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HomeMy Public PortalAbout9575BISBY ST_Plumbing (4) APPLICATION FOR PLUMBING PERMIT COUNTY OF LOSANGELES DEPARTMENT OF COUN�'Y ENGINEER BUILDING AND SAFETY DI MION BUILDING MAKE CHECKS PAYABLE TO: ADDRESS Gia' �� 73).Sb tj HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY TP_M P� FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST Ik yd CROSS ST. NUMBER FIXTURE OR ITEM 0 FEE 2 OWNER WATER CLOSET00 MAIL BATH TUB 00 ADDRESS , SHOWER .00 CITY TEL. NO. LAVATORY 2,0 CONTRACTO © Lp SINK 2, ADDRESS DISHWASHER 2 CITY TEL NO. CLOTHES WASHER 00 STATE LIC LICENSE NO, CLASS SWIMMING POOL RECEPTOR40 DIST R N ORO P NE CESSSED BY LAWN SPRINKLER SYSTEM ,00 2 � WATER HEATER ��gTglq� WASTE APPROVAL GAS SYSTEM OUTLETS 2 INSPECTION RECORD S OUTLETS OVER S PER SYSTEM 90 O Lu W Plan check fee Soo RGvor.e PLUMBING PERMIT ISSUING TEE 8 Ey TOTAL FEE APPROVALS DATE INrP[c•roR•e nGNATUR[ Plan check eppl Icant UNDER SLAB WORK Name 114fiLl ROUGH PLUMBING Address GAS PIPING City Tel. O. GAS VENT HOT WATER HEATER I HEREBY CKNOWLEDGE THAT HAVE READ -TEAS APPLICATION AND STAT[ THAT THEAGOVE I. CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES WITH ALL COUNTY 0RDINANG[S AND [TAT[ LAW[ RE,ULATING GAS TEST PLUMBING. I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AMD/OR UTILITY CO. NOTIFIED LICENSED AS R90UIRED BY LOS ANGELES COUNTY AND STATE OF CAL(BORN IA OR THAT I AM THE LEGAL OWNER'or, FGF@ mr[ND TO RESIDE IN THE AGOVE DESCRIBED RESIDENTIAL PAOPERTY. FINAL SIONAfiU RE OF PERM PERMIT VALIDATION CK. M,O: CATH PLAN CHECK VALIDATI N CK. M.0. CASH 6 2 0 6 5-`D ��,/ 7.5 0 � �atav