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HomeMy Public PortalAbout5810 MUSCATEL AVE_Plumbing__ 76A667.CEA1617 9/63 - ' - APPLICATION FOR PLU•INIEING ' PERMIT = COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER- BUILDING AND SAFETY DIVISION BUILDING d JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS WILLIAM A.JENSEN,SUPT OF BUILDING I LOCALITY l FOR APPLICANT TO FILL IN NEAREST CROSS ST. NUMBER . FII;TURE OR ITEM EACH FEE ( OWNER WATER CLOSET 81.25 J MAIL BATH TUB 1,25 ADDRESS X SHOWER 1.25 CITY TEL. NO. LAVATORY 1.25 CONTRACTOR:ra SINS 1.25 ADDRESS. DISHWASHER '1.25 CITY `TEL. NO. "~ LAUNDRY TUB 1.25 CONTRACTOR'S STATE p 'REGISTRATION NO. COUNTY ❑ CLOTHES WASHER 1.25 DIS NO. GP ZONE PR CESS @Y WATER HEATER 1.50Y-- - GAS SYSTEM OUTLETS: I'� v INDUSTRIAL NDUSWASTE-APPROVAL 0 OUTLETS OVER 5 PER SYSTEM so- INSPECTION RECORD V :. • 4 f V s,.. LE hn• t�, ',1G��. .. � a 'Z Z l L APPROVALS / - DATE INSPECTOR'S SIGNATURE PERMIT - $ 2 00 UNDER SLAB WORK ROUGH PLUMBING TOTAL FEE GAS PIPING S 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT AND STATE-THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ' WITH ALL COUNTY ORDINANCES AND STATE'LAWS REGULATING HOT WATER EATER .�_ ��i I-H •,�,�,, p .� PLUMBING. IHEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES 7 �/ 4'�'lM LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST (,,( CALIFORNIA OR THAT 1 IATHEWNER LEGAL OOF,AND INTEND TO % /MRESIDE IN,THE10VE DIBED REST TIAL PROPERTY. UTILITY CO.NOTIFIED �`n.• �. SIGNATUR - OF PERM FINAL �, ��Cf _ s O-VALIVATION ROBERT A.WOOD -CK. M;-O. CASH. SUPERVISING MECHANICAL ENG'R 76 A 667—CE 817 8/68 � r APPLICATION FOR PLUMBING PFPMfl if COUNTY OF LOS'ANGELES DEPARTMENT OF COUNTY ENGREMB BUILDING AND SAFETY DIVISION BUILDING /b JOHN A. LAMBIE. COUNTY ENGINEER COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY FOR APPLICANT TO FILL IN PR NT OR TYPE) NEAREST CROSS ST. NUMBER FIXTURE OR ITEM EACH FEE OWNER WATER CLOSET 1.50 MAIL BATH TUB 1.50 ADDRESS SHOWER 1.50 CITY NO• LAVATORY 1.50 CONTRACTO SINK 1.50 ADDRESS DISHWASHER 1.50 CITY L. NO. CLOTHES WASHER 1.50 STATE LIC LICENSE NO. / CLASS SWIMMING POOL RECEPTOR 1.50DISTRICT NO. GROU Z E y BY' LAWN SPRINKLER SYSTEM 2.00 ! ' O WATER HEATER 1.50 INDUSTRIAL C7 WASTE APPROVAL z GAS SYSTEM OUTLETS 1.50 INSPECTION RECORD 0�. OUTLETS OVER V 5 PER SYSTEM •30 DW C/) Z Plan check fee 25% of above. See reverse. PLUMBING PERMIT ISSUING FEF: S 2 00 TOTAL FF;I. L APPROVALS DATE INSPECTOR'S SIGNATURE Plan check applicant UNDER SLAB WORK :dame ROUGH PLUMBING Address GAS PIPING GAS VENT City Tel. No. HOT WATER HEATER 1 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 AS TEST PLUMBING. I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED ANDIOR TILITY CO.NOTIFIED LICENSED AS REQUIRED OS ANGELES COUNTY AN STATE OF CALIFORNIA OR THAT 1 M T LEG OWNER OF, N INTEND TO ` RESIDE IN,THE ABOVE D CRI D IBES NTIAL PROP FINAL SIGNATURE OF PERMITTEE_ JACK R. ALLEN, SUPERVISING CHANICAL ENG-R. PERMIT VAL.IIDATIIONC K. M.O. CASH. PLAN CHECK VALIDATION CK. M.O. CASH ( Ar,2 1 4 2:D GGT 6 5 A 3.50- "�