HomeMy Public PortalAbout9417 LONGDEN AVE_Plumbing__ 75AG67 (CE-817)-4/72 ^ y �d
r APPLICATIION IVOR P MBIN.G PERMIT
I� COUNTY OF LOS ANGELES . "fl
DEPARTMENT OF COUNTY ENGINEER
BUILDING.AND SAFETY DIVISION
MAKE CHECKS PAYABLE TO: ADDRESS L.:, J. CAI 6 Ad A �
HARVEY T. BRANDT, COUNTY ENGINEER
LOCALITY `'
FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST
NUMBER FIXTURE OR ITEM @ FEE CROSS ST. ��/
WATER CLOSET 1.75 OWNER GA ��W-r® /V
MAIL .4D� *0 d A
BATH TUB 1.75 ADDRESS , AJ
SHOWER 1.75 CI TEL. NOZ-/
LAVATORY 1.75 CONTRACTOR v.� fb
SINK 1.757 ADDRESS . e_p IAI -
DISHWASHER 1.75 CITY 1 . TEL. N.O.
CLOTHES WASHER 1.75 STATEG7 O CLASSLIC
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LICENSE NO.
SWIMMING POOL RECEPTOR 1,75
DISTRICT NO. GROUP NE � SSE BYLAWN SPRINKLER SYSTEM 1.75 %JA„/
WATER HEATER 1.75 INDUSTRIAL
WASTE APPROVAL
GAS SYSTEM OUTLETS 1.75 INSPECTION RECORD CD
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OUTLETS OVER 30 OC
5 PER SYSTEM
SCD
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Plan Check fee See Reverse -
PLUMBING PERMIT ISSUING FEE $ 3 00
TOTAL FEE
Plan cheek applicant APPROVALS DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
City Tel. NO. GAS VENT
HOT WATER HEATER
1 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 _
1 HEREBY CERTIFY THAT I AM PROPERLY .REGISTERED AND/OR UTILITY CO. NOTIFIED
LICENSEDAS RECUIRED BY LOS 'ANGELES COUNT AND STATE OF _
CALIFORNIA OR THAT I AM THE LEGAL OWNER 0 . AND INTEND TO
RESIDE IN THE ABOVE D CRI.BED RES1�IAL PNbPERTY. FINAL
SIGNATURE
OF P E R M I T T EaA:� 4•
PERMIT V IDA,TION CK. M.O. CASH
PLAN CHECK VALIDATION CK. M.O. CASH
79j / 5 D 6.5Je-