HomeMy Public PortalAbout9632 LONGDEN AVE_Plumbing__ 7 (F -
GEE (R�i 7S? EV.6/78)
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APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES BUILDING A SAFETY
FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING
ADDRESS Off✓ (/jam G"�•
NUMBER FIXTURE OR ITEM FEE
LOCALITY
3 WATER CLOSET '�
NEAREST
BATH TUB CROSS ST.
SHOWEROWNER D • I/V e
LAVATORYNLAIL
ADDRESS D
SINK — it CITY TEL.NO.
DISHWASHER 3 CONTRACTOR
AM e
CLOTHES WASHER ADDRESS
fes_/
SWIMMING POOL RECEPTOR
CITY TEL.NO.
LAWN SPRINKLER SYSTEM $TATELIC.
WATER HEATER LICENSE NO. CLASS
/ GAS SYSTEM OUTLETS APPROVALS DATE INSPECTOR'S SIGNATURE
OUTLETS OVER UNDER SLAB WORK
5 PER SYSTEM ROUGH PLUMBING
GAS PIPING
-- GAS VENT %j
IN
HOT WATER HEATER
PLUMBING FIXTURES
GAS TEST IL
Plan Check fee UTILITY CO:NOTIFIED Z
PLUMBING PERMIT ISSUING FEE$
TOTAL FEE �� FINAL.
Plan check applicant PLAN CHECK VALIDATION
Name
Address
City Tel.No.
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE `R 301.2 A
THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES '
AND STATE LAWS REGULATING PLUMBING. PERMIT VALIDATION 0 0 0 0 05
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS
REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THA M THE 2 O O 55,00
LEGAL OWNER OF.AND INTEND TO RESIDE IN THE ABOVE DU( 51 NTIAL
PROPERTY. 5 5 0 0 6
SIGNATURE
OFPERMITTEE 03.01 -79
DISTRICT NO. =CESSEDY
INDUSTRIAL "
WASTE APPROVAL
76A667A
CE 817(REV.11/78) �-
;APPLICATIO F LUM G PE
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING
NUMBER FIXTURE OR ITEM ® FEE ADDRESS
LOCALITY
Z WATER CLOSET
NEAREST
BATH TUB CROSS ST.
SHOWER OWNER
LAVATORY MAIL Q
ADDRESS
SINK CITY //,� �� L.NO.
DISHWASHER CONTRACTOR `
CLOTHES WASHER ADDRESS ���
SWIMMING POOL RECEPTOR /� �
/ CITY 62,&6 TEL.Ndp/- 612_
LAWN SPRINKLER SYSTEM Com' STATE ^7•r"7� CLASS
Z WATER HEATER LICENSE NP / d
GAS SYSTEM 0 OUTLETS APPROVALS DATE INSPECTOR'S SIGNATURE
OUTLETS OVER C� UNDER SLAB WORK .+ Of ta
5 PER SYSTEM ROUGH PLUMBING
GAS PIPING
GAS VENT
HOT WATER HEATER
PLUMBING FIXTURES
GAS TEST
Plan check fee UTILITY CO.NOTIFIED IK
PLUMBING PERMIT ISSUING FEE$ FT
f
TOTAL FEE FINAL
Plan check applicant PLAN CHECK VALIDATION
Name
Address ;-99 1 9,7 q
# 0 0 0 0 0 5
City Tel.No. �j
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE 2 ° - 37,7 5
THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES ,
AND STATE LAWS REGULATING PLUMBING. PERMIT VALIDATION O o o 3 7 r7 5 J
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS �J ! I
REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA Oa TAT),AM TH 03.03-
3 O 3 C�O O
LEGAL OWNER OF.AND;NRBSIDE IN THE ABOVE CR D RESIDENT LPROPERTY.
SIGNATUREOF PERMITTEEV[,('f
DISTRI NO. E D BY `
v
INDUSTRIAL
WASTE APPROVAL
76A667A (CH 6178) -4177
APPLICATION FOR PLUMBING. PERMIT
BUILD�ANDSAFETYDIIVIIS
FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING ^�
NUMBER FIXTURE OR ITEM FEE ADDRESS
WATER CLOSET LOCALITY '
BATH TUB NEARESTCROSS ST. )/
SHOWER OWNER f r, / �7e IAJLZ-
LAVATORY MAIL
ADDRESS I 7 0 110W 19V&
SINK CITY f3�Gp}D/� TEL.NO. 017
DISHWASHER CONTRACTOR OW
CLOTHES WASHER
ADDRESS
SWIMMING POOL RECEPTOR
CITY TEL.NO.
LAWN SPRINKLER SYSTEM STATE7 ^� LIC.
3 "
WATER HEATER LICENSE NO. ' �"�. CLASS
GAS SYSTEM OUTLETS DISTRICT NO. GROUP NE PR ESSED Y
SOUTLETS
PERSYSOTEM
INDUSTRIAL v
WASTE APPROVAL
INSPECTION RECORD c
y
Plan check fee
PLUMBING PERMIT ISSUING FEE$ S"v
TOTAL f EE
Plan check applicant
Name APPROVALS DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK GU/9S ''
Address ROUGH PLUMBING
City Tel.No. GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE GAS VENT
THATTHE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES HOT WATER HEATER
AND STATE LAWS REGULATING PLUMBING.
IHEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS PLUMBING FIXTURES
REOU IR ED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE GAS TEST
LEGAL OWNER OF.AND INTEND TO RESIDE IN THE ABOVE DESCRIBED SIDENTIAL
PROPERTY. UTILITY CO.NOTIFIED
• L
SIGNATURE
OF PERMITTEE FINAL
PLAN CHECK VALID ON CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
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