yyam�'' - - - ._.._ ...
ZL!__G� Street �_.o 1.
Street and Number where work is to be performed —No._/ a D
State work to be performe8 and purpose of building (By Floors )_
g
Remodeling ____ Addition_
Size Septic Tank ...... ---------------------- - - - - -- -.Type of Tank
Amount of Permit $
STATE OF FLORIDA,
COUNTY OF DADE.
!
No. _ v l_ a - - -- Street!-_ � ..- ./- -(!_.1
( Signed ) _ __
( Signed)._
No._ _ Street .__. ..__ ._
Date / 3 1)
Repairs No. of Stories
Capacity Gals
Feet of Drain . . . . • t . Feet of Tank or Drain Field from Well
Nature of Water Supply ell. __ -- ------- --- -- _ --- -- - -- -.Size of Soakage Pit
. .. ............•-- -••
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices as are
required by tlie Act. The undersigned agrees to employ only such sub - contractors, g worJc to be . -rformed under this permit S IB are
licensed by Miami Shores Village. �� 1
My Commission Expires Notary Public, State of Florida
Master Plumber.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
NO ' • A re- inspection fee of $1.00 will be made when such re- inspection is made •necessary by improper notice for inspection, or faulty
MR .., f and /ar workmanship.
CLOSETS
BATH
TUBS
SHOW
LAVA
TORIES
SINK8
SLOP
$INKS
LAUNDRY
TUBE
URINALS
CH
BAS
FLOO
DRAIN R
D
FOUNT'NB RINKING
WA.9
� �
rll.4K.i
TOTL
A
FIXTURES
CONTR.
LIST
III
/
�.
1.e....
CHECK
/ /
3
F" /^�
rj
/
?,c—
� __
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
VOINIF DEEP
HEATER � WELL
R %y„��( '
SPRKLR.
SYSTEM
SWIM'G
POOL
- - ---
CONTR.
LIFT
�
CHECK
/V
Permit No._ . ,4
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of wor
Owner's Name and Address.
Registered Architect and /or En ' eer___
Employing Plumber's Name __.
__ !. /��/_��_y���� -_ �' ,�. �- - - - - -- f Subdivision / r r�
_
Location and Legal Description Lot- -_ l /__ '(!_ - / — Block / Subd = P - _. `'
yyam�'' - - - ._.._ ...
ZL!__G� Street �_.o 1.
Street and Number where work is to be performed —No._/ a D
State work to be performe8 and purpose of building (By Floors )_
g
Remodeling ____ Addition_
Size Septic Tank ...... ---------------------- - - - - -- -.Type of Tank
Amount of Permit $
STATE OF FLORIDA,
COUNTY OF DADE.
!
No. _ v l_ a - - -- Street!-_ � ..- ./- -(!_.1
( Signed ) _ __
( Signed)._
No._ _ Street .__. ..__ ._
Date / 3 1)
Repairs No. of Stories
Capacity Gals
Feet of Drain . . . . • t . Feet of Tank or Drain Field from Well
Nature of Water Supply ell. __ -- ------- --- -- _ --- -- - -- -.Size of Soakage Pit
. .. ............•-- -••
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices as are
required by tlie Act. The undersigned agrees to employ only such sub - contractors, g worJc to be . -rformed under this permit S IB are
licensed by Miami Shores Village. �� 1
My Commission Expires Notary Public, State of Florida
Master Plumber.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
NO ' • A re- inspection fee of $1.00 will be made when such re- inspection is made •necessary by improper notice for inspection, or faulty
MR .., f and /ar workmanship.
��