HomeMy Public PortalAbout9215 FLAHERTY ST_Plumbing__ �-6A667 CE'i 811 6 65
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APPLICATION FOR PLUMBING PERMIT I�JI
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN
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JOHN A LAMBIE COUNTY ENGINEER
COLEMAN W JENKINS SUPT OF BUILDING LOCALITY TC- f_lp Vim. j
FOR APPLICANT TO FILL IN NEAREST
EARE SCROSS T
NUMBER FIXTURE OR ITEM EACH FEE
OWNER r l
WATER CLOSET $I 25
BATH TUB 1 25 ADDRESS 9 L 1 � t'�'�-R H e l�-T
SHOWER 1 25 CITY T6 til p(_p C L NO aT 3
LAVATORY 125 CONTRACTOR 7 a�I- � krfl
SINK 1 25 ADDRESS � 09 Z.0
DISHWASHER 125 CITY-r--o- TEL N414
LAUNDRY TUB 125 STATE Q(� LIC
LICENSE NO 2"Q 7 CLASS
CLOTHES WASHER 125 DIS ICT NO GR P ZONE P O BY
WATER HEATER 1 50 a
GAS SYSTEM OUTLETS 150 INDUSTRIAL 0
WASTE APPROVAL
OUTLETS OVER 5 PER SYSTEM 30 INSPECTION RECORD U
O
H
V
Lu
a
Z
APPROVALS DATE INSPECTOR S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE GAS PIPING
IH
ACKNOWLEDGE THAT 1 HAVE READ THIS APPLIC ION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO CO PLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULA NG HOT WATER HEATER
PLUMBING
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/ R PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE GAS TEST
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF AND INTEND T
RESIDE IN THE ABOVE�QESCRIRESIDEN IAL PROPERTY UTILITY CO NOTIFIED
SIGNATURE [a/\
OF PERMITTEE FINAL
ALIDATION
CK M O CASH
LHuo 0 7 6 ES- MAR 2 5 5 D 325-
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76A667 (CE-817)- 5/73
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
MAKE CHECKS PAYABLE TO: BUILDING
ADDRESS
HARVEY T. BRANDT, COUNTY ENGINEER
LOCALITY
FOR APPLICANT TO FILL IN (PRINT,OR TYPE) NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM @ FEE
- OWNER
WATER CLOSET j.75
MAIL
BATH TUB )1,75 ADDRESS
SHOWER 1,75 CITY TEL. NO.
LAVATORY 9,75 _ CONTRACTOR
r
SINK 3,75 ADDRESS
y
DISHWASHER �.75 CITY TEL. NO.
CLOTHES WASHER 1.75 STATE LIC
LICENSE NO. CLASS
SWIMMING POOL RECEPTOR j,75
DISTRICT NO. GROUP ;�QNE PROCESSED BY
LAWN SPRINKLER SYSTEM 1,75
Cly
WATER HEATER 1175
r INDUSTRIAL
WASTE APPROVAL
Lu
GAS SYSTEM OUTLETS 1;75
INSPECTION RECORD -j
OUTLETS OVER L�
5 PER SYSTEM .30 }
CD
CL
Plan check fee See Reverse
PLUMBING PERMIT ISSUING FEE $ 3 00
TOTAL FEE
APPROVALS DATE INSPECTOR'S SIGNATURE
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
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. GAS TEST
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED
LICENSED AS REQUIRED BY LOS ANGELES. COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL 4 NER OF, AND IN�t?"
RESIDE IN THE ABOVE DESCRIBED RESIDPTIAL PROPERTY, FINAL
SIGNATURE
OF PERMITTEE-
PERMIT VALIDATION CK. M.O. CASH
PLAN CHECK VALIDATION CK. M.O. CASH