HomeMy Public PortalAbout4939 HALLOWELL AVE_Plumbing__ 76A667 (CE-817) - 1/7,5 -
_ APPLICATION FOR PLUMBING PERMIT
-COUNTY OF LOS ANGELES-
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
BUILD C� L t
MAKE CHECKS PAYABLE TO: ADDRESS 3I�
HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY
F�I. FORAPPLICANT TO FILL IN IPRINT OR TYPEI NEAREST
CROSS ST.
MBER FIXTURE OR ITEM @ FEE -. WATER CLOSET .00 6 bo OWNER
MAIL
BATH TUB ";.00 3 013 ADDRESS
SHOWER3.00 3 oo CITY TE NO
LAVATORY 3.00 8n CONTRACTOR.Owen .Bros. Pi mbin Inc.
SINK 7400 3 or> ADDRESS
DISHWASHER .00 3100 CITY El Monte. TEL. N0. 443-0078
CLOTHES WASHER 3,00 3 00 STATE LIC C 6-20
LICENSE NO,. 2 1 CLASS
SWIMMING POOL RECEPTOR 2.00
DISTRICT NO.GROUP ZONE ESS D B
LAWN SPRINKLER SYSTEM 2.00 *�
WATER HEATER 3.00 3 QQ INDUSTRIAL
WASTE APPROVAL-
GAS SYSTEM OUTLETS 3.00 3 100 INSPECTION RECORD a
OUTLETS OVER
S PER SYSTEM .30 ��j v
CD
C.7
t/7
' Z
Plan check fee See Reverse
PLUMBING PERMIT ISSUING FEE $ C '50
TOTAL FEE 37 So
• APPROVALS DATE INSPE,CTOR'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 z
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.TNAT I AM THE-LEGAL OWNER OF, AND INTEND TO - -
RESIDE IN THE ABOVE CRI RESIDENTIAL'P ROPER TY, t 111-2—
�
FINAL r i X72
SIGNATUREn -
OF PERMITTEE
PERMIT VALIDATION CK, M,O. CASH
PLAN CHECK.VALIDATION CK. M.O. CASH
1'
6, -5r'--,JAN 14 3 0 ' . 3 7.5 0