HomeMy Public PortalAbout4945 HALLOWELL AVE_Plumbing__ 76A667 (:E-817) - 5/73 ( J
APPLICATION F PLUMBING PERMIT
COUNTY OF LOS ANGELES L�
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING c� 1
MAKE CHECKS PAYABLE TO: ADDRESS t
HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY
FOR APPLICANT TO FILL IN (PRINT OR,,TYPE) NEAREST
CROSS ST. —41
NUMBER FIXTURE OR ITEM @ FEE
T WATER CLOSET _ b� MAIL
OWNER
BATH TUB ADDRESS
�. 5 3 ®O
SHOWER 3 5 3 00 CITY TEL. N
LAVATORY 1, 6 00 CONTRACTOR Owen Bros. Plumbing Tne.
I SINK 1. 5 60 ADDRESS 4265 N. Baldwin Ave.
1 DISHWASHER 1. 5 -3 00 CITY El Monte TEL. NO. 443-0078
1 CLOTHES WASHER 1. 5 3 OO STATE 231 741 ?c LIC 036-20
LICENSE N0. CLASS
SWIMMING POOL RECEPTOR 1.J5
DISTRICT NO. GROUP ZONE O ESSE BY
LAWN SPRINKLER SYSTEM 1. 5 ® L�
' WATER HEATER 1. 5 3 �0 INDUSTRIAL!7 _h
WASTE APPROVAL
GAS SYSTEM OUTLETS 1. 53 00 INSPECTION RECORD ., V
5_PERUTLETS
S STTEMR 0 '2 J/�� [�V-r Pt)/<'
li v p�d dY�' �- e �
C.>
Ltd
d
Plan check fee See Reverse
PLUMBING PERMIT ISSUING FEE $
TOTAL FEE 31 50
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
1 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
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED m
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 D CRIBED RESIDENTIAL PROPERTY. FINAL
r
L
SIGNATURE ')�L
OF PERMITTEE
PERMIT VALIDATION CK. M.0. CASH
PLAN CHECK VALIDATION CK. M.0. CASH
16 �J01 14 5 0 3 `?.5U6,-