HomeMy Public PortalAbout6344 GOLDEN WEST AVE_Plumbing__ 76ASS7 (asy17( - tin _ I
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER,
BUILDING AND SAFETY DIVISION FADDRESSLDING
MAF CHECKS PAYABLE TO: 44 Goldenwe$t 4V-Q--
HARVEY T. MRANDT, COUNTY ENGINEER
CALITY
FOR APPLICANT TO FILL FN (PRINT OR TYPE( ARESTOS8 ST.
NUMBER FIXTURE OR ITEM O FEE T
Longden Ave
WATER CLOSET 2.w OWNER Salter, iJW
MAIL
BATH TUB 2.90 ADDRESS 477 W Walnut
SHOWER 2.00 CITYAxcad la TE L. NO, .1 6LAVATORY 2,00 CONTRACTOR W E Graham
SINK 2.00 ADDR88S Las T Drive
DISHWASHER 2.D0 CITY y. TEL NO. 286- 2
CLOTHES WASHER 2.00 STATE LIC
SWIMMING POOL RECEPTOR 2,00 LICENSE NO. CLAS,
DISTR1JQT NO GROUP ONE F ESE; B
LAWN SPRINKLER B�STE741 2.00 5, d�
WATER HEATER
2.00 WASTE APPROVAL
GAS SYSTEM OUTLETS 2.00 INSPECTION RECORD
UTLETS OVER 8
6 PER SYSTEM .90
t1G
Plan check fee SN'Reverse
PLUMBING PERMIT ISSUING FEE 0
TOTAL FEE
APPROVALS. DATE INSPECTOR'S ■(SNRT E
Nan check applFcant UNDER SLAB WORK
Na ma ROUGH PLUMBINQ
Addr08s GAS PIPING
City Tet. No. GAS VENT
I H[RELY ACKNOWLEDGE THAT I HAVE READ -THIS APPLICATION HOT WATER HEATER
AND' [TATE THAT TH[ ABOVE U CORRECT kAD AGREE TO COMPLY PLUMBING FIXTURES
WJ1N ALL cOUMTY ORDmANC[S AND STAT[ LAWS REGULATING
PLUM-EING. GAS TEST
I HEREBY CERTIFY THAT I AM PROPERLY RE814TKRKD AND/OR UTILITY CO. NaTIFIED
LI C[NGED AS R[dUIR[b r LOS ANG[L[I COUNTY AMD tT T[ OF
CALIFORNIA OR THAT I ASF THE LEGAL OWNER OF, AND Rb 70
RESIDE IN THE ASOV[DESCRIBED RL$LD[NT AbP�R FINAL �Z
DIGNATU PE
OF RERMI f
PEWIT VALID1.1TION M.O: CASH
PLAN CHECK VALIDATION CR. M.O. CASH 3 5 4fl2Qm 2,7 7Z 0 &SIS