HomeMy WebLinkAbout2174 CHESTNUT AVE; ; 70-834; PermitPERMIT City of
2
f CALIFORNIA
Applicant to complete numbered spaces only.SEP'•-%-•:
JOB ADDR ESS
.LEGALI OESCR.ATTACHED SHEET)
MAIL ADDRESS
CONTRACTOR MA'IL ADDRESS LICENSE NO.
ARCHITECT OR DESIGNER MAIL ADDRESS LICENSE NO.
MAIL ADDRESS LICENSE NO.
MAIL ADDRESS
USE OF BUI LDING
8 Classofwork:D NEW,j \P ADDITION D ALTERATION
,..•".%;!*; "•
D REPAIR
9 Describe work:
tif.
PERMITs FIES
Np.Type of Fixture or Item Fee
SPECIAL CONDITIONS':WATER CLOSET (TOILET)
BATHTUB
LAVATORY (WASH BASIN)
SHOWER
KITCHEN SINK & DISP.
DISHWASHER
APPLICATION ACCEPTED BY: PLANS CHECKED BY APPROVED FOR ISSUANCE BY:LAUNDRY TRAY
CLOTHES WASHER
WATER HEATER
NOTICE
THIS PERMIT BECOMES'NULL AND VO(D IF WORK OR CONSTRUC-
TION AUTHORI-ZEDJS NOT,COMMENCED WITHIN SO'DAYS, OR.JF
CONSTRUCTION ORsV&OR'K IS SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAYS "AT ANY TIME AFTER WORK- IS COM-
MENCED. . ' ' .; i
I HEREBY CERTIFY THAT I HAVE READ ANDJEXAMINED THIS
APPLICATION AND KNOW THE SAME TO BE TRUE'A&D CORRECT.ALL PROVISIONS-OF LAWS AND ORDINANCES GOVERNlS'G THIS
TYPE OF WORK WILL-BE COMPLIED WITH WHETHER-i SPECIFIEDHEREIN" OR NOT,-THE GRANTING OF A PERM iTf"DOES NOTPRESUME TO GIVE AUTHORITY HTO VIOLATE OR" fCSfNCEL THEPROVISIONS OF ANY OTHER STATE OR LOCAL LAWfREGULATINGCONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
URINAL
PRINKING FOUNTAIN
FLOOR—SINK OR DRAIN
SLOPSINK
GAS SYSTEMS; NO. OUTLETS
VyATER PIPING & TREATING
WASTE INTERCEPTOR
VACUUM BREAKERS
LAWN SPRINKLER SYSTEM
SEWER
CESSPOOL
SEPTIC TANK* PIT
"SIG^ATORE OF CON TR1AC:TOR OR AUTHORIZED AGENT
PERMIT
SIGNATURE OF OWNER d.F' OWN ERJBU ILDER)(DATE)TOTA'L FEE
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATI0.N CK. M.O. CASH PERMIT VALIDATION ck. M.O. , CASH
Form 100.2 9-69'
" / .• INSPECTOR
REORDER FROM: INTERNATIONAL, CO.N'FERENCE-OF BUILDING OFFICIALS • so so. LOS COBLES • PASADENA, CALIFORNJA 91 101
'