HomeMy WebLinkAbout2812 CACATUA ST; ; 76-2570; PermitLOT NO. LEGAL IDESCR. I I I
OWNER MAI-L ADDRESS LIP PHONE
STATE LIC. NO. CITY LIC. NO.
#!# MAL .*
PHONE
3#/;7 f&/WBIt
MAIL ADDRESS
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CONTRACTOR
TRACT
3
4
5
6
ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LlCENSF NO.
ENGINEER MAIL ADDRESS PHONE LICENSE NO.
COMPENSATION INS. CARRIER MAIL ADDRESS BRANCH
SPECIAL CONDITIONS.
~~ ~~~ USE OF OUlLDlNG
7
8 Clauof work: 0 NEW @ADDITION 0 ALTERATION 0 REPAIR
No. Type of Fixture or Item Fee
WATER CLOSET (TOILET) $1
BATHTUB I
9 Describe work:
* I I DISHWASHER I
SLOP SINK
GAS SYSTEMS: NO. OUTLETS
WATER PIPING & TREATING EQUIP.
WASTE INTERCEPTOR
LAVATORY (WASH BASIN)
SHOWER
KITCHEN SINK & DISP.
4 VACUUM BREAKERS
LAWN SPRINKLER SYSTEM
SEWER NUMBER CLEANOUTS
CLOTHES WASHER I
DATE WATER HEATER
NOTICE
THIS PERMIT BE \ OMES NULL AND VOID IF WORK OR CONSTRUC- TlON 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.
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
I I URINAL I DRINKING FOUNTAIN 1 I
CESSPOOL
SEPTIC TANK L PIT
ROOF DRAINS
EN PRoPERLY@ABDATED (IN THIS SPACE) THIS IS YOUR PERMIT
M.O. . CASH PLAN CHECK VALlDATlOof CK. M.O. CASH PERM IT VALIDATION CK.
INSPECTOR
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