Loading...
HomeMy Public PortalAbout4927 GLICKMAN AVE_Plumbing__ 76A667 (CE-817) - 1/75 I f APPLICATION F R PLUM ING PERMIT � COUNTY OF LOS ANGELES , DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION MAKE CHECKS PAYABLE TO: aD�RESS G g IG HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY ✓ rV �, FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST . fi NUMBER FIXTURE OR ITEM @ FEE CROSS STva WATER CLOSET 2.00 OWNER­77/'6't!jj,f MAIL ' '7 `11 BATH TUB 2.00 ADDRESS p� '� � /V SHOWER 2.00 CITY �C TEL. IN LAVATORY 2.00 CONTRACTOR SINK 2.00 ADDRESS DISHWASH 2.00 CITYEL. NO. CLOTHES WASHER 2.00 STATE LIC SWIMMING POOL RECEPTOR 2.00 LICENSE NO. CLASS DISTRICT NO.GROUP ZONE CESSED BY LAWN SPRINKLER SYSTEM `c 2.00 _6.()O ° WATER HEATER 2.00 ©� INDUSTRIAL WASTE APPROVAL GAS SYSTEM OUTLETS 2.00 INSPECTION RECORD a OUTLETS OVER CD 5 PER SYSTEM .30 CD I— U UJ d_ Plan check fee See Reverse PLUMBING PERMIT ISSUING FEE $ TOTAL FEE APPROVALS DATE INSPECTOR'S SIGNATURE Plan check applicant UNDER SLAB WORK Name �` ROUGH PLUMBING Address GAS PIPING 2--7,� /f w,- P City I. 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 GAS TEST 1' / PLUMBING. •7 IHEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED LICENSED AS REQUIRED BY LOS ANGELES COf1NTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL&OWNhR , ANDINTEND TORESIDE IN THE ABOVE DESCRIBED RESIDEPERTY, FINAL _N6-;;;2 SI GNA TU RE _ • OF PERMITT-E � ti (P/ERMIT VALIDATION CK. M,O: /CASH PLAN CHECK VALIDATION CK. M.0. SH / 8 2 3 -,11p 1y 5 D 1 3.5 0 ,&'-6' 7CAS67C (CE-81719) -9/75 APPLICATION FOR PLUMBING PERMIT c=�G� BUILDING AND SAFETY DIV ON FOR APPLICANT TO FILL IN (PRINT OR TY PEI BUILDING / NUMBER FIXTURE OR ITEM @ FEE ADDRESS /v WATER CLOSET LOCALITY le5 NEAREST BATH TUB CROSS ST. SHOWER OWNER r LAVATORY MAIL ADDRESS pL SINK CITY22 d //•�` TEL. N`O. DISHWASHER CONTRACTOR CLOTHES WASHER / ADDRESS < SWIMMING POOL RECEPTOR CITY U TEL. NO. LAWN SPRINKLER SYSTEM STATE LIC WATER HEATER LICENSE NO. CLASS a GAS SYSTEM OUTLETS DISTRICT NO. GPPNE ED BY VOUTLETS OVERINDUSTRIA 5 PER SYSTEM Co~7 L WASTE APPROVAL y� INSPECTION RECORD Plan check fee I - PLUMBING PERMIT ISSUING FEE $ �D I TOTAL FEE V Plan check aplicant !/ r APPROVALS DATE INSPECTOR'S SIGNATURE Name �, ,/� A/ UNDER SLAB WORK Address 4 0(r ff A/ ROUGH PLUMBING City � `A`� l� Tel. NLy -/� v GAS PIPING r" I HEREBY ACKNOWLEDGE THA I HAVE READ THIS APPLICATION GAS VENT AND STATE THAT THE ABOVE ISF 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 _1477 IAs� OF PERMITTEE FINAL PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O/cn H� 3 3 lttOKP 24 5 1) 1 3.5 0 ora