HomeMy Public PortalAbout5131 MCCLINTOCK AVE_Plumbing__ 7GA667A
CE B 17(REV.6/781
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APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT'TO FILL IN(PRINT OR TYPE) BUILDING . / '/��Y,
WATER CLOSET C
NUMBER' FIXTURE OR ITEM ® FEE ADDRESS 3 �v
LOCALITY a --
NEAREST
BATH TUB CROSS ST.
SHOWER -+ OWNER✓ ���
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LAVATORY MAILADDRESS=2 G
SINK CITY7p;id `- CyJT. TEL.NO. fel
DISHWASHER CONTRACTOR
CLOTHES WASHER ADDRESS
SWIMMING POOL RECEPTOR
CITY TEL.NO.
LAWN SPRINKLER SYSTEM STATE LIC.
WATER HEATER LICENSE NO. CLASS
GAS SYSTEM OUTLETS APPROVALS DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK
OUTLETS OVER
5 PER SYSTEM ROUGH PLUMBING tee?eJ-Z-
GAS PIPING
GAS VENT
t�R
HOT WATER HEATER
PLUMBING FIXTURES
GAS TEST $' �i 2`� � I�
Plan check fee UTILITY CO.NOTIFIED y i g
PLUMBING PERMIT ISSUING FEE$ 7 0
TOTAL FEE Z 74
r FINAL I I
PLAN CHECK VALIDATION
Plan check applicant
Name - r - O �/
Address
City Tel.No.
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE
THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES e
AND STATE LAWS REGULATING PLUMBING. PERMIT VALIDATION ;2 3 4 Q 6 A
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS {�
REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE M O O O O O 5
LEGAL OWNER OF.AND INTEND TO RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL
PROPERTY. 2 O O 2 n O O
SIGNATUREel xl� L G G
OPERMITTEE dc4eo - - 2200'u
DIST,Rryf NO. PROCESSED BY 0Q•,Q2-79�n140
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INDUSTRIAL
WASTE APPROVAL