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HomeMy Public PortalAbout6037 AVON AVE_Plumbing_4/16/2000_gas system CE 8e71REV.6/78) ©S APPLICATI®IV ®R PLUMBING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING 6037 AVON AVE. ADDRESS NUMBER FIXTURE OR ITEM @ FEE WATER CLOSET LOCALITY ` PL+ CITY NEAREST BATH TUB CROSS ST. T �T�T SHOWER OWNER [PLANK, OaTA LAVATORY MAIL �7Ly11:, ADDRESS . SINK CITY MgPLE CITY TEL.N0. 9_7982 DISHWASHER CONTRACTOR TRANE HCC CLOTHES WASHER ADDRESS 2034 N. PECK RD. SWIMMING POOL RECEPTOR LAWN SPRINKLER SYSTEM CITYS. TEL.NO 57 STATE LIC. WATER HEATER LICENSE NO. [•_ CLASS _ GAS SYSTEM OUTLETS APPROVALS DATE INSPECTOR'S SIGNATURE OUTLETS OVER UNDER SLAB WORK 5 PER SYSTEM ROUGH PLUMBING GAS PIPING 6 GAS VENT HOT WATER HEATER 29 Qp PLUMBING FIXTUR� GAS TEST Plan check fee UTILITY CO.NOTIFIED PLUMBING PERMIT ISSUING FEE$ 7 00 j o TOTAL FEE 10 00 FINAL v PLAN CHECK VALI ATION Plan check applicant N Name Address /J i34p -179922A City Tel.No. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE 11 O O THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. PERMIT VALIDATION ? ;> U 0 0 0 1 HEREBY CERTIFY THAT I AM PROPERLY R I ERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STAT OF ALIF NIA OR THAT AM C (' � 0LEGAL OWNER OF,AND INTEND TO RESI IN HE B ESCRIBED RESID AL PROPERTY. C' L. 0 SIGNATURE OF PERMITTEE DISTRI O. ROCESSED BY - , �j � A INDUSTRIAL WASTE APPROVAL