HomeMy Public PortalAbout9811 MILOANN ST_Plumbing__ 76A667 (CE-817)- 5/73
APPLICATION R PLUMBING P_ ERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
MAKE CHECKS PAYABLE TO. BUILDING
ADDRESS G /�
HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY `
FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM (gyp FEE
A WATER CLOSET 1,75 OWNER F Ca IV IV a
MAIL ,y
BATH TUB 1.75 ADDRESS sf L
SHOWER 1.75 CITYf= TEL. NO.
LAVATORY 1.75 CONTRACTORPRO g
SINK1.75 175' ADDRESSf j.
® DISHWASHER 1.75CITYAR
�' TEL. NO. O
CLOTHES WASHER 1.75 g STATE _ LIC
LICENSE NO. J CLASS
SWIMMING POOL RECEPTOR. 1.75
DISTRICT NO. GROUP 7wQNE P CESS BY
LAWN SPRINKLER Sii TEM 1.75 ��S �• ri
WATER HEATER 1.75 INDUSTRIAL `L yp,
GAS WASTE APPROVAL SYSTEM OUTLETS 1.75- 1117 INSPECTION RECORD CD
OUTLETS OVER
5 PER SYSTEM .30 C
v
W
O..
y
Z
Plan check fee See Reverse
PLUMBING PERMIT ISSUING FEE $ 3 00
TOTAL FEE
APPROVALS AT sPe o IG r
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING c C _
Address GAS PIPING i Irv• e�4�-�
City Tel. NO. GAS VENT
HOT WATER HEATER
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THEABOVE 15 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. NOTIFIEDLI CENS ED K )
CALIFORNIAAND STATE OF
OR THATAS I AM HE LEGALBY LOLES OW EOR OF, AND INTEND TO )H )iTv10 OA.A/ /2-41-:W/
RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL PRO ERTY. FINAL' e-,-,yo a L .. v • a�for �.
SIGNATURE f I.#%-
0
t —OF PERMITTEE
41 PERMIT VALIDATION �CK:)M.O. CASH
PLAN CHECK VALIDATION CK. M.O. CASH
s $mss€ "24 s •o 1 :7.0 C)