HomeMy Public PortalAbout9916 HOWLAND DR_Plumbing__ 76A667 (CE-817)-4/72 '
APPLICATION . FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
MAKE CHECKS PAYABLE TO: BUILDING
ADDRESS 5
HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY
FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM @ FEE
e� OWNER a
WATER CLOSET 1.75 Y MAIL
BATH TUB 1.75 ADDRESS - 9,16 eE
SHOWER 1,75 - CITY 77,MALE %fes TEL. N0.
ZZ
LAVATORY 1.75 j CONTRACTOR DA V
SINK 1.75 ADDRESS V
DISHWASHER 1.75 CITY L �� TEL. NO.,,?,'@&; ��
CLOTHES WASHER 1.75 STATE _ _ CLASS LIC -
a( �j
SWIMMING POOL RECEPTOR 1.75 2
LICENSE NO.
DISTRI NO. GROUP �gNE� F CESSED BY
LAWN SPRINKLER SYSTEM 1.75 �./ /°•sj
WATER HEATER 1.75 INDUSTRIAL KGs
WASTE APPROVAL Com.
GAS SYSTEM OUTLETS 1.75 O
INSPECTION RECORD C.>
OUTLETS OVER LC
5 PER SYSTEM .30 C�
V
W
LL
N
Plan check fee See Reverse
PLUMBING,PERMIT ISSUING FEE $ 3 00
TOTAL FEE `
APPROVALS - DATE 1Ns EG,TOR'.5 SIGNATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING `�`6" al/ ""y` Vee `w
City Tel. No. GAS VENT
HOT WATER HEATER ,,7C, �
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 -��•i �,��
a
1HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED
LICENSED AS REQU FRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, INTEND TO
RESIDE IN THE ABOVE DES IBEDR (DENT L PROP
FINAL ,.``
SIGNATURE
OF PERMITTEE` • -
ERMIT VALIDATION CK. M o. cases
PLAN CHECK V ATION cK. M.O. CASH i
.:;8..: R.:.11, 5 -0 . 1. 13. 5 9
75A667 (CE-817)-4/72
APPLICATION R PLU, ING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
MAKE CHECKS PAYABLE TO: ADDRESS ��
HARVEY T. BRANDT, COUNTY ENGINEER ��
LOCALITY Y10-4.4
If of
FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST
NUMBER FIXTURE OR ITEM @ FEE CROSS ST. Ac b
1OWNER
WATER CLOSET 1,75 7 • • �
MAIL
BATH TUB 1,75 ADDRESS afv'
SHOWER 1,75 CIT TEL. NO. � ��
LAVATORY 1,75 CONTRACTOR
SINK 1,75 ADDRESS P�
DISHWASHER 1.75 CITY TEL. NO.
CLOTHES WASHER 1.75 STATE LIC
SWIMMING POOL RECEPTOR 1,75 LICENSE NO. CLASS
DISTRICT NO. GROUP ZONE P CESS BY
LAWN SPRINKLER SYSTEM 1,75 ' �1
c �1
WATER HEATER 1,75 INDUSTRIAL
WASTE APPROVAL
GAS SYSTEM OUTLETS 1.75 INSPECTION RECORD V
OUTLETS OVER 30 Cr
5 PER SYSTEM
O
F-
• v
LLJ0.
N
Plan check fee See Reverse
PLUMBING PERMIT ISSUING FEE S 3 00
TOTAL FEE
APPROVALS DATE INSPECTOR'S SIGNATURE
Plan Check applicant UNDER SLAB WORK
Name . ROUGH PLUMBING p
Address ' ` 6u/ jb Z) GAS PIPING / r0
City Gd/ Tel. N0. GAS VENT
HOT WATER HEATER
I HE EBY ACKN WLEDGE THAT 1 HAVE READ THIS APPLICATION R-1 I
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES y� d
WITH ALL COUNTY ORDINANCES AND STATE LAW5 REGULATING
PLUMBING. - - GAS TEST
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIEDO�'�
LICENSED AS REQUIRED BY LOS ANGELES COUNTIANO STATE OF
CALIFORNIA OR THAT I AM E L GAL OWN OF AND INTEND TO
RESIDE IN THE ABOVE DESC ED SID TI PR ER TY. FINAL
SIGNATURE
OF PERMITTEE
- ► PERMIT VALIDATION CK. M,O. CASH
PLAN CHECK VALIDATION CK. M•0. CASH
11-.75A98