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HomeMy WebLinkAbout237776A667A ICE 817B) - 11/76 .ro- .s APPLICATION I BUILDING AND SAFETY DIVISION BUILDING 21482 Cold Spring Lane FOR APPLICANT TO FILL IN (PRINT OR TYPE) NUMBER FIXTURE OR ITEM @ FEE LOCALITY Diamond Bar,California WATER CLOSET BATHTUB NEAREST CROSS ST, Diamond Bar Blvd. SHOWER OWNER Diamond Ridge AJT Venture LAVATORY ADDRESS trl .St a ®Suite 11� SINK CITY Santa Ana a TEL. NO. rJ DISHWASHER CONTRACTOR Industrial Turf In�714) CLOTHES WASHER ADDRESS P.O. BOX 2247 SWIMMING POOL RECEPTOR CITY La una Hills Ca IEL' NO 837-12 31 LAWN SPRINKLER SYSTEM 3 00 STATE LIC. LICENSE NO, 20458 8 CLASS C®2 7, A DISTRICT NO.ry GROUP ZONE PROCESSED BY WATER HEATER GAS SYSTEM OUTLETS OUTLETS OVER S PER SYSTEM INDUSTRIAL WASTE APPROVAL INSPECTION RECORD Plan check fee PLUMBING PERMIT ISSUING FEE $ ( 00 TOTAL FEE 9 00 Plan check applicant Name APPROVALS DATE INSPECTOR'S SIGNATURE UNDER SLAB WORK Address ROUGH PLUMBING City Tel. No. GAS PIPING I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING, I HEREBY CERTIFY THAT I AM PROP LAREGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AN S ATE OF CALIFORNI R THAT I AM THE LEGAL OWNER OF, AND INTEND TO RE fD IN THE OVE DE BED RESIDENTIAL PROPERTY. SIGNATURE OF PERM ITTEE 1''4/ PLAN CHECK VALIDATION CK. M.O. CASH GAS VENT HOT WATER HEATER PLUMBING FIXTURES GAS TEST UTILITY CO. NOTIFIED FINAL PERMIT VALIDATION CK. M.O. CASH ©s