HomeMy Public PortalAbout9934 MILOANN ST_Plumbing__ 76AG67A-ICE.817131-11/76 ( N
APPLICATION FOR PLUMBING PERMIT
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING
NUMBER FIXTURE OR ITEM ® FEE ADDRESS
WATER CLOSET LOCALITY i y 91780
N EAREST
BATH TUB CROSS ST. Arden
SHOWER OWNER mr$. Charleg Egetter
LAVATORY mA
ADDRESS- 9934 E Mi Joann
SINK CITY 2Temple CityTEL.NO.
DISHWASHER CONTRACTOR E. L. Payne
CLOTHES WASHER
A°oRgs •.166 W Live Oak
SWIMMING POOL RECEPTOR
CITY Arcadia TEL'NQ`446-6118
LAWN SP R I N KL ER:SYSTEM
STATE1202'28.. LIC.. C-2O
WATER HEATER - LICENSE NO: CLASS
l GAS SYSTEM l OUTLETS3 OO
DISTRICT NO. ROP N P SED'BY
OUTLETS.OVER O vL.eibJ
5 PER SYSTEM INDUSTRIAL
WASTE.APPROVAL
INSPECTION.RECORD-
46
Plan check fee
PLUMBING PERMIT ISSUING FEE$ 700 .
TOTAL FEE l 00
Plan check applicant
Name APPROVALS DATE INSPECTOR'S SIGNATURE
UNDER SLAB.WORK
Address ROUGH PWM91NQ
City Tel.No. GAS PIPING
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATE GAS'VENT _
THAT THE ABOVE IS CORRECT AND AGREE.TO COMPLY WITH ALL COUNTY ORDINANCES - -
AND STATE LAWS REGULATING PLUMBING. HOT WATER HEATER
I HEREBY'CERTIFY THAT I AM.PROPERLY REGISTERED AND/OR LICENSED AS :PLUMB.ING.FIXTURES
O
REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I HE GAS TEST
LEGAL WNEROF;AND INTEND RESIDE IN THE ABOVE DESCRIBED REST IAL
PROPERTY. UTILITY CO.NOTIFIED
SIGNATURE
OFPERM EE AI m _
P.I.4iN,Ii 'vDCQ1\4 PEN PERMIT VALIDATION CK.. M.O. CASH
1 0 .3-,c--APR •24 D 1 0.0 0 ®�,
MICY 140LDER44/
LtCIt UMBER. j3 /0,
)RS-17 10.39 APPLICATION FOR PLUM-RING PERMIT 1
IBS-17
DIVISION OF BUILDING AND 'SAFETY
Deportment of County Engineer
County of LOS Angeles BUILDING
JOHN A.L.AMBIE, COUNTY ENGINEER ADDRESS
CASSATT D,GRIFFIN.SUPT OF BUILDING
LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
OWNE9f1k DIST NO. GROUE I ZONE I.READY FOR INSPECTION
MAIL �—
ADDRESS `�
INDUSTRIAL
CITY TEL.NO. WASTE APPROVAL
PLUMBER. r INSPECTION RECORD
ADD ESS b
CITY�]Q ,f� 0.
LICENSE NO. 36
NUMBER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET (TOILET) @ $1.00 $
BATH TUB @ $1.00
SHOWER @ $1.00
LAVATORY (WASH BASIN) @ $1.00
KITCHEN SINK @ $1.00
DISHWASHER @ $1.00
LAUNDRY TUB OR TRAY @ .31.00
CLOTHESWASHER @ $1.00
WATER HEATER @ $.1.00
GAS SYSTEM @ $1.00
APPROVALS
DATE INSPECTORS SIGNATURE
UNDER SLAB WORK
PERMIT $ 1 00 ROUGH PLUMBING
GAS PIPING
TOTAL FEE &6 GAS VENT'
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER
AND STATE THAT THE ABOVE IS CORRECT AND .AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND. STATE LAWS REGULATING
PLUMBING.. PLUMBING FIXTURES
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE UTILITY CO.NOTIFIED
DESCRIBED'RESIDENTIAL PROPERT /
SIGNATURE /
OF PERMI FINAL
OHN A.LAMBIE,COUNTY ENGINEER VALIDATION ROBERT A.WOOD,CHIEF PLBG. INSPECTOR
cs. m.o. cAsx
:�I�o3 7 0- JAN 21 3 2.0 0 in