HomeMy Public PortalAbout9445 LAS TUNAS DR_Plumbing_7/11/1974_Rustler Steak House water fixtures 76A667 (CE-817) - 5/73 _
APPLICATION FR PLUMBING =PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
MAKE CHECKS PAYABLE TO: BUILDING,,
ADDRESS �`J /'�}S, Z�'-S ' ar. .
HARVEY T. BRANDT, COUNTY ENGINEER w
LOCALITY '
FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST
CROSS ST. V
NUMBER FIXTURE OR ITEM @ FEE i
OWN
r. WATER CLOSET 1.75
MAIL
BATH TUB 1.75 ADDRESS
SHOWER 1`,.75 CITYTEt.NO.
LAVATORY 1.75 �a CONTRACTOR �+� Vel JA1
SINK 1.75 ADDRESS A06
Ana Pr 5
DISHWASHER 1,75
CITY 4.TEL. NO. '
CLOTHES WASHER .1.75STATE LIC -
LICENSE NO. V_i�_/ x CLASS �r
SWIMMING POOL RECEPTOR 1.75
DISTRICT NO. 'GROUP ZONE' FRO ESSE BY
LAWN SPRINKLER SYSTEM 1.75 • ,) q �_L .�.!.
/- WATER HEATER 1.75 INDUSTRIAL �
WASTE,APPROVAL �"��� 7,l ��
GAS SYSTEM OUTLETS 1:75 INSPECTION RECORD V
OUTLETS OVER �-
5 PER SYSTEM 30 7-/d-�pr�i - )r
4 A64A-c A M.W O
7
Plan Check fee See Reverse
PLUMBING PERMIT ISSUING FEE $ 3' 00
TOTAL FEE
APPROVALS DATE INSPECT0R'5 SIGNATURE
Plan check applicant UNDER SLAB WORK
Name
ROUGH PLUMBING f
•� �" L� '
Address GAS PIPING ",r ��
City Tel. No.. GAS VENT
HOT WATER HEATER D_ •R
I HEREBY ACKNOWLEDGE THAT I HAVE READ' THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES Pa-'
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. GAS TEST
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED - o „
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATEOF .� ,
CAL:FO RNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO
RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL PRO P;R Tn FINAL
SI G N A T U RE
OF PERMITTEE
PERMIT VALIDATION. CK. M.O. CAS
HPLAN CHECK VALIDATION. CK. M.O. CASH
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9 7 o JUL 11 s u 5 5.5.0 eI