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HomeMy Public PortalAbout10653 DANBURY ST_Plumbing__ 76A667-CE617-6-57 Flf0/j/ — AP/'PLICATION FOR PLUMBING PERMIT 1 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS CASSATT D. GRIFFIN. SUPT OF BUILDING LOCALITY FOR APPLICANT TO FILL7INqNEAREST FCEOSS ST. E /€..NUMBER FIXTURE OR IT ^ , J� WATER CLOSET OWNER MAIL BATH TUB ADDRESS SHOWER CITY TEL.NO. 77�/ LAVATORY CONTRACTOR 0 SINK ADDRESS lb �"'— DISHWASHER CITY � ! C--O Uc „� TEL.NO./9-10 y LAUNDRY TUB CONTRACTOR'S ST TE REGISTRATION NO. I I COUNTY CLOTHES WASHER - DISTRICT NO. GROUP ONE READY FOR Ix SPECTIDN WATER HEATER f GAS SYSTEM INDUSTRIAL WASTE APPROVAL INSPECTION RECORD L 61 Q ppL e';:" 97, I APPROVALS @a $1.00 PER ITEM r>± ,,II ISI DATE INSPECTOR'S SIGNATURE OR FIXTURE $ / Vd UNDER SLAB WORK ul ROUGH PLUMBING PERMIT S I Oo GAS PIPING ti TOTAL FEE /O d0 GAS VENT I HEREBY ACKNOWLEDGE THAT HAVE READ THIS APPLICATION HOT WATER HEATER i�. AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY _ WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES PLUMBING. I HEREBY CERTIFY THAT i AM PROPERLY REGISTERED AND/OR GAS TEST .,J LICENSED AS REOUIRED BY LOS ANGELES COUNTY AND STATE OF ��yy CALIFORNIA OR THAT I AM THE LEGAL OWN OF THE ABOVE UTILITY CO. NOTIFIED yfj DESCRIBED RESIDENTIAL PROPERTY. / SIGNATURE OF SIGNATURE TE FINAL ROBERT A. WOOD. ©s LIDATION SUPERVISING MECHANICAL ENG'R D. CASN � p0057,;; APR 21 3 A 10.00 76A667 (CE-811) - 5/73 APPLICATION FOR P2UMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION MAKE CHECKS PAYABLE TO: I BUDBESS !� ILDDING /�� . A HARVEY T. BRAN DT, COUNTY ENGINEER - LOCAL( FOR APPLICANT TO FILL IN (PRINT TR TYPEI NEAREST NUMBER FIXTURE OR_ITEM FEE CROSS ST. „OWNER WATER CLOSET 1.75 MAIL BATH TUB 1.75 ADDRESS SHOWER ^ 1 75 CITY TEL. NO. LAVATORYi 75 CONTRACT SINK r 1. 5 ADDRESS �� J DISHWASHER 1. 5 CLOTHES WASHER 1. 75 15TATE LIC /^ LICENSE NO. `J CLASS" G �p SWIMMING POOL RECEPTOR 1. 11 - 11 DISTRICT NO. GROUP NE OCESSED B LAWN SPRINKLER SYSTEM 1. 5 v d fI 11 J WATER HEATER 1. 5 INDUSTRIAL ✓ WASTE APPROVAL y GAS SYSTEM OUTLETS 1. 15OIL. INSPECTION RECORD OUTLETS OVER ,30 5 PER SYSTEM O H � W a Plan check fee See Reverse PLUMBING PERMIT ISSUING FEE $ 3 00 TOTAL FEE r_ APPROVALS DATE INS P¢cTON's sIF.NATORD Plan Check applicant UNDER SLAB WORK Name ROUGH PLUMBING Address GAS PIPING City Tel. No. GAS VENT Hi 0 HEREBY LEDGE THAT HAVE READ THIS APPLICATION HOT WATER HEATER AND STATE TOHUTAT THE ABOVE IS CORRECT AND AGREE E COMPLY PLUMBING FIXTURES WITH ALL COUNTY ORDINANCES ANO STATE LAWS REGULPTING PLUMBING. GAS TEST ENHEREBY CERTIFY THAT I AM PROPERLY REGI STEREO AND/OR UTILITY CO. NOTIFIED LI CSEO AS REOUI RED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT 1 qM THE LEGAL OWNER OF, AND INTEND TO RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. FINAL Y SIGNATURE OF PERMITTEO—'/�—C /- I PERMIT VALIDATION 0.0. CASH PLAN CHECK VALIDATION CK. M.D. CASH 6 8 7 JUN 10 7 / 4.7 5 Aid