HomeMy Public PortalAbout5426 MCCULLOCH AVE_Plumbing__ 76A667 (CE-817)- 5/73
APPLICATION FOR PLUMBING -PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
MAKE CHECKS PAYABLE TO: gDDRESS McCulloch Ave,
HARVEY T. BRANDT, COUNTY ENGINEER
LOCALITY
Temple Cit
FOR APPLICANT TO FILL IN (PRINT OR TYPE.) NEAREST Live Oak
CROSS ST.
NUMBER FIXTURE OR ITEM 0 FEE
WATER CLOSET 1,75 700 OWNER Foothill Servi ce'Cor o
AIL
BATH TUB 1.75
ADDRESS 2246 N- Iake Ave,
SHOWER 1.75 CITY Altadena TEL. NO. 8 l0
LAVATORY 1.75 70o CONTRACTOR Reisdorf PlumbingCO. Inc.
SINK 1.75 � ADDRESS 2119 Subtropic Dr.
DISHWASHER 1.75 3 � CITY la Habra' TEL. NO. 697 13)19
CLOTHES WASHER 1.75 STATE LIC
LICENSE N0. 274231 CLASS C36
SWIMMING POOL RECEPTOR 1.75
DIST ICT ISO. GROUP ZONE PROCESSED BY
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LAWN SPRINKLER SYSTEM 1.75 ®
WATER HEATER 1.75 , INDUSTRIAL t�itd�✓
WASTE APPROVAL :at -
GAS SYSTEM OUTLETS 1.75 3 p INSPECTION RECORD CD
OUTLETS OVER
5 PER SYSTEM .30 •G p
CD
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Plan check fee See Reverse
PLUMBING PERMIT ISSUING FEE $ 3 00
TOTAL FEE
APPROVALS DATE INSPECTOR'S SIGNATURE
Plan check applicant UNDER SLAB WORK1
a 7 � ,.�.
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Name ROUGH PLUMBING I I
Q_i-2
Address GAS PIPING rr
City Tel. No. GAS VENT
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I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS 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 1
PLUMBING. GAS TEST �i�/7�t7r �1 r�,� _i1S.ir�.✓
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED
LICENSED AS REIfUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF AND INTEND TO
RESIDE IN THE ABOVE D ED RESIDENTIAL ER TY.
FINAL
SIGNATURE
OF PERMITTEE
PERMIT VALIDATION CK. M.O. CASH
PLAN CHECK VALIDATION CK. CASH
1 1 4-LtMAY 22 5 D, 4 2./, Q A98