HomeMy Public PortalAbout9632 1/2 LONGDEN AVE_Plumbing__ 76A60C (CE-8178) -9/75
APPLICATION FOR PLUMBING. PERMIT
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BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN (PRINT OR TYPE) BUILDING 157(Q O ?DW
CldNUMBER FIXTURE OR ITEM @ FEE ADDRESS 7
WATER CLOSET
LOCALITY
BATH TUB NEAREST
CROSS ST.
SHOWER ' OWNER
LAVATORY MAI L /)7
Iq ADDRESS (� Q�
SINK CITY TEL.r10. S
DISHWASHER �. CONTRACTOR �I�
LO
CLOTHES WASHER ��
ADDRESS ,�
SWIMMING POOL RECEPTOR
LAWN SPRINKLER SYSTEM CITY TEL. NO."
STATE LIC >.
WATER HEATER 2 --s• LICENSE NO.. CLASS �3 n-
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GAS SYSTEM OUTLETS
DISTRICT NO. GROUP E CESS D BY_JIE v
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OUTLETS OVER v -v i �Z
O
5 PER SYSTEM INDUSTRIAL W
WASTE APPROVAL �
INSPECTION RECORD Z
Plan check fee
PLUMBING PERMIT ISSUING FEE $
TOTAL FEE
Plan check applicant
Name / /�60 APPROVALS DATE Nsp CTOR'S SIGNATURE
UNDER SLAB.'WORK
Address ROUGH PLUMBING ',
City Tel. NO. GAS PIPING L11-2-2
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THEABOVE 15 CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING.
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES _ � *
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST I
CALIFORNIA OR THAT 1 AM E LE L OWNERMN AN =ND TO
RESIDE IN THE ABOVE D IDEN AL//9.�k/�iOlp Y UTILITY CO.NOTIFIED
SIGNATU RE.
OF PERMITTEE FINAL
PLAN CHECK VALID N CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
4 9 Brio-OCT 4 .5 43-5 0 A98
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CE 817(REV.8/78). * �
APPLICATION FOR PLUMBING PERMIT
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COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL IN IPRINT OR TYPE) BUILDING
ADDRESS 31-2/Z ✓-�?
NUMBER FIXTURE OR ITEM ® FEE p
WATER CLOSET' LOCALITY725�, ` �.•
NEAREST
BATH TUB 'CROSS ST.
Z SHOWER OWNER
LAVATORYMAIL
IZ ADDRESS _
2_ SINK —1
CITY TEL.NO. 6 S
DISHWASHER 3 CONTRACTOR
f CLOTHES WASHER ADDRESS
SWIMMING POOL RECEPTOR
CITY � 14t1ff TEL.NO.
LAWN SPRINKLER SYSTEM STATE LIC.
WATER HEATER LICENSE NO.. CLASS
GAS SYSTEM OUTLETS APPROVALS DATE INSPECTOR'S SIGNATURE
OUTLETS OVER
UNDER SLAB WORK-.1fY •j s;' 37/1-39
39
5 PER SYSTEM ROUGH PLUMBING
GAS PIPING ,10
GAS VENT v V
HOT WATER HEATER a
PLUMBING FIXTURES ti
GAS TEST
Plan Check fee ]UTILITY CO.NOTIFIED / !r/-a LJ�. z
PLUMBING PERMIT ISSUING FEE$
TOTAL FEE FINAL
Plan check applicant PLAN CHECK VALIDATION
Name V,,VrJ 4 7r—S-7 AC
Address
City Tel.No.
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS.APPLICATION AND STATE
THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
AND STATE LAWS REGULATING PLUMBING. PERMIT VALIDATION ;93 0 1. 1 P.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS O O O O O v
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. 2 0 0 5�' C C
SIGNATURE O 0 '0 5 5 G`•
OF PERM ITTEE
DI ICT NO. PRbCESSED Y 0 30 1 —j�9
INDUSTRIAL
WASTE APPROVAL