HomeMy Public PortalAbout6012 BURTON AVE_Plumbing__ 76!667A
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APPLICATION FOR PLUMBING PERMIT
r. COUNTY OF LOS ANGELES BUILDING ND SAFETY
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FOR APPLICANT TO FILL IN(PRINT OR TYPE) . BUILDING/^I O Q
I•J Yoe To W't
NUMBER FIXTURE OR ITEM ® FEE ADDRESS U
WATER CLOSET LOCALITY S4 N A b Q I - L
NEAREST
BAN TUB CROSS Si.
SHOWER OWNER ChA ALE-5
LAVATORY MAIL s7 T
ADDRESS& CT�uC �p/ CK7 [y
SINK CITY�q� G �,k^ L TEE1.NOg)$5-,F,96
DISHWASHER CON TRACTOR/ IdD AUS .y
o
/• 9
CLOTHES WASHER ADDRES J x SA &A B
SWIMMING POOL RECEPTOR CITY�.4o C-T elLE.L TEL NOP b
LAWN SPRINKLER SYSTEM STATE �j rr / LICQ
WATER HEATER LICENSE NO. �7OJ" / CLASS B1
GAS SYSTEM OUTLETS •7 APPROVALS DATE INSPECTOR S SIGNATURE
OUTLETS OVER -ems UNDER SLAB WORK
5 PER SYSTEM ROUGH PLUMBING �.
GAS PIPING d
GAS VENT V
HOT WATER HEATER 0
PLUMBING FIXTURES
Plan check fee UTIUTY CO.NOTIFIED 8
PLUMBING PERMIT ISSUING FEE b �'�
TOTAL FEE FINAL L. 1•L I ���
Plan check appllmnr - PLAN CHECK VALIDATION ���E
Nome 1
Address X/2 9w AVp F 7p
City A B Tel. No.'VtO DN
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE
THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
AND STATE LAWS REGULATING PLUMBING. PERMIT VALIDATION p p
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR LICENSED AS C 4:7 pGp A1 1
REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA ON THAT 1 AM THE
LEGAL OWNER OF,AND ND TO RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL # 0 0 O O 05
PROPERTY.
SIGNATl1RC+ ' 0 0 1 600
�. OF PER b00�
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DISTRICT NO. GCESSED BY
S �l�,x`yLk
0604-79
INDUSTRIAL - '
WASTE APPROVAL