HomeMy WebLinkAbout2097 WESTWOOD DR; ; 70-1096; Permit0 L
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PLUMBING PERMIT APPLICATION
2
JOB ADORES$
/4/~T/VC/CIP d-cJ9? ,Z),e. U'J ~ LOT NO. I 9LK I T"ACT (0SEE ATTACHED SHEET) LEGAL I 1 DESC"• SJ ~
OWNEffi££s
MAIL ADD"ESS ZIP PHONE "-J
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MAIL ADDRESS
~~;ONE
LICENSE NO, -~ S</'7~ ~Li ~11/-£~/~,. & '\
ARCHITECT OR DESIGNER MAIL Aoo,uss PHONE LICENSE NO, t 4
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~ ENGINEER MAIL ADDRESS :>HONE. LICENSE NO, ~ 5
LENOEl't MAIL AODlltESS B"ANCH t)
6 ~ .
7 USE OF 8Ul7):v ~tt-.; ;,f 'f/ r ,
~ALTERATION 8 Class of work: □NEW 0 ADDITION 0 REPAIR .
9 Describe work: ~,.t;)-> &y//r.
PERMIT FEES
No. Type of Fixture or Item Fee
SPECIAL CONDITIONS: WATER CLOSET (TOILET) $
BATHTUB
LAVATORY (WASH BASIN)
SHOWER
KITCHEN SINK & OISP.
I -,I DISHWASHER ~·~t'"" PLANS CHECKED BY: ~· LAUNDRY TRAY ( CLOTHES WASHER
WATER HEATER
V J NOTICE URINAL
THIS PER T BECOMES NULL AND VOID IF WORK OR CONSTRUC-DRINKING FOUNTAIN
TION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF FLOOR-SINK O R DRAIN CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM-SLOP SINK
MENCED. GASSYSTEMS:NO.OUTLETS I HEREBY CERTIFY THAT I HAVE READ ANO EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. WATER PIPING & TREATING EQUIP.
ALL PROVISIONS OF LAWS ANO ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED WASTE INTERCEPTOR HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT
PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE VACUUM BREAKERS PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING
C~N OR THE OERFORMANCE OF CONSTRUCTOON. LAWN SPRINKLER SYSTEM
SEWER
CESSPOOL
,~,.,~ SEPT IC TANK & PIT -SIC:NA/ 0..-CONTPtACTOR OR AUTHORIZED AC.ENT (DATE)
PERMIT $
SIC.NAT Rt: OP' OWNEPI IP' OWNER &UILDER) DATE) TOTAL FEE $ ~ tJ()
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M .O. CASH
INSPECTOR
Form 100.2 9-69 REORDER FROM: INTERNATIONAL CONFERENCE OF BUILDING OFFICIALS e !50 SO. LOS ROBLES e PASADENA, CALI P'ORNIA Q1 101