HomeMy Public PortalAbout5941 AVON AVE_Plumbing_3/15/1976_sink and gas system 76A667 (CE-817) - 1/75
APPLICATION FOR PLUMBING :PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
MAKE CHECKS PAYABLE TO: BUILDING
ADDRESS
HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY
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FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST
CROSS ST. o - /.'/ .c C_¢._ -..ec
NUMBER FIXTURE OR ITEM @ FEE
OWNERr
WATER CLOSET 2.00
MAIL 'l )
BATH TUB 2.00 ADDRESS �j/. �(J�l(�
SHOWER 2.0.0 CITY S' �l TEL. NO.
LAVATORY 2.00 CONTRACTOR
SINK 2.00 ADDRESS P 4c u
DISHWASHER 2.00 CITY TEL. NOtJWG 2!rX.S'�:
CLOTHES WASHER 2.00 STATE LIC
LICENSE NO. T7 CLASS
SWIMMING POOL RECEPTOR 2.00
DISTRICT NO.GRf1UPONE OC SED BY
f LAWN SPRINKLER SYSTEM 2.00 O� �_ 7OE
WATER HEATER 2.00 INDUSTRIAL
WASTE APPROVAL p
GAS SYSTEM Ts OUTLETS 2.00 INSPECTION RECORD U
OUTLETS OVER
5 PER SYSTEM .30 O
H
' U
W
CL
N
Plan check fee See Reverse
PLUMBING PERMIT ISSUING FEE $
TOTAL FEE (} Q
APPROVALS DATE INSPECTOR'S SIGNATURE
Plan Check applicant 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_FIXTURESWITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST
I
PLUMBNG.
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED V
LICENSED AS REQUIRED Y LO ANGELES COUNTY AN STATE OF -
CALIFORNIA ORTHAT 1 TH LEGAL OWN R OF, AN INTEND
TO
RESIDE IN THE ABOVE D CRI RESIDE PROPE FINAL
SI GNATU RE
OF PERMITTEE
PLAN CHECK LIDATION CK. M.0. CASH PEMIT VALIDATION CKMO: CASH
r7 0 MAR 15 5 0 10.50-A'�