Loading...
HomeMy Public PortalAbout5441 GOLDEN WEST AVE_Plumbing__ 76A667A * CE8:,7(REV.6/78) I ©S APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO FILL IN(PRINT OR TYPE( BUILDING ' 1>7 NUMBER FIXTURE OR ITEM @ FEE ADDRESS WATER CLOSET LOCALITY �'���-• ?- NEAREST BATH TUB CROSS ST. SHOWER I OWNER T' . r. LAVATORY MAIL ADDRESS SINK CITY TEL.NO. DISHWASHER CONTRACTOR bigip -igi Co CLOTHES WASHER ADDRESS SWIMMING POOL RECEPTOR —_---� CITY TEL.NO.5qq g).B') LAWN SPRINKLER SYSTEM - -�� STATE LIC. WATER HEATER LICENSE NO. CLASS GAS SYSTEM OUTLETS APPROVALS DATE INSPECTOR'S SIGNATURE OUTLETS OVER UNDER SLAB WORK d 5 PER SYSTEM ROUGH PLUMBING O GAS PIPING V W GAS VENT J U. HOT WATER HEATER >- 09®C PLUMBING FIXTURES Q GAS TEST O Plan check teen. UTILITY CO.NOTIFIED PLUMBING PERMIT ISSUING FEE$ TOTAL FEE FINAL Plan check applicant PLAN CHECK VALIDA ON Name Address . A City Tet.No. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL-COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. PERMIT VALIDATION + C I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 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. y . SIGNATURE OF PERMITTEE - DISTRICT NO. PROCESSED BY INDUSTRIAL WASTE APPROVAL