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HomeMy Public PortalAbout9408 EMPEROR AVE_Plumbing__ 76Aee7C (Cr.-817B) -9/75 APPLICATION FOR PLUMBING PERMIT BUILDING AND SAFETY DIVISION FOR APPLICANT TO FILL IN (PRINT OR TYPE) BUILDING NUMBER FIXTURE OR ITEM @ FEE ADDRESS f E. WATER CLOSET LOCALITY NEAREST BATH TUB CROSS ST e SHOWER OWNER LAVATORY MAI L ADDRESS n J SINK O CITY TEL NO 7 DISHWASHER CONTRACTOR Wner CLOTHES WASHER ADDRESS SWIMMING POOL RECEPTOR CITY TEL NO LAWN SPRINKLER SYSTEM STATE LIC WATER HEATER LICENSE NO CLASS a DISTRICT NO GROUP ZONE a;CESSED BY O GAS SYSTEM OUTLETS C.7 OUTLETS OVER / © � 5 PER SYSTEM INDUSTRIAL WASTE APPROVAL �y INSPECTION RECORD Z Plan check fee PLUMBING PERMIT ISSUING FEE $ TOTAL FEE Plan check applicant Name APPROVALS DATE INSPECTOR 5 SIGNATURE UNDER SLAB WORK Address ROUGH PLUMBING City Tel NO GAS PIPING ~� I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER PLUMBING I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL PROPERTY UTILITY CO NOTIFIED /) SIGNATURE l // OF PERMITTEE FINAL �V i PLAN CHECK VALIDATION CK M 0 CASH PERMIT VALIDATION cK M o CASH 5 1'7rAPR 6 • 7.5 0'"" 781887 CE 8I7 8-5e; - APPLICATION LICA Y ION BOR PLUMBING BING PERMIT1 BUILDING AND SAFETY DIVISION Department of County Engineer County of Los AngelesBUILDING JOHN A LAMBIE,COUNTY ENGINEER ADDRESS CASSATT D GRIFFIN,SUP T OF BUILDING LOCALITY FOR APPLICATO FILL IN NEAREST NT CROSS ST OWNER DISTRICT NO I GROUP ZONE I READY FOR INSPECTION MAIL //q. 'k ADDRESS �/_� -� INDUSTRIAL CITY TEL NO WASTE APPROVAL PLUMBER INSPECTION RECORD ADDRESS CITY TEL NO, LICENSE NO NUMBER TYPE OF FIXTURE OR ITEM FEE WATER CLOSET (TOILET) @ $100 $ BATH TUB @ $100 SHOWER @ $100 LAVATORY (WASH BASIN) @ $100---.9 KITCHEN SINK @ S100 DISHWASHER @ $100 LAUNDRY TUB OR TRAY @ $100 O ' CLOTHES WASWER @ $100 WATER HEATER @ $100 0 GAS SYSTEM @ $100 APPROVALS ELATE INSPECTOR'S SIGNATURE UNDER SLAB WORK r PERMIT $ 1 00 ROUGH PLUMBING "7_Lf p- ' GAS PIPING TOTAL FEE GAS VENT I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER �( / WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING pLUMBING FIXTURES PLUMBING E 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST i7 L LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF - i CALIFORNIA OR THAT M THE LEGAL OW OF THE ABOVE UTILITY CO NOTIFIED ID7 DESCRIBED RESENOP TY. SIGNATURE • OF PERMITT FINAL ROBERT A WOOD, JOHN A LAMBIE, COUNTY ENGINEERjALIDATION SUPERVISING MECHANICALENG'R ca '/ !1 0 CASH A 1 0 4'0c,;; wG12 3 10-00