HomeMy Public PortalAbout5424 MCCULLOCH AVE_Plumbing__ 76A667 (CE-817)- 5/73
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
MAKE CHECKS PAYABLE TO: BUILDING
ADDRESS '5� McCulloch Ave.
HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY Temple City
FOR APPLICANT TO FILL IN (PRINT OR TYPEI NEAREST
NUMBER FIXTURE OR ITEM @ FEE CROSS ST. Live Oak
.�G
nn WATER CLOSET 1,75 OWNER Foothill Service•Corp.
MAIL 22 .6 N; bake Ave.
BATH TUB 1,75 � ADDRESS
1. SHOWER 1,75 ` S— CITY Altadena TEL. NO. '798 9109
LAVATORY 1,75 3 CONTRACTOR Reisdorf Plumbing Co.� Irc.
SINK 1,75 -7S ADDRESS 2119 Subtropic Dr.
DISHWASHER 1.75 �^ CITY I,a,)'Habra TEL. NO. 697 1349
CLOTHES WASHER 1.75 J '� STATELICENSE NO. 27`�231 CLIC
LASS C°•36
SWIMMING POOL RECEPTOR 1,75
DI�FRpO. GROUP ZO BY
LAWN SPRINKLER SYSTEM 1,75
WATER HEATER 1,75 3 INDUSTRIAL
WASTE APPROVAL
GAS SYSTEM OUTLETS 1.75 1 ys O
INSPECTION RECORD v
OUTLETS OVER
5 PER SYSTEM .30 Q p
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Plan check fee See Reverse
PLUMBING PERMIT ISSUING FEE $ 3 DD
TOTAL FEE
APPROVALS DATE INSPECTOR'S SIGNATURE
Plan check applicant UNDER SLAB WORK K2-2-7y W �
Name ROUGH PLUMBING 7 _
Address GAS'PIPING s �
City Tel. NO. GAS VENT
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION HOT WATER HEATER
AND STATE THAT THE ABOVE IS CORRECT AND AGREE -TO COMPLY PLUMBING FIXTURES �•Q� �(��
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. GAS TEST .. �
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO
RESIDE IN THE ABOVE BED RES( i OPERTY, FINAL
SIGNATU RE '
OF PERMITTEE
PERMIT VALIDATION CK. M.0. CASH
PLAN CHECK VALIDATION CK. M.G. CASH
1 .0 6A-MAY, 22 5 D- 2 7,8 0 ,&b8
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