Fillable Plumbing Permit 704 Fourth Street / PO Box (Town of Mills)

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Plumbing Permit 704 Fourth Street / PO Box (Town of Mills)

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File type: PDF

U.S.A. forms for Town of Mills

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Town of Mills Permit #_________________
704 Fourth Street / PO Box 789
Mills, WY, 82644 Fee $_________________
307-234-6679
Permit Issued Subject To Provisions of Town Ordinance
Plumbing Permit
PROPERTY INFORMATION
OWNER:
ADDRESS:
CITY:
STATE:
TELEPHONE:
CELL:
PERMIT INFORMATION
This Plumbing Permit □ SINGLE-FAMILY, DUPLEX OR TOWNHOUSES (RESIDENTIAL ONLY) □ MIXED-USE
Involves: (Select One) □ MULTI-FAMILY (RESIDENTIAL ONLY) □ COMMERCIAL OR INDUSTRIAL (NON RESIDENTIAL)
This Plumbing Permit □ CONSTRUCTION OF NEW BUILDING □ ALTERATION OR ADDITION TO AN EXISTING BUILDING
Relates To: (Select One) □ CONSTRUCTION OR MODIFICATION OF A NON- BUILDING STRUCTURE
Has a Building Permit Been Obtained for this Project? : □ YES □ NO □ NOT REQUIRED PERMIT #
The Proposed Work Will Be Located: □ Interior Only □ Exterior Only □ Interior & Exterior
No.
PLUMBING
No.
PLUMBING
No.
GAS
No.
MISCELLANEOUS
Toilet
Drinking Fountain
Dryer
Water Line Replacement
Bath Tub
Water Softener
Central Heat
Sewer Line Replacement
Shower
Washing Machine
Floor Furnace
Sprinkler System
Lavatory
Dish Washer
Gas Range
Hose Bibs
Floor Drain
Service Sink
Unit Heater
Water/Sewer Line Repairs
Water Heater
Sump
Patio Grill
Fire Line
Urinal
Kitchen Sink
Inside Gas Line
Meter Pit
Laundry Tray
Other
Outside Gas Line
Other
CONTRACTOR INFORMATION
NAME:
ADDRESS:
CITY:
STATE:
ZIP CODE:
TELEPHONE:
CELL:
OR □ OWNER IS CONTRACTOR
APPLICANT SIGNATURE:
APPLICATION DATE:
TOWN OFFICIAL
APPROVAL SIGNATURE:
APPROVAL DATE:
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Plumbing Permit 704 Fourth Street PO Box (Town of Mills)

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Completed 31 January 2021

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