HomeMy Public PortalAbout6132 BURTON AVE_Plumbing__ 76A6\67w �L
OE 617(REV 6/76) L11S
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APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL IN(PRINT OR TYPEI BUILDING
NUMBER FIXTURE OR ITEM ® FEE ADDRESS
WATER CLOSET LOCALITY
NEAREST
BATH TUB CROSS ST.
SHOWER OWNER
LAVATORY MAIL
ADDRESS
SINK CITY e7 • ` TEL.NO
DISHWASHER CONTRACTOR
CLOTHES WASHER ADDRESS
SWIMMING POOL RECEPTOR `
CIT . j�J, TEL.NO 1
LAWN SPRINKLER SYSTEM
STATE LIC.
WATER HEATER LICENSE NO,PIX9 bD CLASS
GAS SYSTEM OUTLETS APPROVALS DATE INSPECTOR SIGNATURE
OUTLETS OVER UNDER SLAB WORK
5 PER SYSTEM ROUGH PLUMBING
Y
GAS PIPING
O
GAS VENT V
HOT WATER HEATER p0p�
PLUMBING FIXTURES U
GAS TEST 1N
Plan check fee UTILITY CO.NOTIFIED
PLUMBING PERMIT ISSUING FEE S
TOTAL FEE FINAL h.
Plan check applito PLAN 61-61 C�K�VALILIDA ON
Nome P
Address C
Cityl I —' Tel.No. ��
IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE c 14 1.9 A
THAT IME ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
AND STATE LAWS REGULATING PLUMBING. PERMIT V LIDATION
gooQoo5
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS
REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE I O 01300
LEGAL OWNER OF,AND INTEND TO RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL
PROPERTY. ` ., O O O ' A 0 Q is
SIGNATUROFPERME I '
11.2078
DISTRI T N¢T: EAA
P CESSEQBY
INDUSTRIAL s.
WASTE APPROVAL -
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR.APPLICANT TO FILL IN IPRINTORTVPEI BUILDING
ADDRESS
NUMBER FIXTURE OR ITEM ® FEE LOCALIT Y�1 C.7 •( I �(
WATER CLOSET
NEAREST
BATH TUB CROSS ST,
SHOWER OWNER
LAVATORY - MAIL
ADDRESS V
SINK CITY TEL.NO
DISHWASHER CONTRACTOR J1i D`S
CLOTHES WASHER ADDRESS '��
SWIMMING POOL RECEPTOR
CIT is , TEL NO. co��l
LAWN SPRINKLER SYSTEM STATELIC.
WATER HEATER LICENSE NO. �D CLASS
GAS SYSTEM OUTLETS 3 READ CONDITIONS BELOW
OUTLETS OVER THIS FORM WHEN PROPERLY MACHINE VALI-
SPER SYSTEM DATED BELOW IS A PERMIT TO DO THE WORK
DESCRIBED. C
Perri is hereby authorized to install the Plumbing V
os
shown, in with provisions of Ordinance W
No. 2269 and related Ordinances. W
Thi, permit becomes null and void if work is nor comg
menced within 60 days from date of issuance, or if p�
Plan check fee work is suspended at any time during construction for d
PLUMBING PERMIT ISSUING FEE$ a period of 120 days, or if any work is done on the said
building or structure in violation of the County Crain
TOTAL FEE Dotes or Sate laws governing some.
Plan check opplicon PLAN CHECK VALIDATION
Name 1 S
Address
City (nkVItelIi Tel.No
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE 14 1,9 A
THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
AND STATE uws REG LEARN PLUMBING. PERMIT VALIDAATION ,.J" •sit o'o•e 6,0
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS y11 VAI'/"
LEGAL OWNERLOS
OF.ANDANGELES
INTEND TO RESIDESTATE
IN THE ABOVE DESCR BED RTHAI
ESID NTIAL O 0
PROPERTY, _ \nxrT/V
SIGNATURE
9-
OFF 3� I`1 ,O f1�7 8-
SIGNATURE
P CESSE BY `\� L 4 V
INDUSTRIAL S
WASTE APPROVAL
Ds I C`J�
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL IN(PRINT OR TYPE( BUILDING
NUMBER FIXTURE OR ITEM ® FEE ADDRESS q
WATER CLOSET LOCALIT C"?Qb�/ I d
NEAREST
BATH TUB CROSS ST.
SHOWER OWNER k,� 'n Gf✓2
LAVATORY MAIL
ADDRESS
SINK CITY Cif\ -�' TEL.NOa
DISHWASHER CONTRACTOR 1l _ �VS(�/�`
CLOTHES WASHER ADDRESS
SWIMMING POOL RECEPTOR
CIT r \I TEL NO�
LAWN SPRINKLER SYSTEM
STATELIC.
WATER HEATER LICENSE NO. 5� CLA55
GAS SYSTEM OUTLETS 3 READ CONDITIONS BELOW
OUTLETS OVER THIS FORM WHEN PROPERLY MACHINE VALI-
5 PER SYSTEM DATED BELOW IS A PERMIT TO DO THE WORK
DESCRIBED. C
Permittee Is hereby authorized to install the Plumbing V
as shown, in accordance with provisions of Ordinance W
No. 2269 and related Ordinances.
F
This permit becomes null and void i4 work is not com
menced within 60 doys from date of issmnce, cur if
Plan check fee work is suspended at any time during construction for
PLUMBING PERMIT ISSUING FEE$ O period of 120 days, or if any work is done on the said
building or structure in violation of the County Grain
TOTAL FEE / OnceS or State laws governing some.
Plan check cpplican PLAN CHECK VALIDATION
Name , 5
Address l�`J
City Tel.No b p (�
1 HEREBY ACKNOWLEDGE THAT t HAVE READ THIS APPLICATION AND STATE '� 1 y 1,9 A
THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
AND STATE LAWS REGULATING PLUMBING. PERMIT VALIDA/ITIO i} p'p p p p J
_ I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED ANO/OR LICENSED AS pa
REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAI I AM THE O O
LEGAL OWNER OF,AND INTEND TO flE51pE IN THE ABOVE DESCRIBED RESIDENTIAL J
PflOPEfliY. - JwN ptp O C U '
21 V
SIGNATURE (/-(�J,.LI�� {�/p /� �/E
OF PER MtITTIF I I \' 1V 1 1V�'JLS/ Y L/1 �� ^ 11.20-78
DISTRI NO. P CESSE
INDUSTRIAL
WASTE APPROVAL