HomeMy Public PortalAbout9843 MILOANN ST_Plumbing__ —. ��
76AG67 (CE-817)-4/72 G
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w a -
a - "APPLICATION FOR PLUMBING PERMIT
COUNTY..OF LOS ANGELES.
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
MAKE CHECKS PAYABLE TO: BUILDING
ADDRESS
HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY
FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST
NUMBER FIXTURE OR ITEM 0 FEE CROSS S
WATER CLOSET 1.75 OWNER
MAIL
BATH TUB 1.75 ADDRESS
SHOWER 1.75 CITY TEL. NO.
LAVATORY 1.75 CONTRACTOR
SINK 1.75 ADDRESS ��
DISHWASHER 1.75 CITY EL. NQ �
CLOTHES WASHER 1.75 STATEv /� LIC
LICENSE NO/ZZ� CLASS Ci,
SWIMMING POOL RECEPTOR 1.78
DISTRICT NO. OUPNE CESSE BY
LAWN SPRINKLER SYSTEM 1.75 eQ� yf
WATER HEATER. 1.75 INDUSTRIAL
WASTE APPROVAL
GAS SYSTEM OUTLETS 1.75 INSPECTION RECOR rJ
OUTLETS OVER C
5 PER SYSTEM '30 ,3 F
N.1
O..
7 y
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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
Name 01 ROUGH PLUMBING
Address GAS PIPING.
Clty el. 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 ao
PLUMBING. GAS TEST
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR U-T Typo. NOTIF D
LICENSED REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIAN
AM THE LEGAL OWNER OF, AND INTEND TO 5z 1/0-C wCJ0113_yze__Az11
RESIDE IN T. RESIDENTIAL PROPERTY. FINAL SIGNATU R
OF PER•
PERMIT VALIDATION r CK. M.O. CASH
PLAN CHECK VALIDATIO CK. M.O. CASH.
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76A667-CE#817 6-65
APPLICATION FOR PLUMBIN PER
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS /LD�¢/Ojly
COLEMAN W. JE:NKINS. SUPT. OF BUILDING LOCALITY
T
FOR APPLICANT TO FILL IN NEAREST
NUMBER FIXTURE OR ITEM EACH FEE CROSS
OWNER
j WATER CLOSET 51.25
BATH TUB 1.25 ADDRESS H9(
- SHOWER 1.25 CITY �r C i T TEL. NO.
LAVATORY 1.25 CONTRACTOR
SINS 1.25 ADDRESS `t
FT-
DISHWASHER 1.25 CTfY TEL.NO.&4
STATE LIC'
LAUNDRY TUB 3..25 LICENSE NO. �J/)/- CLASS
CLOTHES WASHER 1.25 DISTRICT NO GROUP ZONE P
WATER HEATER, 1.50 Q
GAS SYSTEM OUTLETS 1'50 IAL
WASTE APPROVAL 0
OUTLETS OVER 5 PER SYSTEM .90 INSPECTION RECORD V
W
a
N
Z
APPROVALS DATE INSPECT 'S SIGNATURE
PERMIT 5 2 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE P7 GAS PIPING
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS PLICATION GAS VENT
AND STATE:THAT THE ABOVE IS. CORRECT AND AGREE/TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. HOT WATER HEATER
1HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED Y LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT I THE LEGAL OWNEROF,AND INTEND TO
RESIDE IN,THE ABOVE B RESID TIAL PROPERTY. UTILITY CO.NOTIFIED
SIGNATURE'
OF PERMITTEE
FINAL
I.IDATION
CK.
M.0. CASH
2 31 7% MAY 2J - 5 D 7.25N v