HomeMy Public PortalAbout9538 BISBY ST_Plumbing__ 7bAbV;A '
CE 817(REV.II/78)
APPLICATION FOR PL M B ING PERMIT
COUNTY OF LOS ANGaIES BUILDING AND SAFIIETY
FOR APPLMC4 —
TO FILL IN(PRINT OR TYPE) BUILDING ^
ADDRESS I
NUMBER FIXTURE OR ITEM O FEE
LOCALITY
WATER CLOSET
NEAREST
BATF{TUB CROSSST. L
SHOWER OWN
LAVATORY MAIL
ADDRESS /
SINK CITY T
DISHWASHER CONTRACTOR
CLOTHES WASHER ADDRESS
SWIMMING POOL RE{EPTOR
CffY TEL NO.
LAWN SPRINKLER SYSTEM
STATE LIC-
WATER
ICWATER HEATER UCET,ISE NO. CLASS r
GAS SYSTEM OUTLETS A APPROVAL$ DATE INSPECTOR'S SIGKATURE
�,,,-,�Y��� V UNDf1t SLAB WORK
�SJ RD"PLUMBING
GAS PIPING 0
GAS VENT w
HOT WATER HEATER �0j
PLUMBING FIXTUR(S
GAS TEST ) n,
Plan check fee UTILITY CO.NOTIFIED T
PLUMBING PERMIT ISSUING FEE$ /
TOTAL FEE ANAL t
Plan chpplicont PLAN CHECK VALIDATION
Name
Address 3
City C� L = Tel.-No.
I HEREBY ACKNOWLEDGE THAT'I HAVE READ THIS APPLICATION AND STATE
THATTHE ABOVE LS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
AND STATE LAWS REGULATING PLUMBING. PERMIT VALIDATION ;Lw 9 1C.,C L !li
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AMD/OR LICENSLD AS -� f
REQUIRED BY LOS ANGELES COUNTY AMD STATE OF CAJ.JFORNIA OR THAT I AWTHE #I,0 0 0 0 • _
LEGAL OWNER Of.AND INTEND TO RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL
PROPERTY.
" 0 01Q00
SIGNATURE
OF PERMITTEE 0'0 e 1 (a 0 0
0 ; 7
INDUSTIA
R '
WASTE APPROVAL