HomeMy Public PortalAbout5434 MCCULLOCH AVE_Plumbing__ 76A687 (0E-817)- 5/79 C✓ � �-�./��i}-
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
MAKE CHECKS PAYABLE TO: ADDRESS -McCulloch Ave,
HARVEY T. BRANDY, COUNTY ENGINEER LOCALITY Temple City'
FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST
SS T. Z1Ve Oak
NUMBER FIXTURE OR ITEM La FEE
OWNER FooLthill Service Corp.
WATER CLOSET 1.75 3 v MAIL 2246N; �kg
BATH TUB 1.75 l 7 ADDRESS
SHOWER , 1,75 7 CITY Altadena TEL. NO. 798 glog
LAVATORY 1,75 P CONTRACTOR Reisdorf Plumbing Co, Inc
SINK 1.75 1 7T ADDRESS 2119 Subtro_oic
DISHWASHER 1.75 ,SCITY I, Habra TEL. NO.697 1,349
r CLOTHES WASHER 1.75 STATELIC
LICENSE NO. 2�7I.1 4231 CLASS 0—36
SWIMMING POOL RECEPTOR 1.75
D�$TRICT NO. GROUP ZONE PROCESSED BY
LAWN SPRINKLER SYSTEM 1.75 �+
WATER HEATER 1.75 / INDUSTRIAL
WASTE APPROVAL
GAS SYSTEM OUTLETS 1.75 INSPECTION RECORD v
OUTLETS OVER
5 PER SYSTEM .30 0
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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 WORK 5-,��fly ��� '• .r
Name ROUGH PLUMBING r s
Address GAS PIPING ? j
mow.
City Tel. No. GAS VENT
HOT WATER HEATER no 4M/
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION _
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. GAS TEST
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE
CALIFORNIA OR THAT I AM THE LEGAL OW 1" AND INTEND TO
RESIDE IN THE ABOVE D ED RESI I P OPERTY. FINAL
SIGNATU RE
OF PERMITTEE
PERMIT VALIDATION cK M.O. CASH
PLAN CHECK VALIDATION CK. .0. CASH
1,1 1"tfiSAY 22 5 0 2 0.5 0:6-96