HomeMy Public PortalAbout6267 AVON AVE_Plumbing_9/21/1976_swimming pool receptor, gas system, pool pump 76 A667C (CE-8178) -976
APPLICATION FOR PLUMBING PERMIT
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN (PRINT OR TYPE) BUILDING DD
NUMBER FIXTURE OR ITEM @ FEE ADDRESS I LCA
WATER CLOSET LOCALITY
NEAREST
BATH TUB CROSS ST. /
SHOWER OWNER /f (/
MAIL
LAVATORY ADDRESS 2�
SINK CITY NO.
DISHWASHER CONTR T
ct i
CLOTHES WASHER
ADD
RES
SWIMMING POOL RECEPTOR _ _1
Gw CITY TEL. NO.
LAWN SPRINKLER SYSTEMSTATE
/r7
WATER HEATER L C NSE NO. / / CLASS C)
O
GAS S E LETS DISTRICT NO. R
GOUP ZONNnE P O SED BY
OUT ET VER O /L ""'+�r7�+ O
5 P STEM INDUSTRIAL
WASTE APPROVAL
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INSPECTION RECORD
1
Plan check fee
PLUMBING PERMIT ISSUING FEE $
TOTAL FEE
Plan check applicant
Name APPROVALS DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK
Address ROUGH PLUMBING
City Tel. No. GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING.
I HEREBY�,T T IYRI
ERLY REGISTERED AND/OR
PLUMBING FIXTURES
LICENSED ASVIREO LS COUNTY AND STATE OF GAS TEST -�y7
CALIFORNIAHAT I THWNER OF, AND INTEND TO
RESIDE IN OV ES IBTIAL PROPERTY. UTILITY CO. NOTIFIED
SIGNA U /C� 4OF M v i FINAL 3-t q"77 /AW 0V
v
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.0. CASH
27 ` ' S ' 21. 5' 0 13.50 A98