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HomeMy Public PortalAbout9376 LOWER AZUSA RD_Plumbing__ -76.9867-(CE-817) - 1/73 ` ,APPLICATION FOR PLUMBING PERMIT {� COUNTY OF L03 ANGELES LI DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION , MAKE CHECKS PAYABLE TO. BUILDING /� 099 ADDRESS• 3 / HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST NUMBER FIXTURE OR ITEM 0 FEE CROSS SL WATER CLOSET 00 OWNER 6. MAIL BATH TUB 00 ADDRESS SHOWER 2.00 CITY TEL. NO. LAVATORY00 CONTRACTOR / SINK o0 ADDRESS DISHWASHER 2.00 CITY VV TEL. NO. CLOTHES WASHE1300 'STATE LIC LICENSE NO. CLASS SWIMMING POOL RECEPTOR 2.00 DISTRICT NO.GROUP ZONE ROCESSED BY LAWN SPRINKLER SYSTEM 2.00 a ) t WATER HEATER 00 vaQ INDUSTRIAL WASTE APPROVAL GAS SYSTEM OUTLETS V,00 INSPECTION RECORD v OUTLETS OVER L 5 PER SYSTEM .30 � rtA,0 ©;,V&% �� O F • V LV CL, to Plancheck fee See Reverse PLUMBING PERMIT ISSUING FEE $ o TOTAL`FEE �D APPROVALS DATE INSPECTOR'S SIGNATU_RE Plan check applicant , UNDER SLAB WORK Name ROUGH PLUMBING AddressW. R. GAS PIPING City Tel. NO. GAS VENT �•I, I HEREBY ACKNOWLEDGE THAT I HAVE READ RNIB APPLICATION HOT WATER HEATER AND •STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING_FIXTURES WITH ALL COUNTY ORDINANCES AND STATE LAWS'REGULATING GAS TEST PLUMBING* i I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED 4 , LICENSED AS REDUIRED- BY LOS ANGELES COUNTY AND STATE OF - CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AiRii fFTEND TO RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL P PERTY. FINAL ' SIGNATURE OF PERMITTEE 1 v PERMIT VALIDATION cK M.O. CASH' PLAN-CHECK VALIDATION CK. M.O. CASH �y 308-F 5 2.5.50ov ,