HomeMy Public PortalAbout6007 AVON AVE_Plumbing_2/20/1973_ 76A667 (CE 617) 4/72
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING /L,/ v
MAKE CHECKS PAYABLE TO ADDRESS
HARVEY T BRANDT, COUNTY ENGINEER LOCALITY
FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST
NUMBER FIXTURE OR ITEM @ FEE CROSS ST
OWNER J1
WATER CLOSET 1 75
MAIL
BATH TUB 1 75 ADDRESS
SHOWER 1 75 CITY TEL NO
LAVATORY 1 75 CONTRACTOR &%
SINK 1 75 ADDRESSL) - e 2//!5,
DISHWASHER 1 75 CITY ,.4-ATEL NO
CLOTHES WASHER 1 75 STATE LIC
G,' S
SWIMMING POOL RECEPTOR 1 75 LICENSE NOCLASS '
DISTRICT NO , UP F CEkSSED BY
LAWN SPRINKLER SYStEM 1 75 5_ O� `'
WATER HEATER 1 75 INDUSTRIAL
WASTE APPROVAL
GAS SYSTEM OUTLETS 1 75 ' INSPEC COR U
OUTLETS OVER 30
5 PER SYSTEM O
rn CD
W
+ Z
Plan check fee See Reverse
PLUMBING PERMIT ISSUING FEE $ 3 00
TOTAL FEE Ar
I
Plan check applicant APPROVALS DATE INSPECTOR 5 SIGNATURE
UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
City Tel No GAS VENT
I HEREBY ACKNOWLEDGE THAT I 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
HEREBY CERTIFY THAT AM PROPERLY REGISTERED AND/OR UTILIC O NOTI IED
LICENSED AS REOUI RED BY LOTY S ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE L yAL OWNER OF AN INTEND TO
RESIDE IN THE ABOVE DESCRI D E IDENTIAL PROPER Y FINAL
SIGNA TU RE
OF PERMITTEE
PERMIT VALIDATION cK M . CASH
PLAN CHECK VALIDATION CK M 0 CASH
L 1 s 41., ta20 5 D ,C 50— 4a