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HomeMy WebLinkAbout1680 COSTA DEL MAR RD; ; 73-3395; PermitPLUMBING PERMIT APPLICATION i ciuiii nu t «-*- •—" f .^j* * • Applicant to complete numbered spaces only JOS ADDR ESS . ,, ____ . x , J //, ) c' /-, - -> /£.* . ^/ ' tm? .... t <</, . LEGAL 1 DCSCR 2°"^ LOT NO ' SLK TRACT 0 [SEE ATTACHJtO. SHEET) t t t j MAIL ADDRESS ZIP / PHONE CONTRACTOR / ' ™ MAIL ADDRESS PHONE LICENSE NO ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO 4 ENGINEER MAIL ADDRESS PHONE LICENSE NO S LENDER 6 MAIL ADDRESS SRANCH , ( 32r3 ^ *\ > . USE OF BUILDING , . VsA 8 Class of work D NEW D ADDITION D ALTERATION D REPAIR P 9 Describe work j£-S j / / j£~ - S^~fL>>1i£,4J J J if -i ^Jj^n I ^~*L~JL- /^ CJ ds ** s* ,J d * sTTTj J SPECIAL CONDITIONS APPLICATION ACCEPTED BY PLANS CHECKED BY APPROVED F0R ISSUANCE BY / THIS PE TION A CONST PERIOC MENCE 1 HEREAPPLICALL PFTYPE CHEREICPRESUIPROVISCONST ft^A^ £'^JT NOTICE V •RMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC- UTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IFAUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A » OF 120 \pAYS AT ANY TIME AFTER WORK IS COM- D BY CERTIFY THAT 1 HAVE READ AND EXAMINED THISATION AND KNOW THE SAME TO BE TRUE AND CORRECTIOVISIONS OF LAWS AND ORDINANCES GOVERNING THIS)F WORK WILL BE COMPLIED WITH WHETHER SPECIFIED4 OR NOT. THE GRANTING OF A PERMIT DOES NOT*E TO GIVE AUTHORITY TO VIOLATE OR CANCEL THEIONS OF ANY OTHER STATE OR LOCAL LAW REGULATINGRUCTION OR THE PERFORMANCE OF CONSTRUCTION SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) //V ) ti S' (~~ /s~S *f*// i, . v\ y fi -i «^se^ fa* ft' * \ s 5 C IfMItt PERMIT FEES \ No / / Type of Fixture or Item WATER CLOSET (TOILET) BATHTUB LAVATORY (WASH BASIN) SHOWER KITCHEN SINK & DISP DISHWASHER LAUNDRY TRAY CLOTHES WASHER WATER HEATER URINAL DRINKING FOUNTAIN FLOOR— SINK OR DRAIN SLOP SINK GAS SYSTEMS NO OUTLETS WATER PIPING 4. TREATING EQUIP WASTE INTERCEPTOR VACUUM BREAKERS LAWN SPRINKLER SYSTEM SEWER CESSPOOL SEPTIC TANK * PIT PERMIT S ' TOTAL FEE S Fee $ / / z 5"£ 5 f 3<L Ts T) o \ ? \ N t y "7 WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT PLAN CHECK VALIDATION CK.MO CASH PERMIT VALIDATION CK MO CASH INSPECTOR 79-359.5 INSPECTION REPORTS DATE ITEM REMARKS INSPECTOR • USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC