HomeMy Public PortalAbout4829 AGNES AVE_Plumbing_5/12/1980_ ' 76A667A p '° '1` �. .` 'it -777
CE 817(REV 11%78) .°n•+ ' 'I •L r " • °ts` 1 t
" %APPL"ICATIONKF'OR`PLUMBING "PERMIT, n;
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°COUNTY OF LOS ANGELES' ". >~ BUILDING AND SAFETY. "� b
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NUMBER_ ` „F,IXTURE OR ITEM @ FEE LOCALITY I.
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, OWNER Falrbr ev n Corp
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LAVATOY QQ ADDRESS
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QQ CITY + t -" . J TEL''NO
DISHWASHER, CONTRACTOR"DOrsey `Plumbing Co.
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CLOTHES WASHER 3
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SWIMMING POOL RECEPTOR b S00'Paloma Ares - _-
' :ITY Le Verne �� Sp TEL N0599-0828'. . "
LAWN SPRINKLER SYSTEMSTATE'
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WATER HEATER _ ' ,• ?� QQ LIC NSE NO" lI 42'1 y+ CLASS B,'
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GAS SYSTEM ' , OUTLETS QQrROUGH
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PLUMBING FIXTURES
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Plan check fee "" t ' UTILITY-CO NOTIFIED `
PLUMBING PERMIT ISSUING FEE$ " "j QQ
TOTAL FEE r 43, 00 FINAL
Plan check applicant ' y PLAN yCHECK"VALIDATION
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Name J, R + ' ", _ It % a F ti
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Address
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City, , ` Tel No r
I'HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION-AND STATE '° • t
THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES - / °" A ` '40 0`^3 a'y'
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AND STATE LAWS REGULATING PLUMBING" �„ , ,, PERMIT VALIDATION ' " + • °I` '' r
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* 1 HEREBY CERTIFY THAT I AMrPROPERLY REGISTERED AND/OR LICENSED AS t 1� °j
REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA°OR THAT I AM THE 1 "' Y °, • 30b,
LEGAL OWNER.,OF AND INTEND TO RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL 2 • 4,f
PROPERTY `� + a " • _ A • .;� . 1 •`
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