Cross Connection Review 1.pdfPlan Check # IGH a 17- _ Date /0-13-02
Project Name/.
Contact Person/Address_ .� 7 Uc,�
Department: Building ❑ Engineering ❑ Planning ❑ Fire ❑ Public Works
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❑ 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.
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