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HomeMy WebLinkAboutNo Permit Number (4) � , � . . �jl-_,,� ,xr� ' ,a�+�,<S'#'>"_,�'�, �+yu' 1 rn� � u.`,,�'�°y .�3�'aa �d?�S�r€`s' �'1"i.,Y�,r�,:�^�� '°�`R�'.-��.�"Pa�,, , . . �. . 76A667A . . . . _ . .. . , °°�,"" .. . .. , CE 817 IREV.6/79) . . . � .. .. ... . . � . . � �5 .... ... ... , . .. � �ti��'rF i . � . . � A�'PL�[CA�1�C>� �t�li� F'�la M I�C� ��RM I7" � ; < , , cs�uNrY oF���i��a�G�i�� �ir�`�rNc�r���'A�e��r ,I� ���?��. ���z.�'' �d�,�� � ^�/.':.� .�'�n,;a'�'` �'7 ; , ,...,.,_ FOR APPL!CAIVT TO FILL W IP��Y�I�T OR TYPEI` " � BUILDtlNG-^� y �"` ,�•:', �g� ,;�,,r-� ADDRESS G.�°f� A +:y E���'" / � � NUM6ER FIXTURE OR ITEM �°�;:� , (� FEE �� � � � -� � � � � � � LOCALtTY � � '�� ��^ - �� �� WATER CLOSET ��i � �� Q p',j � NEARE5T .^ �*"�' / QarH rus ,1��,i� � L?C� cRoss sr��7,�: � � �i7t �/�t4°�� sHo�n�eR � ;r'. � ,��� owNeR .c�`�G e� '. �'a F �r . �e�t,.. LAVATORY I(� I� ' �^ ��r� MAIL '^ �'''y � i �:;3 ,1DQRESS �� °7`'� L/ � % SIIVK ,�� ;� �� �+4�� CITV �:� ���' ��-��-C�EL.NO. � DISMWASHER � �� � ��"�/� CpNTRAC70R � "�'�9 �.;, ��'� �'f#� �/��4 CLOTHES WASHER ;s��J�:, G'°� ADDRESS ` �, �J� �4 ����p�' � � ��/� SWIMMING POQL RECEP'OR �� !� �-7�'''' ,�* � !� � CITI�� 1'"���C'"L�`�'�.TEL NC.��I tfr�� . . ...(4^�' LAWN SPRINKLEft SYSTEM ��%�-,� STATE ��� � �LIC. .�� � � WATERHEATER 1 :u ' "' ��7 LICENSE NO. � ,,�'w}� CLA55 �-„�;8 i ` 4r' ! GASSYSTEM �, OUTL�'��ry Y� �}� APPROVA.F, `�P.TE �NsaEttoRSsi�NatuaF QUTLETSOVER ��:� � '"`�' UNDERSLA6VJORK P `��` f 5 PER SYSTEA�V 4 � /� `� ROUGH PLUMBIhG k�eY`° - - � ,/ a�'; - �. �d .. .�✓f��\ ���rl�e , �a..� GAS PIPING `w� r' '� �$ ��I��;�' GAS VEN' :";' P� �� � HOT WATER HEATER „�$ Q � l�� ` � . . . . PLUM��NG FIX?URES x ?�� � ����I�•�.� GAS T EST �°�:� � G�+, Plan check fee �'����: uriuTvco.r�ariFie� ;;i�+� � PWMBING PERINIT ISSUING F�E�$ .�� °`'`�'F I � . �. �� FINAL ., .,. . ._��!"-;`c:.: ,�5.,2+;�:.,y,,.. TOTAI��E ��- °- i�yti PLAN CHECK VALIDATICSf�" Plan check applicant � �5� �� � �i� E ;� ��. ,;�: Name ��i �� s:;�as �,r. �,ar� Address �C ' « ':� .,"' 1 City Tel�.No. �' � ; lr{w`.� r, I HEFjEBY ACKNOWLEDGE:THAT I HAVE RFA���THIS APPLICA71bN AN6�STATE � � ' ,.;:� �^ THAT THE ABOVE IS CORRECTAM�AGREETO COMPt,��lN17H ALL COUN7Y ORDINANCES ' �� 4 '� �' '� `�- .. ANDSTATELAWSREGULATINGPWMO'�.NG, IIq:;# � '. � PCRMITVALIDATION " - �I i �ti I NEREBY CERTIPY THFT 1 AN PR ERLV REG��STEREp AND/OR LICENSEU AS ��� �,�'i . �'� ��� � REQl11RED BV Lp5 ANGELES C ANO STA7E�'��'CALIK R 7M4}'i AM THE ' �^ LEGAL DWfuEF OF,AND 0 TO NE E IN TNE PESCRIBE �ESIqEM1TIAL .'p':, . ,;�"� f j � 'S PROPERTY. . ��t. . -*p;., .. .� ' � � t1"13 � -� ' � ' aA4,�w+!+"'. A �i � � s� `a �y SIGNATVRE ���� g ����. . ��`- , . � �' , _ - OF PERM ITTE ������I! � y�-�= - � � � DISTRICT NO. i.,'�I� t�ROC 8'�' '4�A r � j gy� �� � � � i INDU�TRIAI- . . � . . �� .� .. - .. ',:;��j I; , ,. ; WASTEAPPROVAL ,�II ��fi� � . . � i� I�' a�� �� ;��' r.... ,., t: : . .;..:. ;`# b °""'%� �' C .i;�, , ..: .:. � > . ;: r . . r� . . : , ; � � i�xr ,. , ,. � , , . ;. . ,,..:..., ,�: , ,F ,. � :.,. ,. ,r ._ w .� . ,, . .. � .r. _ , ,r . - : , _ .,. .< , ,. . ., , . ...., ; , 'ri � �.. � �,� , ; , , , , • � r; , , ;. . ,,,; =i , ; ,.;:- . �. � � ..... _ _. . . .. . � �.._. . . �..�,:, .. _`� ' _.', ,, ,, ___ .. . _.. .. _.. . . . , , ;,,, _, .. � _ , _ . .., ... ; , , �. ,. . :iI - , . �, '. , . . . ...., . ..::.., , �„, . e, .:: , , �?,;.. . � .:.�.rx. ,.;.�