HomeMy Public PortalAbout10604 LIVE OAK AVE_Plumbing__ 76A667A
CEO 17 IREV 6/78)
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TYPE LI T N F® E Lei m G a ! M IT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING \
ADDRESS )
NUMBER FIXTURE OR ITEM ® FEE
LOCALITY
WATER CLOSET
NEAREST
BATH TUB CROSS ST
SHOWER OWNER
LAVATORY MAIL
ADDRESS
SINK CITY TEL NOVAJ
DISHWASHER CONT
CLOTHES WASHER
SWIMMING POOL RECEPTOR
TEL NO
LAWN SPRINKLER SYSTEM rROUGH
LIC
WATER HEATER O CLASS
GAS SYSTEM OUTLETS PPROVALS DA INSPECTOR S SIGNATURE
OUTLETS OVER LAB WORK
5 PER SYSTEM LUMBING
GAS PIPING
GAS VENT 91
HOT WATER HEATER
PLUMBING FIXTURES
GAS TEST
Plan Check fee, UTILITYCO NOTIFIED
PLUMBING PER G FEE$
TOTAL FEEN7 1
FINAL
Plan check applicant PLAN CHECK VALIDATION
2717&8A
Name
Address :# o'o-o 0 o,5
City Tel No 2 0 -1 Q 0 0
I HEREBY ACKNOWLEDGE,THAT I HAVE READ THIS APPLICATION AND STATE 0 0 0 1 0,O O U
THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES lJ
AND STATE LAWS REGULATING PLUMBING PERMIT VALIDATION 1 1 9
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSE AS I 1, 5 7
REQUIRED BY LOS TATE OF CALIFORNIA OR THAT I AM T E
EGAL OWNER AND INTEND TO RESIDE I ABOVE DESCRIBED RESIDENT( L
PR
S
OF PERMITTEE
DISTRICT NO PROCESSED BY
INDUSTRIAL
WASTE APPROVAL-