Loading...
HomeMy WebLinkAboutN/A (18)76A667A ICE 817B) - 11/76 a APPLICATION I I BUILDING AND MEEMEM FORAPPLICANTTOFILL INIPRINTORTYPEI SAFETY DIVISION BUILDING AU'L DDRESS DING 21484 Cold Spring Lane NUMBER FIXTURE OR ITEM @ FEE LOCALITY Diamo71 nd Bar California WATER CLOSET BATHTUB NEAREST CROSSST. Diamond Bar Blvd SHOWER OWNER Diamond Rid e AJT Vejture LAVATORY MAIL ADDRESS 2130 . 4th St. -Suite SINK CITY Santa Apia Ca , TEL. No. 5 DISHWASHER CONTRACTOR Industrial Turf, CLOTHES WASHER ADDRESS P.O. Box 2247 SWIMMING POOL RECEPTOR CITY Laguna Hills TEL.NO- 8 LAWN SPRINKLER SYSTEM 3 00 STATE LIC. LICENSE NO. 2 0 4 5 8 8 CLASS WATER HEATER DISTRICT NO sit` GROUP ZONE PPJZOCESSED BY ji 4 GAS SYSTEM OUTLETS OUTLETS OVER 5 PER SYSTEM INDUSTRIAL WASTE APPROVAL INSPECTION RECORD Plan check fee PLUMBING PERMIT ISSUING FEE $ ( 00 TOTAL FEE Plan check applicant APPROVALS DATE INSPECTOR'S SIGNATURE Name UNDER SLAB WORK Address ROUGH PLUMBING City Tel, No. GAS PIPING 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 PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND TE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO RESIq 1 THE AB VE DESCR7D RESIDENTIAL PROPERTY. fJ SIGNATURE / OF PERMITTEE 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