HomeMy Public PortalAbout9714 LIVE OAK AVE_Plumbing__ I, 764'667 (C E-817)-4/72
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«r. APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
MAKE CHECKS PAYABLE TO: BUILDING
ADDRESS
HARVEY T. BRANDT, COUNTY ENGINEER
LOCALITY
FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM @ FEE
OWNER
WATER CLOSET 1.75
MAIL
BATH TUB 1.75 ADDRESS
SHOWER 1.75 CITY TEL. NO..
LAVATORY 1.75 CONTRACTOR
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SINK 1.75 ADDRESS
DISHWASHER 1.75 CITY TEL. NO.'
CLOTHES WASHER 1.75 STATE LIC
LICENSE NO. CLASS
SWIMMING POOL RECEPTOR 1.75
DISTRICT NO. GROUP ZONE PROCESSED PY
LAWN SPRINKLER SYSTEM 1.75
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WATER HEATER 1.75 INDUSTRIAL �
WASTE APPROVAL
GAS SYSTEM OUTLETS 1.75 INSPECTION RECORD J
OUTLETS OVER 30 u.
5 PER SYSTEM
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Plan check fee See Reverse
PLUMBING PERMIT ISSUING FEE $ 3 00
TOTAL FEE
APPROVALS DATE INSPECTOR'S 51 sNATi:RE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
City Tel. No. GAS VENT
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
PLUMBING. GAS TEST
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED
' LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF 47
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO
RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. FINAL
SIGNATURE
OF PERMITTEE -
PERMIT VALIDATION CK. M.O. CASH
PLAN CHECK VALIDATION CK. M.O. CASH
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