HomeMy Public PortalAbout5440 RYLAND AVE_Plumbing__ 76&66.7 4P6$17 7-51 APPLICATION FOR PERMIT
.I.BDIRARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
o WILLIAM J. FOX, CHIEF ENGINEER PLUMBING 1
FO APPLICANT TO FILL LN,,y D75TRI13T NO. GROUP I ZONE
PERMIT N13.
PLUMBER I L' READY FORRECBY FIRST INSPECTION ID�A�TE/a ISSUED,
ED
,
BUILDING
TSS
. TEL No. r ADDRESS S-
LICENSE NO, oC S _ ® EXPIRES m �P� LOCALITY
NEAREST
PERMIT FEES CROSS BT.
NUMBERTYPE OF FIXTURE OR ITEM FEE OWNER --
- - - - - -MAIL -
WATER CLOSET(TOILET) Q 0.50 111 610 ADDRESS
BATH TUB @ 0.50 1.`i lb CITY TEL. NO
SHOWER 0 0.50 �1 --j HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) 0 0.50 J V ICAT113H AND STATE THAT THE A313VE 18 CORRECT
ANDLAGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK @ 0.50 AND STATE LAWS REGULATING PLUMBING.
I CERTIFY THAT 1 POSSESS THE ABOVE 3(AALID LOS
LAUNDRY TUB OR TRAY Q 0.613 ANGELES COUNTY LIC SE. OR 1 AM THE L GAL OWNER
rr�� � OF THE RESIDENTIAL OPERTY DESCRIBE /K(BO�E.
GAS SYSTEMJOUTLETS 0.50
SIGNATURE or IAJ
WATER HEATER 0.50 PERMITTEE. _a
SLOP SINK @ 0.50 IPiSPECTIO RECORD
FLOOR BINK 0 0.50
FLOOR DRAIN ! 0.50 SZ
DISHWASHER ! O.'60
DRINKING FOUICrAIN 0 0.50 ow G
URINAL ® 0.50Q
HOUSE SEWER O.BO T G g- Z
MISCELLANEOUS 2
Li 000 490WAX ar 0:
p�arA M O
9-
APPROV LS
DATE INSPECTO -B NAME
ROUGH PLUMBING
GAB PIPING
GAB VENT
CESSPOOL Q 1.00 CESSPOOL
SEPTIC TANK? LSEP"T-113 TANK
DRAIN ( ) PIT ( ) @ 1.00 ER
PERMIT 1.00 TEST
UTILITY CO.NOTIFIED
TOTAL FEE S 40,4D G.. I?
FINAL �..`
76A667-CE0617 2-66WJ
W Jam'
APPLICATION F R PLUM NG PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING 0
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS
COLEMAN W. JENKINS. SUPT. OF BUILDING
LOCALITY L �JfT
FOR APPLICANT TO FILL Di CNEAREST
OSS T
T.
NUMBER FIXTURE OR ITEM EACH FEE
OWNER
WATER CLOSET $1.25 MAIL r
BATH TUB ' 1.25 ADDRESS J AA4Q
SHOWER 1.25 CITY TEL. NO.
LAVATORY 1.25 CONTRACTOR Awelu
SINE 1.25 ADDRESS
DISHWASHER 1.25 CITY " TEL. NOd5� a.
LAUNDRY TUB 1.25 STATE LIC
LICENSE'NO. 91 7 CLASS
CLOTHES WASHER 1.25 DISTRICT NO. GROUP ZONE PROCESSE BY
WATER HEATER 1.50
GAS.SYSTEM_,OUTLETS 1.50 IND STRIL
T APPROVAL C
OUTLETS OVER 5 PER SYSTEM AD v
INSPECTION RECORD
CD
W
CL
h
Z
APPROVALS DATE INSPECT R'S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK r1
TOTAL FEE
ROUGH PLUMBING
0
GAS PIPING
1 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
PLUMBING. HOT WATER HEATER
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING_FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND. STATE OF GAS TEST
CALIFORNIA OR THA AMTH EGAL OWNER OFA TEND TO
RESIDE IN,THE ABOV E8CR1 D RESIDENTIAL PROP Y. UTILITY CO.NOTIFIED
SIGNATURE
OF PERMITTEE
FINAL
W'=&Tz
AIMATION JACK R.ALLEN
CK.
M.0. CASH SUPERVISING MECHANICAL ENGIR.
[X-0.9364 JUL 31 " 5 D. 6.4 ON CQ.
o `
jag
7TBA667 (CE-817)r ?j!'%r,46-,'`1.,,/j'. ti°f�• .4 I•.t._�. �..'�. w ./
AMP,LI;C .101 �� ' rP UMBING PERMIT
COU1'�i'-�OI<'�IOS A1IIGELES;;
Nl .. . ,. �
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
61AKE CHECKS PAYABLE TO: ADDRESS ✓w;j
'HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY
FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST
NUMBER FIXTURE OR ITEM @ FEE CROSS ST.
WATER CLOSET 1,75 OWNER
MAIL
BATH TUB' 1.75 ADDRESS
A 10-
SHOWER 1.75 CITY TEL. NOS 15j51jV'
LAVATORY .1.75 CONTRACTOR
SINK 1.75 ADDRESS � ZQ
DISHWASHER 1.75 CITY TEL. NO.,
IgV
CLOTHES WASHER 1.75 STATE pLIC
LICENSE NO. o�f�0 CLASS
SWIMMING POOL RECEPTOR 1.75
DISTRICT NO. GROUP E PR CESSED BY
LAWN SPRINKLER SYSTEM 1.75 ���
WATER HEATER 1.75 INDUSTRIAL.
WASTE APPROVAL
GAS SYSTEM OUTLETS 1.75 INSPECTION RE D' v
OUTLETS OVER
5 PER SYSTEM .30CD
Tjr/ CD
LILA
n
H
Plan check fee See Reverse
PLUMBING PERMIT ISSUING FEE $ 3 00
TOTAL FEE' F
Plan check applicant APPROVALS DATE I.NSPECTOR`S SIGNATURE
UNDER SLAB,WORK
Name ROUGH PLUMBING
Address GAS PIPING
City Tel. NO. GAS VENT
HOT WATER HEATER
1HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THEABOVE 15 CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES ,,,�5
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. GAS TEST
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED
LICENSEDAS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALI.FO R N I A OR THAT I AM THE LEGAL OWNER OF, AND INTEND'TO
RESIDE IN THE ABOVE DESCRIBED�$ESIDENTI L PROPER FINAL
U
SIGNATRE ' r
OF PERMITTEE
PERMIT VALIDATIONcK. M.O. CASH
PLAN CHECK VALIDATION CK. M.O. CASH
i 9 0 PdOV 5 D r 4.7 5 ,A28
76A667 (CE-817)-8-71 y or Te_ Ptb 0 r y
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING r//c/
BUILDING AND SAFETY DIVISION ADDRESS
LOCALITY LV l f T
FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST ��/ C
CROSS ST. C��
NUMBER FIXTURE OR ITEM FEE- ,/
OWNER Y J
WATER CLOSET 1.75 '/ ,,)
MAIL (f (,1U Ll��'"/
BATH TUB 1.75 ADDRESS
SHOWER 1.75 CITY ( j7- TEL. NO. -s 10
ICS
LAVATORY 1...75 CONTRACTOR A
SINK 1.75 ADDRESS �o a
DISHWASHER 1.75 CITY TE NO.14A- 7a
CLOTHES WASHER 1.75 STATE IfLIC
SWIMMING POOL RECEPTOR 1.75 LICENSE NO. a-1 I (� CLASS
DIST IC GRO NE OCES D B
LAWN SPRINKLER SYSTEM 1:75 F n "'
WATER HEATER 1.75 ` 7� INDUSTRIAL
WASTE APPROVAL
GAS SYSTEM OUTLETS 1.75 INSPECTION RECORD
OUTLETS OVER 30 O
5 PER SYSTEM
V
W
d
y
a
[Addrpss
eck fee See reverse.
UMBING PERMIT ISSUING FEES 3 00
TOTAL FEE
APPROVALS DATE INSPECTOR'S SIGNATURE
eck applicant ..UNDER SLAB WORK
ROUGH PLUMBING
GAS PIPING
City Tel. No. GAS VENT
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER
AND STATE THAT THEABOVE IS CORRECT AND AGREE TO COMPLY � PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST
PLUMBING.
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED -
LICENSEDAS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF; AND INTEND TO 1 All
RESIDE IN THE ABOVE DE5C (BED IDE AL PROPERTY. FINAL
SIGNATURE •
OF PERMITTEE—
PERMIT
i
PERMIT VALIDATION cK. M..O. CASH
PIAN CHECK VALIDATION CK. Irt. CASH ALIG
.? 7 3 124 " 5 5
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUKCING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0407200010
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA. 91780
PHONE: (621) 255-0488 EXT:
LEGALID: F S PAID � ----B-FI LDING ADDR SS:
ON FILE 5440 RYLAND AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802721
ASSESSOR INFORMATION NU.BER: NEAREST CROSS STREET: DAINES
8586-025-022 01 PERMIT ISSUANCE FEE. 27.75 THOMAS PAGE: 597 GRID: B3 LOCALITY: TEMPLE CITY, C
47 WATER HEATER(S) 1.00 WTH 16.20 _
TENANT: TOTAL FEES 43.95 ISSUED ON: PROCES—SSED 3BY: P EXPIRES N
07/20/04 ,.'K 01/16/05
OWNER: TEL. NO: FINAL DATE FINAL BY: CODE:
HUANG, WEI SHAN (626) 579-6576-
5440 RYLAND AV
TEMP 917802721 DE CRI TI N OF WORK
RELOCATE WATER HEATER
APPLICANT: E K0--
SAME AS OWNER
SPECIAL CONDITIONS:
CONTRACTOR: TEL. N0: _ - APPROVALS DATE INSPEC'IOn SIGNATURE'
SAME AS OWNER
LIC. NO UNDER SLAB WORK
WATER SERVICE
(PLASTIC Y/N METAL Y/N
A�ITEC OR ENGINEER: TE O:
LIC.-NO;
OUGH PLUMBING _
(Gk5 VEkT
OT WATER HEATER
R7 RBI G FIXT URE9
LAWN SPRINKLER9
GAS TEST -'
UTILITY COMPANTWOT 1 FT-0
CWV
GRAY WATER SYSTEM
REPORT ID: DPR263 ROUTE TO: BS0508
76667 4)St?if7 7-61 APPLICATION FOR Y1iMi-1"
-DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
_WILLIAM J. FOX, CHIEF ENGINEER
FO APPLICANT TO FILL IN DISTRICT P ZONE
Ll
PLUMBER ./ /' � /i:7 ' RECEI ED BY READY FOR DATE ISSUED
FIRBT INSPECTION
ADDRESS / �� �
BUILDING ��/ 0
CITY TEL No. / ADDRESS T
COON LICENSE NO. 47-1-A 'hk� EXPIRES C� /.��� LOCALITY -
NEAREST
PERMIT FEES CROSS STT
NUMBER TYPE OF FIXTURE OR ITEMFEE OWNER /
-MAIL -
WATER CLOSET(TOILET) Q 0.50 ADDRESS
BATH TUB Ila 0.50 CITY TEL -2
SHOWER 0 0.50 -I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
LAVATORY (WASH BASIN) 0 0.50 J-a APPLICATION AND STATE THAT THE ABOVE 18 CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK 0 0.50 AND STATE LAWS REGULATING PLUMBING.
I CERTIFY THAT 1 POSSESS THE ABOVE E�((ALID LOS
LAUNDRY TUB OR TRAY Q 13.913 ��D ANGELES COUNTY LIO BE. OR 1 AM THE LEC BL OWNER
GAS SYSTE�UTLETS 0 0.50 OF THE RESIDENTIAL OPERTY DE8CRIBE� ABOVE.
�1 SIGNATURE Or
/
/ WATER HEATER 4b 0.50 PERMITTE
SLOP SINK @ 0.50 INSPECTIOeRECORD 1,7
FLOOR SINK 13.90
/ $ L
FLOOR DRAIN Q 0.60
DISHWASHER O.'6O / O �q Ir- a Q v
DRINKING FOUKTAIN 0.50 "c q?--Aar-t--
URINAL
?--AGt--URINAL ® O.BO ff.pe- 1-eu . Q
HOUSE SEWER Q 0.50 -7 /G .eAG. Z
MIBOELLANEOUB 0
e3 a PO plJ C"..abRi-gyp �
17
Zg
APPROV LS
DATE INSPECTO 'B NAME
ROUGH PLUMBING
GAS PIPING
GAB VENT
CESSPOOL CESSPOOL
SEPTIC TANK. SEPTIO TANK
DRAIN ( ) PIT ( ) 1.00 SEWER
PERMIT . . . . . . p BAS TEST
TOTAL FEE '® UTILITY CO.NOTIFIED
, t� �j
c� _ FINAL `� F'
75A667-CE#617 2-66 �J
ry
APPLICATION F. R PLUM NG PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND. SAFETY DIVISION BUILDING O
JOHN A. LAMBIE. COUNTY ENGINEER
COLEMAN W. JENKINS. SUPT. OF BUILDING ADDRESS
LOCALITY
FOR APPLICANT TO FILL IN NEAREST T.
NUMBER FIYTURE OR ITEM EACH FEE
OWNER
WATER CLOSET $1.25. MAIL
BATH TUB 1.25 ADDRESS
SHOWER 1.25 CITY /J / ITEC.NO.
LAVATORY d1.25
QONTRACTOR f
SINS ADDRESS �K
DISHWASHER COY �� TEL.NO5� Q
STATE LIC
LAUNDRY TUB LICENSE NO. 71V- CLASS
CLOTHES WASHER 1.25 , DISTRICT NO. GROUP ZONE-1 PROCESSE BY
WATER HEATER 1.50 sINDUS
GAS SYSTEMOUTLETS 1'M WASE APP
ZROVAL a
OUTLETS OVER 5 PER SYSTEM .90 d CD
INSPECTION RECORD v
CD
_ W
d
N
Z
APPROVALS DATE INSPECT R'S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK
TOTAL FEE
ROUGH PLUMBING
GAS PIPING
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT ��V32
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. HOT WATER HEATER
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THA AM TH EGAL OWNER OF,A END TO
RESIDE IN,TMEABOV ESCRI D RESIDENTIAL PROP r. .UTILITY CO.NOTIFIED
SIGNATURE
OF PERMITTEE
- FINAL
ALIDATION JACK R. ALLEN
CK.
M.0. CASH SUPERVISING MECHANICAL ENGIR.
9864% JUL31 5 D_ 6.0 0- a
o
76AG67 CE-817 r<�`fx .�Sy .•+-.ai.,'��.-.i. `' /yam/�/y/ 'S
piv 4,
UMBING PERMIT
COUN't-y--O�•AS—AN,GEI;ES -,s„
DEPARTMENT OF COUNTY ENGIIIEER�' —
BUILDING AND SAFETY DIVISION
MAKE CHECKS PAYABLE TO; BUILDING C
ADDRESS
HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY
FOR APPLICANT TO FILL.IN (PRINT OR TYPE) NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM FEE -
WATER CLOSET 1.75 OWNER
MAIL
BATH TUB 1.75 ADDRESS
SHOWER 1,75 CITY TEL. NO,
LAVATORY 1.75 CONTRACTOR
SINK 1.75 ADDRESS 2Q�
DISHWASHER 1.75 CITY ' TEL. NO.
CLOTHES WASHER 1.75 STATE �l`�y LIC
LICENSE NO. /�" CLASS
SWIMMING POOL RECEPTOR 1.75
DISTRICT.N'O. GROUP E PR CESSED BY
LAWN SPRINKLER SYSTEM 1..75
WATER HEATER 1.75 INDU`STRRIAL
WASTE APPROVAL
GAS SYSTEM OUTLETS 1.75 INSPECTION RE D CD
OUTLETS OVER .3b C
5 PER SYSTEM
W
d
- h
Plan check fee See Reverse
PLUMBING PERMIT ISSUING FEES 1 31 00
TOTAL FEE
APPROVALS DATE INSPECTOR'S SIGNATURE
Plan check applicant UNDER SLAB.WORK
Name ROUGH PLUMBING
Address GAS PIPING
City Tel. No.. GAS VENT
HOT WATER HEATER
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES �S }
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. GAS TEST
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED
LICENSED AS REC(UIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO
RESIDE IN THE ABOVE DESCRIB/EDJ�ESIDENTI L PROPER FINAL ��7�•//0 u>..�
SIGNATURE
OF PERMITTEE (C,
PERMIT VALIDATIONCK. M.O. CASH
PLAN CHECK VALIDATION CK. M.O. CASH.
1 9 0`NOV 7 5 D r 4.7 5 osb
76A667 (CE-817)-8-71
e/r' y-
or T-e-mptu airy
APPLICATION FOR PLUMBING PERMIT {�
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING BUILDING AND SAFETY DIVISION %� Lb Q,TFOR APPLICANT TO FILL IN (PRINT OR TYPE) � V
NUMBER FIXTURE OR ITEM @ FEE-
OWN ER
WATER CLOSET 1.75
MAIL — `YO
BATH TUB 1.75 ADDRESS
SHOWER 1.75 CITY '(��, IY- TEL. NO -s(r8
LAVATORY 1.75 'CONTRACTOR i �' 1 l er
SINK 1.75 ADDRESS .Q 47
DISHWASHER 1.75 �-
CITY j7' TEL. NO./�L/��-7�7a
CLOTHES WASHER. 1.75 STATE I LIC
LICENSE NO. CLASS
SWIMMING POOL RECEPTOR 1.75
DIST .IC GRO NEI .OCES D B
LAWN SPRINKLER SYSTEM 1.75 1
WATER HEATER 1.75 / 7s, INDUSTRIAL �-V� A
WASTE APPROVAL
GAS SYSTEM OUTLETS 1.75 INSPECTION RECORD V
OUTLETS OVER 30 O
5 PER SYSTEM
P
V
W
d
y
a_
Plan check fee See reverse.
PLUMBING PERMIT ISSUING FEE $ 3 00:
TOTAL FEE
APPROVALS DATE INSPECTOR'S SIGNATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
City Tel. NO. GAS VENT
1HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION HOT WATER HEATER .
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO .COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. GAS TEST
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED -
LICENSEDAS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL. OWNER OF; AND INTEND TO oe
RESIDE IN THE ABOVE DES T
BED IDE AL PROPERTY. FINAL
SIGNATURE
OF PERMITTEE.
PERMIT VALIDATIONcK. M.O. CASH
PLAN CHECK VALIDATION CK. ht. CASH "
L o? '731 AUG 24 . 5 D . .75-
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 rLUMhING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0407200010
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL D: FEES P I BUI DI IG ADDR SS:
ON FILE 5440 RYLAND AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802721
ASSESSOR INFORMATION NL'MBE NEAREST CROSS STREET: DAINES
8586-025-022 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: 93 LOCALITY: TEMPLE CITY, C
47 WATER HEATER(S) 1.00 WTH 16.20
TENANT: TOTAL FEES 43.95 ISSUED ON: PROCESSED -BY: P EXPIRES N:
07/20/04 JK 01/16/05
OWNER: TEL. NO: FINAL DATE FINAL BY: CODE:
HUANG, WEI SHAN (626) 579-6576-
5440 RYLAND AV
TEMP 917802721 DESCRIPTI N OF WORK
RELOCATE WATER HEATER
.APPLICANT: TEL. NO:
SAME AS OWNER
SPECIAL CONDITIONS:
CONTRACTOR: TEL. NO: �`- APPR VA S DATE INSPECTOR SIGNATURE
SAME AS OWNER -
LIC. NO UNDER SLAB WORK
WATER IPLASTICEY/NCEMETAL Y/N
ARCHITEC OR ENGINEER: EL. 0: - ROUGH PLUMBING
I..IC. NO;
GAGES f VI-NrG--
_ �
HOT WATER W ER H TER
PLUMBING FIXT RE9
UAWN SPRINKLERS
GAS TEST
UTILITY COMPA i N7T1fft-5i
CWV
GRAY WATER SYSTEM
I
REPORT ID: DPR263 ROUTE TO: BS0508