HomeMy Public PortalAbout6030 MUSCATEL AVE_Plumbing__ 76.A 667— 6E 817 7-69 /L.10
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AFOLICATION FOR PLLfMBING ARMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER r
BUILDING AND SAFETY DIVISION BUILDING
ADDRESS
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY •�"�Z E
FOR APPLICANT TO FILL IN CPR NT OR TYPE NEARSTT. L/CROSS L
NUMBER FIXTURE OR ITEM EACH FEE
OWNER In
WATER CLOSET MAILs
BATH TUB 1. 0 ADDRESS GLS
SHOWER 1. 0 7 CITY �t LI TEL. NO. vn
Cf, CONTRACTOR
LAVATORY 1. 0 S .2--
�. SINK 1. 0 ; ADDRESS
® DISHWASHER 1. 0 CITY TEL. NO.
CLOTHES WASHER 1. 0 STATE LIC
LICENSE NO. CLASS
SWIMMING POOL RECEPTOR 1. 0 -r..
DISTRICT NO. GROUP ZONE R ESSED BY
LAWN SPRINKLER SYSTEM 2. 10 -5�
WATER HEATER 1. 0 Iyam S APPROVAL
GAS SYSTEM a!!� OUTLETS 1.10 7S .: INSPECTION RECORD u
OUTLETS OVER
5 PER SYSTEM .30 � � ��� �+ � -!:,:7;AJ t7 0
Lu
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Plan check fee 25% of above. See reverse.
PLUMBING PERMIT ISSUING FEE S 00
TOTAL FEE °2i cS�
APPROVALS PAITE IN CTOR' NATURE
Plan check applicant UNDER SLAB WORK -
Name ROUGH PLUMBING
Address 47—
GAS PIPING
GAS VENT
City Tel. No.
HOT WATER HEATER
1 HEREBY ACKNOWLEDGE THAT 1 HAVE R4p THIS APPLICATION
Y AND STAT
ETHAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TESTI Z •`i
PLUMBING. L. �
I HEREDY CERTIFY THAT I AM PROPERLY RCGIOTERED AND/OR UTILITY CO.NOTIFIED �� C
. LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THC LEGAL OWNER OF.AND INTEND TO
RESIDE IN,
THE ABOVE DEB IBE RESIDEN PRorERrr. FINAL �LII'7'L
t- IOGNATURE JACK R. ALLEN, SUPERVISING CHANICAL ENG'R.
F PERMITTEE
PERMIT VALIDATION CK. M.O. CASH
PLAN CHECK VALIDATION CK. M.O. CASH
arm ? 2q r, � ' 1 5 D 2925MIV