HomeMy Public PortalAbout9030 ACASO DR_Plumbing_9/2/1970_gas syst, outlets 76,A 667,—CE 817 8/68 A
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APPLICATION FOR PLUMBING PERMIT
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 21,Z—
FOR APPLICANT TO FILL IN (PR NT OR TYPE) NEAREST dt-- / /y
CROSS ST. c--,) / !/
NUMBER FIXTURE OR ITEM EACH FEE
OWN i _5- 7017
WATER CLOSET 1.50
BATH TUB 1.50 ADDRESS D 3 e $ O
SHOWER 1.50 CITY G L. NO, S�
LAVATORY 1.50 CONTRACTOR S•�_ ��
SINK 1.50 ADDRESS S' 5 r d
s
DISHWASHER 1.50 CATE /� �/� L. NO. � —y��
CLOTHES WASHER 1.50 LICENSE NO.,��O �/ 3 CLALICSS C-iC
SWIMMING POOL RECEPTOR 1.50 DISTRICT NO. GROUP Z E P O SSED BY
LAWN SPRINKLER SYSTEM 2.00 5; `? / 0
WATER HEATER 1.50 INDUSTRIAL V
WASTE APPROVAL
0
GAS SYSTEM / OUTLETS 1.50 / O INSPECTION RECORD V
OUTLETS OVER 3G d
5 PER SYSTEM
N
Z
Plan check fee 25% of above. See reverse.
PLUMBING PERMIT ISSUING FEE 8 2 00
TOTAL F'EE
APPROVALS DATE INSPECTOR'S SIGNATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
GAS VENT
City Tel. No. 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 71
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST
PLUMBING.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I A THE LEGAL OWNER OF,AND INTEND TO
RESIDE IN, THE ABOVE DE HE RESIDEN P ERTY. FINAL
SIGNATURE JACK R. ALLEN, SUPERVISIN CH ANIC AL EN G'R.
OF PERMITTE
PERMIT VALIDATION cK. M.O. CASH
PLAN CHECK VALIDATION CK. M.O. CASH 02
4 r (', 65 94,c-::' SEP 2 5 D 3.5 0"