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HomeMy WebLinkAboutN/A76A667A ICE 817B) - 11/76 _w APPLICATION FOR PLUMBING PERMIT BUILDING AND FOR APPLICANT TO FILL IN (PRINT OR TYPE) SAFETY DIVISION BUILDING ADDRESS 21493 NUMBER FIXTURE OR ITEM Q FEE LOCALITY DiamQnd-Bar., California WATER CLOSET BATH TUB NEAREST CROSS ST. Diamond Bar Blvd. SHOWER OWNER Diamond Ridge AJT Venture LAVATORY MAIL ADDRESS 2130 E . 4th St. -Suite 110 SINK CITY Santa Ana Ca. TEL.NO. 547-3987 DISHWASHER CONTRACTOR Industrial Turf, Inc. CLOTHES WASHER ADDRESS P.O. BOX 2247 SWIMMING POOL RECEPTOR CITY Laguna Hills , Ca .TEL. No. 8 37-12 31 LAWN SPRINKLER SYSTEM 3 00 STATE CLASS LICENSE NO. 2 0 4 5 8 8 CLASS C- 2 7, A DISTRICT NO. GROUP ZONE j ROCESSED BY WATER HEATER GAS SYSTEM OUTLETS OUTLETS OVER 5 PER SYSTEM INDUSTRIAL WASTE APPROVAL INSPECTION RECORD Plan check fee PLUMBING PERMIT ISSUING FEE $ ( 00 TOTAL FEE 9 00 Plan check applicant APPROVALS DATE INSPECTOR'S SIGNATURE Name UNDER SLAB WORK Address ROUGH PLUMBING City Tel, No. GAS PIPING I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THATTHE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO RESIDE IN THE ABOVE DESCRIB D RESIDENTIAL PROPERTY, SIGNATURE f,�J OF PERMITTEE fL' 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 I ©s