HomeMy Public PortalAbout9576BISBY ST_Plumbing 78 A 887—CIE 817 8/88
APPLICATION FOR PLUMBING PERM T
' COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINM
BUILDING AND SAFETY DIVISION
ADDIM
JOHN A. LAMBIE. COUNTY ENGINEER
COLEMAN W. JENKINS. SUPT. OF BUILDING yOCAyrr=
FOR APPLICANT TO FILL IN CPR XT OR TYPE IILA MT
Clow 6i.
NUMBER FIXTU RG OA ITEM EACH FEE
O
WATER CLOSET 1.50
BATH TUB 1.50 ADDEM
SHOWER 1.50
LAVATORY 1.50 C0117IACrOR
SINK 1.50 ADDRELl6
DISHWASHER 1.50 CITYTEL NO ^�
CLOTHES WASHER 1.50 STATE -
LIC
LICENSE NO �Iljf CLAD45
3WIME[ING POOL RECEPTOR 1.50 fWrAZnM71
CT NO. _ G [ r D
LAWN SPRINKLER SYSTEM 2.00 WATER HEATER 1.50 LPROVAL CD
GAS SYSTEM OUTLETS 1.50 DMPE=OA RECORD.
OUTLETS OVER .30
5 PER SYSTEM Z
Plan check fee 25% of above. See reveree.
PLUMBING 'PERMIT ISSUING FEE f 2 00
TOTAL FEE
APPROVALS DATE IHSr[CTOR'a SIGNATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
GAS VENT
City Tel. No. HOT WATER HEATER
1 H[RaY ACKNOWLSDCM THAT 1 HAV[ R AD THIS APPLICATION
AHD [STATTHAT TK[ AROV1 IS CO"ALCT AND AGRId
SI TO COr LY PLUMBING FIXTURES
WITHALL COUNTY ORDINA"CRA AND STAT[ LAWS PK6ULATINa GAS TEST
rLU McINO.
I HGOY TIF
CIIIY THAT 1 AM rROT[RLT RK01rMWID ANDI07t UTILITY CO. NOTIFIED
LICKNSSD AS IILQUII® NY LAS Ali iL�LSLSi S COUNTY AND STAT[ Of
CAUFORN IA OR THAT I AM TH[ L[ OW NIR O ,AND INTEND TO
RSII DS IN.TFT[A10Y[ AL r FINAL 11151,71
SIGNATURE =_ JACK R. ALLEN, DUPHRV191N6 HANK AL BN G'R.
OF r[RMITTAS
PERWr VALIDATION cK M.O. CAI.
PLAN CHECK VALIDATION CK. M.O. CASH
I Ar- 8 3 6 6 JAN 15 5 D 3.5 0 9