HomeMy Public PortalAbout5418 MCCULLOCH AVE_Plumbing__ 76A667 (CE-617)- 5/73
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APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION 7ADDRESS
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MAKE CHECKS PAYABLE TO: 5y i8 MCCuI
HARVEY T. BRANDY, COUNTY ENGINEER
Y Temple City
FOR APPLICANT TO FILL IN (PRINT OR TYPEF
. Live Oak
NUMBER FIXTURE OR ITEM @ WATER CLOSET 1.75Foothill Service Cor
MAIL
BATH TUB 1.75 wh 2246 NsLake Ave®
SHOWER 1.75 Altadena TEL. NO. 7 99LAVATORY 1,75 TOR Reisdorf PlumbingCo., Ing„
SINK 1.75 S. ADDRESS 2119 Subtropic Dr.
DISHWASHER 1.75 3 CITY La Habra TEL. NO..697 ]349
STATE LIC
CLOTHES WASHER 1.75 LICENSE NO. 2X1.231 CLASS C-�36
SWIMMING POOL RECEPTOR 1.75
DISE NQ.. GROUP ZONE P CESSED BY
LAWN SPRINKLER SYSTEM 1.75 p
WATER HEATER 1.75 3 INDUSTRIAL d
WASTE APPROVAL
GAS SYSTEM OUTLETS 1.75 .v INSPECTION RECORDCD
OUTLETS-OVER 11
5 PER SYSTEM '30 /a Ujlpf y�r O
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Plan check fee See Reverse
PLUMBING PERMIT ISSUING FEE $ 3 00
TOTAL FEE Q
APPROVALS DATE IRs PECTO R'S SIGNATURE
Plan check applicant UNDER SLAB WORK
Name I ROUGH PLUMBING �� g q _J
Address GAS PIPING 00
GAS VENT
City Tel. No. J' -�-
HOT WATER HEATER
LRESIDE
EBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
TE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES ` t
LL COUNTY ORDINANCES AND STATE LAWS REGULATING
G. GAS TEST
REBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIEDD AS REQUIRED BY LOS ANGELES COUNTY AND STATE OFNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TOIN THE ABOVE D ED RESIDENTIA PERTY. FINALUR EERMITTEE &94-� I
PERMIT VALIDATION CK. M.O. CASH
PLAN CHECK VALIDATION CK. M CASH
1 0 9XMAY 22 5 D 4 2.4 0 AV6
1.