HomeMy Public PortalAbout5598-5600 MCCULLOCH AVE_Plumbing__ 7SA887 (CE-817) - 2175
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. . � APPLICATION R PLW G PERMIT
COUNTY OF LOS ANGELES '
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
MAKE CHECKS PAYABLE TO: BUILDING .
ADDRESS.S0og
�yW C f J CC
HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY
[,v Ci At
FOR APPLICANT TO FILL IN (PRINT OR TYPEI NEAREST `
CROSS ST. o k
NUMBER FIXTURE OR ITEM @ FEE
-Z_ WATER CLOSET 210o -3riq OWNER
_CZ.J ri'11IV InG— •
MAIL
BATH TUB -tIo � (� ADDRESS 140142
SHOWER 2; 0 C ITY ej=L TEL. NO.
LAVATORY 2,IT b".11 (� CONTRACTOR
SINK 2.30 d0 1 ADDRESS ry7 � hdmL2 -4
DISHWASHER ' s 2.30 5^5�y nO CITY L'o�.��� TEL. NO.9&3,�V`l
CLOTHES WASHER 2.0 s J4 0 d STATE I.0
LICENSE NO. CLASS G--
SWIMMING POOL RECEPTOR 2, p
DISTRICT NO.GROUP ONE CESSE By
LAWN SPRINKLER SYSTEM 2• p. �0
WATER HEATER 2. 0 Op INDUSTRIAL.
,� WASTE APPROVAL C
GAS SYSTEM OUTLETS 2, 0 O INSPECTION RECORD c.2
OUTLETS OVER 0 O
5 PER SYSTEM
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Plan check fee See Reverse
PLUMBING PERMIT ISSUING.FEE 3 3 00
TOTAL FEE
APPROVALS - DATE I PS•e TOR•s SIGNATURE
Plan check applicant UNDER SLAB WORK j./
Name ROUGH PLUMBING
Address GAS PIPING.
City Tel. N0. GAS VENT
HOT WATER HEATER
I 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
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED
LICENSED AS REQUIRED BY LOS ANGELESCOUNTY AND STATE OF -
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, XIM fRTENb TO
RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL P PERTY. FkNAL
P _
SIGNATURE 1 _
OF PERMITTEEAIM
PERMIT VALIDATION CASH
PLAN CHECK VALIDATION CK. M.O: CASH i
4 9 9IgmAY 30 •5 'D 3 1.0 0 A-LM