Cross Connection Comments 1.pdfPlan Check #� Date
Project Name/Address_---
Contact Person/Address Z
Department: Building ❑ Engineering Planning ❑ Fire ❑ Public Works
Reviewer
❑ Submit 2 sets of revised plans/documents to the Permit Coordinator.
❑ Corrections may be made by red lining plans/documents on file with the City.
DATE FAXED (Attach fax transmittal) PAGE OF