HomeMy Public PortalAbout5817AGNES AVE_Plumbing (2) 79A ' ZE*817 10 67
APPLICATION FOR PLUM ING PE IT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER FNEAREST
LD[NGBUILDING AND SAFETY DMSION DRESS 817 A nes Avenue
JOHN A LAMBIE COUNTY ENGINEER
COLEMAN W JENKINS SUPT of BUILDING CALITY ;em le CltFOR APPLICANT TO FILL IN PR NT OR TYPE)
OSS Sr Tunas Blvd,
NUMBER FIXTURE OR ITEM EACH FEE
OWNER
WATER CLOSET 1 50 10 -A-rhodei
MAIL
BATH TUB 150 ADDRESS 5817 Amew Avenue
SHOWER 1 SO CITY TEL NO
LAVATORY 1 50 CONTRACTOR Antbc)ny T
SINK 1 50 ADDRESS Q
DISHWASHER 1 50 CITY TEL NO �Z
CLOTHES WASHER 1 50 STATE LIC
LICENSE NO CLASS
SWIMMING POOL RECEPTOR 1 50
DISTRICT NOG,.RgJOUP ZONE I P CESSED BY
LAWN SPRINKLER SYSTEM 2 00 �./v OU U D-
O
WATER HEATER 1 50 INDUSTRIAL CU
WASTE APPROVAL
CD
GAS SYSTEM OUTLETS 1 50 INSPECTION RECORD U
OUTLETS OVER uJ
5 PER SYSTEM 30 N
Z
Plan check fee 25% of above See reverse
PLUMBING PERMIT ISSUING FEE $ 2 00
TOT L FEE 3150 APPROVALS DATE INSPECTOR S SIGNATURE
Plan check app ant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
GAS VENT
C
ity el No HOT WATER HEATER -
'I
EBY ACKN LEDGE THAT I HAVE READ THIS APPLICATION
ATE THAT HE ABOVE 19 CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
LL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST
NG
EBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR UTILITY CO NOTIFIED
D AS REQUIRED BY LOS ANGELES COUNTY 9TATEOFNIA OR THAT I AM THE LEGAL OWINTENDTOIN THE ABO E RIBED RESIDENT/ P P Y FINAL
URE JACK R ALLEN SUPERVISIN CHANICAL ENG R
RMIT E /�
PERMIT VALIDATIO cK M 0 CASH
PLAN CHE16K VALIDATION CK M 0 C
7 G I I',,10 5 D .5.5 0--
s