HomeMy Public PortalAbout9030 ACASO DR_Plumbing_11/17/1969_washer, water heater, gas syst 6 F 667, —SCE 81-7 8/68
APPLICATION FOR PLUMBING PERM T
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS
COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY [1
FOR APPLICANT TO FILL IN (PR NT OR TYPE) NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEEJ
OWNER
WATER CLOSET 1.50
MAIL y
BATH TUB 1.50 ADDRESS Cy If
SHOWER 1.50 CITY TEL. NO.
LAVATORY 1.50 CONTRACTOR
SINK 1.50 ADDRESS - I
DISHWASHER 1.50 CITYrr� C— TEL. NO. ` 1
CLOTHES WASHER1.50 STAT LIC
LICE SE NO. (�� CLASS
SW1M1.1ING POOL RECEPTOR 1.50 DISTRICT NO. GROUP ZONE PROESSED BY
LAWN SPRINKLER SYSTEM 2.00 C7
� U
WATER HEATER 1.50 ! INDUSTRIAL Z
WASTE APPROVAL 2
GAS SYSTEM OUTLETS 1.50 5c� INSPECTION RECORD W
OUTLETSOVER d
5 PER SYSTEM .30 Z
I —
Plan check fee 25% of above. See reverse.
PLUMBING PERMIT ISSUING FEE S 2 00
1'pI:AL FEE APPROVALS DATE I 11141ECTOR'S SIGNATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
GAS VENT
L
Tel. No. HOT WATER HEATER
EBY ACKNOWLEDGE THAT I HAVE. READ THIS APPLICATION
ATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES ,
LL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST C 2
NG.
EBY CERTIFY THAT 1 AM PROPERLY REGISTERED ANDIOR UTILITY CO. NOTIFIED
D AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
NIA OR THAT I AM THE LEGYX
NER OF,AND INTEND TO /
IN,THE ABOVE DEG RI ED REIAL PROPERTY. S �j"�] .,�y
FINAL J I�/ wl..
UREERMITTEE / ✓ JACK R. ALLEN, SUPERVISING HANICAL ENG'R.
PERMIT VALIDATION CK. M.O. CASH
PLAN CHECK VALIDATION CK. M.0. CASH 7