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HomeMy Public PortalAbout6226 IVAR AVE_Plumbing__ 76A667 - CE817 5/70 APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING JOHN A. LLQ- MBIE. COUNTY ENGINEER ADDRESS COLEMAN W. JENKINS• SUPT. OF BUILDING LOCALITY --77,2—:-,110,-"Z� FOR APPLICANT TO FILL IN (PR NT OR TYPE) NEARESY /`_��/®�� CROSS ST. NUMBER FIXTURE OR ITEM EAC FEEq OWNER WATER CLOSET 1.5 MAIL BATH TUB 1.5 ,s ADDRESS ��?� SHOWER i 1.s CITY ��r < TEL. NO. LAVATORY 1. 0 1 CONTRACTOR SINK 1. 0 s� ADDRESS DISHWASHER \ 1. 0 CITY TEL. NO. CLOTHES WASHER 1. 0 STATE LIC LICENSE NO. CLASS SWIMMING POOL RECEPTOR 1. 0 e - - `- DISTRICT NO. GRP ZONE PROCESSED BY LAWN SPRINKLER SYSTEM 2. 0 �r © I 1_ WATER HEATER 1. 0 ° INDUSTRIAL WASTE APPROVAL / GAS SYSTEM F OUTLETS 1. 0 7S INSPECTION RECORD OUTLETS OVER - 5 PER SYSTEM , .30 o CL Ln z Plan check fee 25% of above. See reverse. PLUMBING PERMIT ISSUING FEE .$ ._3 00 TOTAL FEE ' APPROVALS DATE IN ECTOR'S IGNATU RE Plan Check applicant UNDER SLAB WORK Name ROUGH PLUMBING • Address GAS PIPING GAS VENT City. Tel. No. HOT WATER HEATER 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ` f , -41 AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES / WITH ALL' COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST sl/ PLUMBING. s 'p I HEREBY CERTIFY THAT I AM PROPERLY R ISTERED AND/OR UTILITY CO. NOTIFIED F LICENSED AS REQUIRED BY LOS ANGELES O T AND STATE OF _ OF CALIFORNIA OR THAT I A LEG O OF AND INTEND TO •lT Y RESIDE IN.THE ABOVE S E R ID T L PR ERTY. { FINAL SOF PERMIT .TACK R. AL EN, SUPERVISING HJNICAL ENG-R. PER MIAT IDATION CK. M.O. CASH PLAN CIIEC VALIDATION cK. M O. CASH f 3 I b., t31tR 1 5 D 1 1 .75- 1t' c f