HomeMy Public PortalAbout5518-5518 1/2 MCCULLOCH AVE_Plumbing_4/18/1969_ 76 A 667 CE 817 468
r 'K APPLICATION FOR PL 0#BTNG PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION annaFss�j- ,t 4 L
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY C
I
FOR APPLICANT TO FILL IN(PR NT OR TYPE) NEAREST
CROSS ST. _ 1/ +�
NUMBER FIXTURE OR ITEM EACH FEE
� WATER CLOSET 1.50 O OWNER
MAIL
7. BATH TUB 1.50 d, ADDRESS Z— C- L c��
SHOWER 1.50 CITY TEL.NO. `
LAVATORY 1.50 tl CONTRACTOR F
SINK 1.50 Cs ADDRESS Z
DISHWASHER 1.50CITY TEL.NO. We
LIC
Z_ CLOTHES WASHER 1.50 C3 LICENS NO. q O CLASS Q 6
SWIMMING POOL RECEPTOR 1.50 DISTRICT NO. GROUP ZONE PROCESSED BY
LAWN SPRINKLER SYSTEM 2.00 "' v
WATER HEATER 1.50 00 INDUSTRIAL
WASTE APPROVAL
2 GAS SYSTEM OUTLETS 1.50 G`� nqSjECTl(ONA1ECORD
OUTLETS OVER 30 (I
5 PER SYSTEM aA.t
z
Plan check fee 25% of above. See reverse.
PLUMBING PERMIT ISSUING FEE S 2 00
TOTAL FEE /f
APPROVALS PAVE 1 ECTOR' 1ppNATURE
Plan check applicant UNDER SLAB WORK [Y
Name ROUGH PLUMBING
L-IE
ss GAS PIPING r Lo
GAS VENT
Tel. No.
HOT WATER HEATER
EBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
ATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
LL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST
NG.
REBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO.NOTIFIED _ ,S
ED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
RNIA OR THAT AM TME LEGAL OWNER OF,AND I END TO /
IN,THEA E ESCRIBED RESIDENTIAL PROP Y FINAL
TURE JACK R. ALLEN, SUPERVISING CH ANICAL EN'G'R.
ERMITr...
PERMIT VALIDATION CK. M.O. CASH
PLAN CHE ALIDATION CK. M.O. L_Af 9 4 3 5 APR 1 8 5 D 2 3.0 0,