HomeMy Public PortalAbout10781 DAINESWOOD DR_Plumbing__ 76A647 (CE-817)-4/72
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
MAKE CHECKS PAYABLE TO: ADDRESS /0,0BUILDING
HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY
FOR APPLICANT TO FILL IN (PRINT OR TY PEI NEAREST 'CNUMBER FIXTURE OR ITEM @ FEE CROSS ST.
OWNER
WATER CLOSET 1.75
MAIL _
BATH TUB 1.75 ADDRESS 'd A {A
SHOWER 1.75 CITY TEL. NO.
LAVATORY 1,75 CONTRACTOR .O_
SINK 1,75 ADDRESS YtiC
DISHWASHER 1.75 CITYTEL. NO. ti
CLOTHES WASHER 1.75 STATE ^ aa LIC
LICENSE NO. �:,IA{4 CLASS 4
SWIMMING POOL RECEPTOR 1.75
DISTRICT NO. GROUP ZONE FR ESSED BY
LAWN-SPRINKLER SYSTEM- _ -- 1.75 - - =---- O ---�- - -
WATER HEATER 1'75 INDUSTRIAL TE APPROVAL
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GAS SYSTEM OUTLETS 1.75 \ INSPECTION RECORD U
OUTLETS OVER
5 PER SYSTEM .30 p
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Plan check fee See Reverse
PLUMBING PERMIT ISSUING FEE $ 3 00
TOTAL FEE `1'"
APPROVALS DATE PFCTD R's sir,NATURC
Plan Check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
City Tel. No. GAS VENT
HOT WATER HEATER
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AN STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY OROINAN C ES AND STATE LAWS REGULATING GAS TEST
PLUMBING.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED PND/OR UTILITY CO. NOTIFIED
LI CEN SEC AS REOU I REO BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM T LEGAL OWNER OF, NB INTEND TO f 17
RESIDE IN THE ABOVE OES DRESIBENTIAL PRO RTY.
FINAL
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BIGNA TU RE
OF PE R MI T TE
PERMIT VALIDATIONCK. M.D. CASH
PLAN CHECK ALIDATION CK. M.O. CASH
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