Loading...
HomeMy Public PortalAbout8834 ELM AVE_Plumbing__ r 76A667 (CE-817) - 1/75 - APPLICATION FOR PLUdBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION MAKE CHECKS PAYABLE TO: ADDRESS �g ZZ 1,6 HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY e'v LC FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST {� CROSS ST. rZC. n/b SC.F/te L ' NUMBER FIXTURE OR ITEM @ FEE OWNER ape/Jt �AN C WATER CLOSET 3 Off! MAIL y� . BATH TUB x+66 f� ADDRESS 6 Q, IJ 0 SHOWER F2•g9 CITY EM LE" Cf 1 TEL. NO. %743 7 �. : LAVATORY ,a,sa P C? CONTRACTOR oeosea 7'. Lo SINK 2 A& J? C ADDRESS 2-'( F I R f�W ,AvC_ + DISHWASHER 2.00CITY jq P,CAD/A TEL. NO.� CLOTHES WASHER 2.00 STATE LIC LICENSE NO. ?-7-9/7 CLASS, IS— SWIMMING POOL RECEPTOR 2.00 DISTRICT NO.GROUP ZONE OCESSEID BY LAWN SPRINKLER SYSTEM 2.00 C, otic R_ WATER HEATER 2.00 INDUSTRIAL WASTE APPROVAL GAS SYSTEM OUTLETS 2.00 INSPECTION RECORD OUTLETS OVER 90 C.I 5 PER SYSTEM _ Com' ! W V [d•fl !L! 0S:J L�'v • Plan check fee See Reverse PLUMBING PERMIT ISSUING FEE S TOTAL FEE S© W APPROVALS DATE INS PE GTO'R'S SIGNATURE Plan Check applicant UNDER SLAB WORK PY1 NameBvsS eFN� Co .KS � , Co. ROUGH PLUMBING Address" L ft1(Z GAS PIPING i7 City 2eJh®�d4 Tel. No.l �S^_I BIZ GAS VENT HOT WATER HEATER pii v ' I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES W1 TH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. GAS TEST I HEREBY CERTIFY THAT LOAM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED LICENSED AS REOUI RED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO - RESIDE IN THE ABOV DE RIBED RESIDENTIAL PROPERTY. FINAL SIGNATU RE OF PERMITTEE t ,; PERMIT VALIDATION CK. M,O: CASH PLAN CHECK VALIDATION CK. M.0. CASH (.1 l