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HomeMy Public PortalAbout9642 GIDLEY ST_Plumbing__ 76A667 (CE-017) - 5/73 . APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION MAKE CHECKS PAYABLE TO: pILDING oRESs { .;, 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 1.75 MAIL BATH TUB 1.75 ADDRESS SHOWER 1.75 CITY TEL. NO. Aj LAVATORY 1.75 CONTRACTOR SINK 1.75 ADDRESS i DISHWASHER 1.75 CITY -y TEL. NO. CLOTHES WASHER 1.75 STATE LIC - SWIMMING POOL RECEPTOR 1.75 LICENSE NO. CLASS - DISTRICT NO. GROUP ZONE PROCESSED BY LAWN SPRINKLER SYSTEM 1,75 1 WATER HEATER 1.75 INDUSTRIALO WASTE APPROVAL GAS SYSTEM OUTLETS 1.75 INSPECTION RECORD LLJ OUTLETS OVER .30 L` 5 PER SYSTEM i Q O W 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 HE Y ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STAT HAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES WITH ALL TY 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 OWNER OF, AND INTEND TO RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. FINAL I SIGNATU RE OF PERMITTEE •i' PERMIT VALIDATION CK. M.O. CASH PLAN CHECK VALIDATION CK. M.Q. CASH �� y 76A66.7 (CE-817)- 5/73 �— _ APPLICATION OR PL BING PERMIT COUNTY OF LOS ANGELES ] DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION MAKE CHECKS PAYABLE TO: FADDRESS / ,Q L� G HARVEY T. BRANDT, COUNTY ENGINEER FOR APPLICANT TO FILL IN (PRINT OR TYPE) 1 NUMBER FIXTURE OR ITEM @ FEE OWNER / WATER CLOSET 1.75 / C / MAIL � BATH TUB 1.75 ADDRESS � E . SHOWER 1.75 C ITY TEL. NO. LAVATORY 1.75 CONTRACTOR 6 SINK - 1.75 ADDRESS t /� DISHWASHER 1.75 CITY TEL. NO.6 'I CLOTHES WASHER 1.75 STATE iLIC LICENSE NO.' �,3 CLASS SWIMMING POOL RECEPTOR 1.75 DISTRICT NO. GROUj /XP ZONE ROC E ED B ,/ LAWN SPRINKLER SYSTEM 1.75 'o�3 B / WATER HEATER 1.75 INDUSTRIAL r WASTE APPROVAL i GAS SYSTEM OUTLETS 1.75 INSPECTION RECORD V OUTLETS OVER 30 5 PER SYSTEM O U W C/J Z Plan check fee See Reverse PLUMBING PERMIT ISSUING FEE $ 3 00 TOTAL FEE 2, ,j 1-75 APPROVALS DATE INS CTOR'S SIGNATURE Plan check applicant UNDER SLAB WORK _14 Name ROUGH PLUMBING � Address GAS PIPING City Tel. NO. GAS VENT HOT WATER HEATER n, 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 L- ✓" '`� ca; tr j I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED LICENSED AS REOU I RED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO RESIDE IN THE ABOVE OESCRI.B RESIDENTIAL P PERTY. FINAL I SIGNATURE �'/ - `, p A OF PERMITTEE {� PERMIT VALIDATION CK. M.O. CASH PLAN CHECK VALIDATION J CK. M.0. CASH I;;' 6 9 0 r FEB 14 5 © 2 5.7 5 '�"`