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HomeMy Public PortalAbout5533 HALLOWELL AVE_Plumbing__ •76A661 =_•CE817 5/70 L APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING JOHN A. L.AMBIE. COUNTY ENGINEER ADDRESS COLEMAN W: JENKINS. SUPT. OF BUILDING LOCALITY FOR APPLICANT TO FILL IN (PR NT OR TYPE) NEAREST + > > CROSS ST. NUMBER FIXTURE OR ITEM EACH FEE OWNER WATER CLOSET 1.50 AIL 1 BATH TUB 1.50 ADDRESS JZ< C(' �3 SHOWER 1.50 CITY �7 h TEL. LAVATORY 1.5 0 CONTRACTOR SINK 1.50ADDRESS Ito �. DISHWASHER 1.50 CITY TEL. NO. 77-TK CLOTHES WASHER 1.50 STATE— LIC ?9 LICENSE NO. �� Q CLASS YJ f7 SWIMMING POOL RECEPTO 1.50 DISTRICT NO. GROUP ZONE PROCESSED BY LAWN SPRINKLER SYSTE 2.00 i— & — ✓ c WATER HEATER 1.50 INDUSTRIAL ' Q p WASTE APPROVAL / GAS SYSTEM OUTLET 1.50 INSPECTION RECORD OUTLETS OVER 5 PER SYSTEM .30 IA Q/D Plan check fee 25% of above. See reverse. PLUMBING PERMIT' ISSUING FEE .8 00 TOTAL FEE APPROVALS DATE INSPECTOR'S SIGNATURE Plan check applicant UNDER SLAB WORK -71 c Name ROUGH PLUMBING Address GAS PIPING �`— GAS VENT City, Tel. No. HOT WATER HEATER I HEREBY ACKNOWLEDGE THAT 1 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 PLUMBING. I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED LICENSED AS REQUIRED BY LOS ANGELES COU TY AND STATE OF CALIFORNIA OR THAT 1 AM THE LEGAL OWNER F,AND ��N//DO TO RESIDE IN,THE ABOVE DEBCRISE EBIDENTIAL i PE a (/SA FINAL SIGNATURE JAC R. ALLEN, SUPERVISING MECHANICCENG'R)OF PERMITTEP RMIT VALIDATION CK. M.O. SH PLAN CHECK VALIDATION c / M.o. c _ 0 1 4 Fa '7 5 D 25.75 76A667 CE847-8-57 APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS Ss L�� G� ✓'✓ JOHN A. LAMBIE. COUNTY ENGINEER CASSATT D GRIFFIN, SUPT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN77 NEAREST CROSS S. T. (/ NUMBER FIXTURE OR ITEM OWNER ���QOB/✓ TvD/✓ WATER CLOSET BATH TUB ADDRESS ✓��2F Ldp LL SHOWER CITY Q//� TEL.NO. LAVATORY CONTRACTOR SINK ADDRESS DISHWASHER CITY TEL.NO. LAUNDRY TUB CONTRACTOR'S STATE ED REGISTRATION NO. COUNTY CLOTHES WASHER DISTRICT NO. Gp ZONE READY FOR INSPECTION WATER.HEATER GAS SYSTEM INDUSTRIAL WASTE APPROVAL INSPECTION RECORD ,�r s APPROVALS DATE l INSPECTOR'S SIGNATURE,. $1.00 PER ITEM OR FIXTURE $ / ~ UNDER SLAB WORK-A ROUGH PLUMBING V ,t PERMIT S 1 00 i GAS•PIPING - TOTAL FEE GAS VENT I HEREBY ACKNOWLEDGE THAT IHAVE READ THIS APPLICATION HOT WATER HEATER AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES -PLUMBING. I HEREBY CERTIFY THAT AM PRO RL REGISTERED AND/OR GAS TEST LICENSED AS REQUIRED B LOS ANG LES NTY AND STATE OF CALIFORNIA OR THAT I THE L ER OF THE ABOVE UTILITY CO NOTIFIED DESCRIBED RESIDENTIA ROPERTY. SIGNATURE' 'FINAL ' OF PERMITTEE �- ROBERT A. WOOD. ©s VALIDATION SUPERVISING MECHANICAL ENG'R CK. M O' ASH •1 'S'3 `2 JUN 5 .3 A 2.0 0