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76A667A ICE 817B) - 11/76
APPLICATION FOR PL1PERMIT
BUILDING AND SAFETY DIVISION
LAVATORY
ADDRESS 2130 E . 4th St.— Su'tp iin
SINK
CITY Santa Ana, Ca. TEL. NO. 5 47-39 87
DISHWASHER
CLOTHES WASHER
SWIMMING POOL RECEPTOR
LAWN SPRINKLER SYSTEM
WATER HEATER
GAS SYSTEM OUTLETS
OUTLETS OVER
S PER SYSTEM
Plan check fee
PLUMBING PERMIT ISSUING FEE $ ( 00
TOTAL FEE O 00
CONTRACTOR Industrial Turf, Inc. (7 )
ADDRESS P.O. BOX 2247
CITY Laguna HMS Ca 6EL. NO. 837-1231
ENSENo. 204588 c ASS C-27,A
DISTRICT NO //4 GROUP ZONE P50CESSED BY
',
INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
heck applicant
APPROVALS
UNDER SLAB WORK
ss
ROUGH PLUMBING
Tel. No.
GAS PIPING
HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE
GAS VENT
E ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
LREQUIRED
TE LAWS REGULATING PLUMBING.
HOT WATER HEATER
HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS
PLUMBING FIXTURES
ED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT IAM THE
GAS TEST
WNER OF, AND INTEND TO RE E IN THE BOVE DESCRIBED RESIDENTIAL
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UTILITY CO. NOTIFIED
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FINAL
PLAN CHECK VALIDATION CK. M.O. CASH
PERMIT VALIDATION
DATE INSPECTOR'S SIGNATURE
CK. M.O.
CASH
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