HomeMy Public PortalAbout6169 MUSCATEL AVE_Plumbing__ 78A887-C EJJ817 10-87 -e`,C7 .- ! j
APPLICATI®N FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DMSION BUILDING,616�j 1 a, �Li S C 4 t C 1
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY .1 rprlCi
!V FOR APPLICANT TO FILL IN(PR NT OR TYPE) NEAREST i
CROSS ST. !.nn�S(Y r n sr,
` NUMBER FIXTURE OR ITEM EACH FEE
OWNER I. Buhlcr
WATER CLOSET 1.50
BATH TUB 1.50 ADDRESS $ abOVG
SHOWER 1.50 CITY �r TEL.NO223-4 -66
LAVATORY 1.50 CONTRACTOR !'. E. Grr- ham 9 ?1mb o
SINK 1.50 ADDRESS
01 27 ,r'1 0 Las 1 unc S r r 1 V C
DISHWASHER 1.50 CITY Le:"_1Cn�/l�`ty TEL.N0286-
STATE
OL 6_ '�
z CLOTHES WASHER 1.50 LICENSE NO. 104466 CLASS C-3LIC 6
SWIMMING POOL RECEPTOR 1.50
DISTRICT NO. GROUP ZONE PROCESSED BY
LAWN SPRINKLER SYSTEM 2.00 O
WATER HEATER•r^,p lc1 C 1.50 1 50 INDUSTRIALTE PROVAL �
O
GAS SYSTEM OUTLETS 1.50 INSPECTION RECORD V
OUTLETS OVER 30 O_
5 PER SYSTEM H
Plan check fee 257o of above. See reverse.
PLUMBING PERMIT ISSUING FEE 8 2 00
TOTAL FEE 2 5
APPROVALS DATE INSPECTOR'S SIGNATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
GAS VENT
City Tel. NO. HOT WATER HEATER
1 HEREBY ACKNOWLEDGE THAT 1 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 GAS TEST
PLUMBING.
IHEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR UTILITY CO.NOTIFIED
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF,AND INTEND TO -
RESIDE IN.THE ABOVE DESCRIBED IkESIDENTIAL PROPERTY. 'FINAL
SIGNATURE JACK R. ALLEN, SUPERVISING MECHANI L EN'G'R.
OF PERMITTEE _
PERMIT VALIDATIONfC� IS• '1 M.0. CASH
PLAN CHECK VALIDATION CK. M.O. C SH
v 77gO" BEC27 5 D 3.50
78H607-cE817 10-80
APPLICATION FOR PLUMBING PERMIT �
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DMSION BUILDING
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS � /�ivse 1#9
WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN
CROSS ST.. �� d
?' NUMBER FIXTURE OR ITEM m
WATER CLOSET
RATS TOB
A Ess /G ;V-7
c No0_li 3 0
SHOwn
' CONTRACTOR
LAVATORY
Sam
DISHWASHER CITY O.
LAUNDRY TUB. BEG A71ON 'COUNTY
CLOTHES WASHES DISTRICT NO. GROUP ZONE PROCESSED 13Y
WATER HEATER
GAS SYSTEM INDUSTRIAL
ti WASTE APPROVAL
INSPECTION RECORD
O
t IY
F
L.
Y,
0 $1.00 PER ITEM
f'
OR FIXTURE APPROVALS DATE INSPECTOR'S SIGNATURE
i.
PERMIT 51 2100 UNDER SLAB WORK
TOTAL FEE_H __ , ROUGH PLUMBING
GAS PIPING
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION "
I AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. HOT WATER HEATER
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED•AND/ORPLUMBING FIXTURES
r" LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND'STATE OF GAS TEST
'_. CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE
qa DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED
n' SIGNATURE ; {!
y OF PERMITTE FINAL �, ��°��•�IJ j7JJ�1�w9`rf.(%�
VALIDATION ROBERT A. WOOD
CK. M.O. cwBH SUPERVISING MECHANICAL ENG'R
5 1 k. NOV 30 5 A 3.00
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