HomeMy Public PortalAbout8747 HERMOSA DR_Plumbing__ 7GA667 (CE-8171- 5/73 z
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
ALIKE' CHECKS PAYABLE TO: FNEAREST
DING `,y R
RESS 7q
HARVEY T. BRANOT, COUNTY ENGINEER. .. ALITY
C7 �
FOR APPLICANT TO FILL IN (PRINT OR TYPE( SS ST. Ifs 'NUMBER FIXTURE OR ITEM @ FEE _ER WATER CLOSET 1.75 `BATH TUB 1.75 � RESS '2- 3 Z ' o, ry e,
l SHOWER 1,75 CITU L1; b;A TEL. NO.
✓L LAVATORY 11.75 / CONTRACTOR LSM /V6
SINK 1.75 S ADDRESS 1 — sem,
DISHWASHER �" 1.75 S CITY 451 N N^ TEL. NO. y
CLOTHES WASHER 1'75 STATE LICENSE NO. 6 .� 2 CIC G-3C
SWIMMING POOL RECEPTOR 1.75
DISTRICT NO. GROUP ZONE PROCESSED BY
LAWN SPRINKLER SYSTEM 1.75 5:6 Q
WATER HEATER 1,75 / 7S INDUSTRIAL �/
WASTE APPROVAL y
GAS SYSTEM 3 OUTLETS 1.75 INSPECTION RECORD V
OUTLETS OVER .30 tt
5 PER SYSTEM
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V
W
6.
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Plan check fee See Reve,se
PLUMBING PERMIT ISSUING FEE $ 3 OD
TOTAL FEE
APPROVALS DOTE INSPECTOR 9 sicNA TURc
Plan check applicant UNDER SLAB WORK �•{�7 ti 1
Name ROUGHPLUMBING
Address GAS PIPING
City Tel. No. GAS VENT
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION _
ANO STATE THAT THE ABO HOT WATER HEATER
VE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORO(NANCES AND STATE LAWS REGULATING
PLUMBING. GAS TEST
HEREBY CERTIFY THAT AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED � •2Sir.24+ �� _j
LIEN SED AS REOUI RED BY LOS ANGELES COUNTY AND STATE OF -
CALIiORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO
RESIDE IN THE ABOVE OESCRI BED R SIDENTIAL PROPERTY. FINAL
SIGNATURE
OF PERMITTEE
PERMIT VALIDATIO <K. M.D. CASH
PLAN CHECK VALIDATION CK. M.O. CASH
436i;JAN 13 5 0 22.25 . 1