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HomeMy Public PortalAbout10669 KEY WEST ST_Plumbing__ ' 76A667 (CE 817) - 5/73 ' APPLICATION OR PL MB1NG PERMIT COUNTY OF LOS ANGELES ; DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION G _ MAKE-CHECKS'PAYABLE TO: -ADDRRESs HARVEY T. BRANDT, COUNTY ENGINEER _ - r.. LOCALIOle TY '�/� ,• t . FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST CROSS ST: NUMBER FIXTURE OR ITEM @ FEE OWNER (fG� WATER CLOSET 1,75 a. MAIL. IU,6G �'zIEG�ES/ BATH TUB 1,75 ADDRESS ` t ' SHOWER 1,75 CITY T iL TEL. NO. CONTRACTOR LAVATORY 1,75 1rlob—&� — r SINK 1,75 ADDRESS ��� � 2404,-f bAA.(A(� DISHWASHER 1,75 L 1 CITY"''jG�kf�/� STEL. NO. %(p -6111 CLOTHES WASHER 1.75 -/ ..LICENSE NO. . -`a' CI ASS `'`� 2 SWIMMING POOL RECEPTOR' 1,75 DISTRICT NO. , OUP E CESS ED'B LAWN SPRINKLER SYSTEM 1,75 4^©� WATER HEATER 1,75 INDUSTRIAL ttt///��� WASTE APPROVAL GAS SYSTEM OUTLETS 1.75 d INSPECTION RECORD - C:) OUTLETS OVER v 5 PER SYSTEM .30 O F— U. . LV CL Plan check fee See Reverse PLUMBING PERMIT ISSUING FEE $ 3 00 TOTAL FEE APPROVALS DATE 'INS'PECTOR'S SIGNATURE Plan Check applicant UNDER SLAB WORK Name- ROUGH,PLUMBING Address GAS PIPING City Tel. NO. GAS VENT HOT WATER HEATER 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 I,HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF //yy CAL:FORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO P rqq Olt •� e'I'= f�' ������j'� �� ���MJ RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. FINAL OA 9 SIGNATURE OF PERMITT/E J ' PERMIT jALIDATION CK. M.O. CASH PLAN CHECK VALIDATION CK. M.O CASH u 4-.7 5„A9 14-MA661-iCE-817) - 5/73 APPLICATI N FOR- PLUM-BOG,-PER���M/MIT '• COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION MAKE CHECKS PAYABLE TO- BUDDREILDISSNG / C A (� � HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY . FOR APPLICANT TO FILL IN (PRINT OR TY PEI NEAREST CROSS ST. NUMBER FIXTURE OR ITEM @ FEE WATER CLOSET 1.75 OWNER le • -MAIL y BATH TUB 1.75 ADDRESSt" Q SHOWER' 1.75 CITY ' . TEL. NO. LAVATORY1.75 CONTRACTOR eel SINK 1.75 ADDRESS 4 s DISHWASHER 1.75 CITYTEL. NO. 70 40 CLOTHES WASHER 1.75 STATE' LIC LICENSE N.O. CLASS', SWIMMING POOL RECEPTOR 1-.75 DISTRICT NO. GROUP 70WE PRO ESSE Y LAWN SPRINKLER SYSTEM 1.75 WATER HEATER 1:75 INDUSTRIAL WASTE APPROVAL d GAS SYSTEM OUTLETS 1.75 INSPECTION RECORD OUTLETS OVER = • 5,PER SYSTEM •30 O U W CL N -Plan check fee See Reverse PLUMBING PERMIT ISSUINGTEE $ 3 00 TOTAL FEE ' APPROVALS DATE INSPECTOR'S SIGNATURE Plan check applicant UNDER SLAB WORK 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 G.4S TEST PLUMBING. I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO NOTIFIED LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF _ CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO ' RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. FINAL SIGNATURE ! / (d,�►�l /' OF PERMITTEE C/� PERMIT VALIDATION CK. M.O. CASH PLAN CHECK VALIDATION CK. M.Q. CASH 82,1-N SEP..10 .5 '0 5 ,&'98 °' 17 � , 76A667 (CE-817) -.5/73 , APPLICATION °FOR`'-PLUMBING,•-PERMIT COUNTY OF LOS ANGELES „ - DEPARTMENT-OF COUNTY ENGINEER BUILDING'AND SAFETY DIVISION BUILDING , p MAKE CHECKS.PAYABLE-TO: ADDRESS O I P (l HARVEY •T. BRANDT, COUNTY ENGINEER•. LOCALITY C FOR APPLICANT TO FILL'IN'(PRINT.OR TYPE) NEAREST y� r 16) CROSS ST., NUMBER FIXTURE OR ITEM @ FEE WATER CLOSETOWNER V � 1,75' ' MAIL , ,�� BATH TUB., 1,.75 ADDRESS SHOWER 1,75 CITY EL. NO., dO LAVATORY 1,75 , CONTRACTOR• ' C 1 SINK 1.75 ADDRESS .d DISHWASHER 1.75. CITY n C TEL NO. ?.,/ CLOTHES WASHER 1.75 STATE LIC 'LCENSENO / > - CLASS r SWIMMING POOL RECEPTOR 1,75 DIS ICT NO. GROUP ZONE'' PROCESSED BY LAWN SPRINKLER SYSTEM 1.75 WATER HEATER 1',75' 17 INDUSTRIAL `' (�• WASTE APPROVAL GAS SYSTEM OUTLETS 1,75 INSPECTION RECORD L CD OUTLETS OVER - v 5 PER SYSTEM .30' CD W CIL- Plan Plan check fee 'See Reverse PLUMBING PERMIT ISSUING FEE'S S 3 00 TOTAL FEE APPROVALS' DATE INSPECTOR'S SIGNATURE Plan Check applicant UNDER SLAB WORK Neme ROUGH PLUMBING =Address GAS PIPING City ~ Tel."NO. GAS VENT I HERE BY-ACKNOWLEDGE THAT I HAVE HOT WATER HEATER READ, THIS APPLICATION _ AND STATE THAT"THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES v WITH ALL COUNTY- ORDINANCES AND STATE LAWS REGULATING, GAS TEST ' PLUMBING. _ I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO NOTIFIED 'LICENSED AS REOU I RED BY LOS ANGELES COUNTY AND STATE OFA F „ CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO ' 'RESIDE IN THE'ABOVE DESCRIBED-RE S IDEENTIIAL�PROPERTY. FINAL SIGNATU RE OF PERMITTEE • vi Iu� 'A..ds�sv'-A�" - PERMIT VALIDATION' M.0. CASH- PLAN CHECK VALIDATION CK. M.0, CASH 6 s.6"AU611:27' 5 4-7 5 a�8