HomeMy WebLinkAbout2115 BASSWOOD AVE; ; 79-161; Permiti
LOT NO. BLK
* PLUMBING PERMIT APPLICATION
City of CAWD, CALIFORNIA 92008
Phone 729-t181 j.i,fc3 I:.I
Applicant to complete numbered spaces only.
JOB AODR Ell
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LICENSE NO. MAIL ADDRESS PUONE
bob’. pltlldaart 3
ARCHITECT OR OESICNER
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KITCHEN SINK I OlSP
DISHWASHER
” LAUNDRYTRAY
3 Class of work: NEW 0 AODlTlON ALTEAATIf$ a REpAlR
4
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SPECIAL CONDITIONS:
VACUUM BREAKERS
LAWN SPRINKLER SYSTEM
SEWER NUMBER CLEANOUTS
CESSPOOL
P
1
ic ISSUANCE FEE s
TOTAL FEES z
LPPLICATION ACCEPTED BY I PLANS CHECKED BY 1 CiPPROVEO FOR ISSUANCE BY
I
NOTICE I
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-
TION AUTHORIZED IS NOT COMMENCED WITHIN 120DAYS.OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM- MENCED.
SICNATURC OF OWNER (lr OWNER BUILOERI (DATE1
PERMIT FEES
No. 1 Typ~ of Fixture or Item I Fee I WATER CLOSET (TOILET) IS 1
I BATHTUB Ill
I LAVATORY (WASH BASIN) Ill I SHOWER Ill
I ”‘t ‘1 CLOTHES WASHER Ill
1 URINAL 1- - I I 1 DRINKING FOUNTAIN I
I FLOOR-SINK OR DRAIN Ill
1 SLOPSINK Ill
I SEPTIC TANK I PIT Ill
ROOF DRAINS I
I
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
M.O. . CASU PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK.
. ..
INSPECTOR
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