HomeMy Public PortalAbout5320 PAL MAL AVE_Plumbing__ 76AW CE817 12/59
APPLICATION FOR PLUMBIN PERMIT
DEPto OF ANGn�
B -LATi1-�IE� O
H.yENOImvNBER .:20 •-
WILLIAM A JENSEN SUPT OP BUILDING f
POR APPLICANT TO PRS INCROSS Err
NUMBER FIXTURE OR ITEM WNO
WATER CLOOET AD,BATH TUB DDRESS
CRT NO
SHOWER �
LAVATOHT FUGIMITHATION
TRACTOR
r
HBDL r7//DISHWASHER NO b / y 8LAmmBT TUB NO 3 COUNTY
CLOTH88 W8� DIBTR �J GROUP ZONE PROC ED BY
WATER HEATER O O A -
GAS OYSTER RTDUSTRULL
WASTE APPROVAL
BTSPECTION RECORD
G0
W '
a
W OO9E�
BPRTUS / r�
APPROVALS A INSPECTOR S SIGNATURE
PERMIT S 2100 UNDER BLAB WORK
TOTAL FEE 0�0 ROUGH PLUMBING
GAS PIPING L
1 HEREBY ACENOWLEDOR THAT i HAVE READ TRIS APPLICATION
AND STATE THAT THE ABOVE 19 CORRECT AND AGREE TO COMPLY GAB VENT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING EHOT WATER HATER .I
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED OT LOBANO COUNTY ARO RATE OF GAB TEST
`
CALIFORNIA OR THAT 1 AM THE LE OP TB[ hem
DESCRIBED RESIDENT RO 1 UTILITY CO NOTIFIED
SIGNATURE
OF PERMI FINAL IO
m. OVA MATION ROBERT A WOOD
C[ R G Fj0 SUPERVISING MECHANICAL ENO R
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