HomeMy Public PortalAbout10732 MILOANN ST_Plumbing__ 78A387A(CE817A)- 8/73
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
MAKE CHECKS PAYABLE TO: BUILDING /® G �•y��L I✓
ADDRESS 6
HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY �e
r
FOR APPLICANT TO FILL IN (PRINT OR TYPE) CROSS ST
ST I
NUMBER FIXTURE OR ITEM @ FEE
WATER CLOSET OWNER
MAIL
BATH TUB ADDRESS ' —
SHOWER CITY TEL. NO.
LAVATORY CONTRACTOR
SINK ADDRESS �� ,
DISHWASHER CITY CTEL. NO. v`
CLOTHES WASHER STATE LIC
SWIMMING POOL RECEPTOR LICENSE NO. a �j� CLASS
LAWN SPRINKLER SYSTEM DISTRICT NO. GROUP OI�E PR ESSED BY
6V Z /
WATER HEATER INDUSTRIAL
WASTE APPROVAL
GAS SYSTEM OUTLETS INSPECTION RECORD
OUTLETS OVER
5 PER SYSTEM
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CL
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Plan check fee See Reverse
PLUMBING PERMIT ISSUING FEE $
TOTAL FEE
APPROVALS DATE INSPECTOR'S SIGNATURE
Plan check applicant UNDER SLAB WORK
Nagle ROUGH PLUMBING
ss
Address GAS PIPING �r�' yl�`Z
City TBI. No. 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 GAS TEST r..�/
PLUMBING.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED v I
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO
RESIDE IN THE ABOVE'DESCRIBED RESIDENTIAL PROPERTY. FINAL �s! .•d,�
SIGNATU RE
OF PERMITTEE
PERMIT VALIDATION OCKM.O. CASH
PLAN CHECK VALIDATION CK. M.O. CASH
6 8.9 16 :�: �. f. 7.5 0 ,&9,3
COUNTY OF LOS AINOELtS APPLICATION FOR PERMIT
Department of County Engineer
DIVISION OF BUILDING-& SAFETY ,
WILLIAM J.•FOX, County Engineer PLUMBING
DISTR CT NO. GROUP ZONE
FOR APPLICANT TO FILL IN
7-7 —
PLUMBER VALLEY BOULEVARD I I I/� RECEIVED BY READY FOR DATE ISSUED
EAST
FIRST INSPECTION
ADDRESS 8300 EAST V F R1_%_/D_
BUILDING .10
CITY RO`S�PLIG�,D TEL Na. •)- 7 7 1�, ADDRESS
COUNTY
LICENSE NO. 93111 EXPIRES r-an. LOCALITY
NEARE9T 5F7
PERMIT FEES CROSS ST. 1
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER �f� /fid.
MAIL
WATER CLOSET.(TOILET) a 0.50 $ ADDRESS
BATH TUB a 0.50 CITY TEL. -No.
HOWER a 0.50 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) a 0.50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK a 0.50 AND STATE LAWS REGULATING PLUMBING.
I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY a 0.50 ANGELES COUNTY LICENSE. OR I AM THE LEGAL OWNER
OF THE RESIDENTIA P OPERTY D SCRIBED ABOVE.
GAS BYSTE OUTLETS ® 0.50
SIGNATURE OF
0.10WATER HEATER a 0.50 PERMITTE
SLOP SINK a 0.50 INSPECTION RECORD
FLOOR SINK a 0.50
FLOOR DRAIN a 0.50
DISHWASHER a 0.60
DRINKING FOUNTAIN a-0.90
URINAL a 0.50 J
Q
HOUSE SEWER a 0.50 _Z
MISCELLANEOUS 2
O
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING �7rJ3•
GAS PIPING '7�Y 3xf .1
GAS VENT
CESSPOOL a 1.00 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) a 1.00 SEWER
-71 PERMIT t,OD GAS TEST
UTILITY CO.NOTIFIED
TOTAL FEE $ 0
FINAL
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