HomeMy Public PortalAbout10670 LORA ST_Plumbing__ 76A687 (CE-817) - 1/75 C� �•i
r APPLICATION FOR`PLUMBINa, 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 �' �-L F'li�f C's G
FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST
NUMBER FIXTURE OR ITEM @ FEE CROSS ST.OWNER ^�
WATER CLOSET
2.00 -C j f?_r L✓ ��
MAIL �
BATH TUB 2.00 ADDRESS C3 f () Lo''�Z A
SHOWER 2.00 CITY � y" �. CI 'TEL. NO.
LAVATORY 2.00 CONTRACTOR
SINK 2.00 ADDRESS
DISHWASHER 2.00 CITY C 5 )1ri'!9r TEL. N'035j /
CLOTHES WASHER 2.00 STATE LIC
SWIMMING POOL RECEPTOR LICENSE NO. ��•�1 � CLASS
2.00 J G() DISTRICT NO. OUP ZONE F�O�ESSED BY-
LAWN SPRINKLER SYSTEM 2;Op Oft l ,X-
WATER HEATER 2.00. INDUSTRIAL - J
I WASTE APPROVAL
GAS SYSTEM OUTLETS 2.00 j GO INSPECTION RECORD v
OUTLETS w
5 PER S STOEM R ` .30
171 t 3 UO w
a
N
Z
Plan check fee See Reverse
PLUMBING PERMIT ISSUING FEE $ �pc
TOTAL FEE l,}�,�
APPROVALS ,DATE INSPECTOR'S SIGNATURE
Plan check applicant [GGAS
ER SLAB WORK
Name GH PLUMBING
Address PIPING
City Tel. No.• VENT
WATER HEATER
I HEREBY ACKNOWLEDGE THAT IHAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY• BING'FIXTURESWITHALL COUNTY ORDINANCES AND STATE LAWS REGULATINGPLUMBING. TEST•1 HEREBY CERTIFY YHA M PROPERLY REGISTERED AND/ORITY CO. NOTIFIED
LICENSED AS RECUIRED B LOS NGELES •COUNTY AND &TATE OF l
CALIFORNIA OR THAT 1 401 THE L GAL OWNER OF, TWO fNTEND T0. ' .y
RESIDE IN,THE ABOVE D CRIBED IDE TIAL PROPERTY. FINAL
SIGNATURE
OF PERMITTEE
PERMIT VALIDATIONCK. M.0. CASH
PLAN CHECK VALIDATION' 0 M.O. cnsx ••
17 V