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HomeMy WebLinkAbout0 (5)76Afifi,7 (c E-QH 7) - a47B - APPLICATION FOR PLUMBING PERMIT DEPAR 0P C EER BUILDING AND SAFETY DIVISION MAKE CHECKS PAYABLE TO: HARVEY T. BRANDT, COUNTY EN(i1NERR FOR AEIPLICARIT TO FILL IN IPRIN'T OR TYPE) NUMBER FIRTURB OR ITEM N REF BATH TUB 1.79 SHOWER 1.75 LAVATORY 1.75 SINK 1.75 DISH"RHER 1.75 CLOTHES WASHER 1.79 SWIMMING POOL RECEPTOR 1.75 LAWN SPRINKLER SYSTEM 1.75 WATER HEATER 1.75 GAS SYSTEMS OUTLETS 1.75 ounns V 5 PER SYSTEM 30 Plan check fee SO. R.— PLUMBING PERMIT ISSUING FEE B 3 00 TOTAL FEE Plan check applicant .r NBP f7_1 Addreaa k r City:r.d <H.-M.,,s+'_.. To I.N>,d-2.:iW(�%". 1HMWY AOKNOWL ER6E THAT I HAVE RAD ETKIS APPLICATION AND STATE THAT THE ABOVE IS CORITECT AAO AOEE! TO COMPLY WITH ALL C004TY OROINANC&S AND STATE LAWS REOULATINO PLOHA51 N6. I HEfl EBY CERTIFY THAT I AM PROPERLY REGISTERED ANO/OR LICENSED A8 RtQ—V BY LOS —* LE9 CVURTY AMO STATE OF CALIF 41A OR THAT I AM THE LERAL 0 qP, AND INTEND TO RESIDE IN THE ABOVE DtBij$ W R9*M ? IM MOPtRTY. 51 GNATU RE OF PERMITTEE.. PLAN CHEEK VALIDATION cK. M.D. CASH BUILDI NG AD©R989LOCALITY NEAREST CRASSST. OWNER i,'j7 LDRESScsArAeCITY TEL. NCONTRACTORADORE6.9� z ,.'CITY.,..,,..,TEL. NSTATE NO. LILIEBNBE CL .. I"hRt,15LELT M6 GAT3lllr - 20Af PROCIRMED BY N{yUD INAW �TAPAROVAL I NSPEC TI ON REC ORD APPROVALS DATE PLCTOP s .—AT -L UNDER SLAB WORK ROUGH PLUMBING GAS PIPING GAIR VENT HOT WATER HEATER PLUMBING FIXTURES GAS TEST UTILITY CO. NOTIFIED FINAL PERMIT VALIDATION lot law me *0 C CK.:' V.0. CASH Amu%* 0 -�Wiki 1„ 7VI Of f I!, 710 �110 La T JA t—i - V.A Ww , 4,4 Amu%*