Loading...
HomeMy Public PortalAbout9128 HERMOSA DR_Plumbing__ ]6A66] (CE-•617) - 5/731• f ? -EHE, • / APPLICATI'ON. FOR PeLUM:BING PERMIT COUNTY OF liOS ANGELES• " ' DEPARTMENT-OF COUNTYSENGINEER BUILDING`AND SAFETY'DIVISION" -`. MAKE CHECKS 'PAYABLE Tp I "BUILDING ADDREss ✓..� c 17 t`. 7� '?.;Ci. ,r�7 ,P 'HARVEY,'T• BRANDTo CO LINTY ENGINEER LOCALITY �•;:_G .+,f,✓1 :r�� �.: ".Ir'> "F/ .FOR APPLICANT TO'FILL IN (PRINT OR TY PEI ,I: :NEAREST• .CROSS ST:C� •y+'y..rr"..f�,..yi) .".-r ... v,: _ NUMBER - FIXTURE OR ITEM -+@ ' .FEE WATER CLOSET `.,.fi, ;` s• X7.75 �,.'1 �`L'. -`OWNERr!',.. BATH',TUB •,.. ,-_ ').75 j '.'AODHESS,� t/',1 G F.�tvrr :S''`d%.. '/ i�+�.',:':.G.•'" i� SHOWER:, - ,1.75 l �•..,. - _ .� TE LN07 .+ WS �. ' LAVA _ r J� CONTRACTOR; F/ ,,C.TORY • ,r SINK+ - '1'.75 •'! '' `ADDRESSL� -~ ,� _ !r DISHWASHER - 1.75 i '. f• CLOTHES WASHER'" . • = 31,75 -'� ?STATE 'AT' 'LIC ' ILICEN SE NO. CLASS" � ! SAD MMI NG.POOL REC EPTOfl 7;75 -' :DISTRICT NO. GROUP •ZONE FRFlFl�C ESSED BY •LAWN SPRINKLER SYSTEM - 1•.75 "' - �r +'•`` f,y P L r D ;! WATER HEATER'� ,y.. Yi .1.75 jr .;INDUSTRIAL' . '• 1 "F'rt.+ l p� WASTE'AP_PROVAL 'GASSYSTEM','.j`� OUTLETS ' •1.75 .� '- INSPECTION RECORD w OUTLETS OVER .r - L� •5.PER SYSTEM 30 t _ � t Plan check fee': See Reverse' mm - � r PLUMBING PERMIT ISSUING FEE'S t3:. Do - ` € -:, x7.OTAL FEE {-.,•.�� r': - - ,APPROVALS DATE •II ECTOP .ss ,NgrvRE, Plan check applicant UNDER SLAB�WORIK - Name.'. ROUGH PLVMBING•_Address .... - y. ..GAS,PIPING, __. - - :.GAS".VENT.-.y... - �. ... City- ' - Tel No;- �• •+ '! '' HOT'WATER HEATER -` I'HEREBY ACKNOWLEDGE'THAT I HAVE READ-,THIS APPLICATION ANO( STATE THAT-THE'ABOVEy IS CORRECT. AND AGREE'TO COMPLY• PLUMBING FIXTURESIf r, 'tom i'•- •WITH ALL.-COUNTY •ORDINANCES'.AND' STATE 'LAWS REGULATING' - 'PLUMBING i % GAS'TEST -I HEREBY -CERTIFY THAT I' AM-PROPERLY'' REGISTERED-AND/OR,, Ui LITY CG.- NOTIFIED ' LI LENSED_AS REQUIRED By, LOS ANGELES COUNTY.ANDa STATE OF - �. a IN CACIDE NIA'OR .THAT i AM THE-RESIDENTIAL PRF.ANO'INTEND TO _ S , -NEST OE'IN THE ABOVEOESCRIBEO RESIDENTIAL P,flOPER TY.'W >. '_, I � �F• rr .. FINAL '. ., SIGNATII REkems OF'P.ERMI TAT EE .:PERMIT, G"' _ f PERMIT.VALIDATION E ce) rn,o a"cgsn .e i'. .. PLAN.CHECK'VAL.IDATION ,, cK; M.O. °cgsrv° . i:�:- r t�ill}: �� i� 4 � (• 4++� i.I � it '=4•u w �J..,j�. �