HomeMy Public PortalAbout9063 ACASO DR_Plumbing_8/5/1974 `J b
76 A66. :X817) - 5/73
APPLICATION ` OR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
MAKE CHECKS PAYABLE TO: FBU DING ^ // �7
RESS e VC +_HARVEY T. BRANDT, COUNTY ENGINEERALITYFOR APPLICANT TO FILL IN (PRINT OR TYPE) REST
SS sT. �(Rf�lL Ci?.�S
NUMBER FIXTURE OR ITEM @ FEE OWNER Q �g
WATER CLOSET 1,75 ®> Gten v<Z-0 �'
,MAI L
BATH TUB 1,75 ADDRESS
SHOWER 1,75 CITY r TEL. NO. .' /
LAVATORY 1.75 CONTRACTOR
SINK 1,75 ADDRESS
DISHWASHER 1,75 CITY L. N0.
CLOTHES WASHER 1,.75 STATE LIC
LICENSE NO. CLASS
SWIMMING POOL RECEPTOR 1,75
DISTRIC,,I,N0. GROUP NE PROC SSED PY
LAWN SPRINKLER SYSTEM 1,75
WATER HEATER 1.75 INDUSTRIAL
WASTE APPROVAL }:
GAS SYSTEM OUTLETS 1.75 INSPECTION RECORD V
OUTLETS OVER 30
5 PER SYSTEM
O
f—
C.�
• W
Plan Check fee See Reverse
PLUMBING PERMIT ISSUING FEES 3 00
TOTAL FEE 7j
APPROVALS DATE INSPECTOR'S SIGNATURE
Plan Check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING :Lyk —T w Jjj�2riS�n d
City Tel. N0. GAS VENT
HOT WATER HEATER
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
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
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CAL I FORN IA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO
RESIDE IN THE ABOVE DES CR BED RESIDENTIAL PROPERTY. FINAL
SIGNATU RE
OF PERMITTEE^
PERMIT VALIDATION C M.O. CASH
PLAN CHECK VALIDATION CK. M.O. CASH
3 6 7 t--AUG5 5.1 0 4.7 5