HomeMy Public PortalAbout5819 OAK AVE_Plumbing__ 76A667 (CE-817) — 5/73
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
r BUILDING AND SAFETY DIVISION
MAKE CHECKS PAYABLE TO: BUILDING
ADORESS
HARVEY T. BRANDT, COUNTY ENGINEER
LOCALI 7-
FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST
NUMBER FIXTURE OR ITEM @ FEE CROSS ST.
WATER CLOSET 1,75 ,� OWNE ?I C! *. y �>
MAIL
BATH TUB 1.75 ) ADDRESS
SHOWER 1,75 CITY TEL. NO. rr
LAVATORY 1.75 y n:" CONTQfi✓:f/ �). �? f_'f f~ :,s
SINK 1.75 ' amu, ADDRESS 1 < ` r it
DISHWASHER 1.75 cf S CITU 1 TEL. NO.(!(�,�.,j
CLOTHES WASHER 1,75 STATE LIC
LICENSE NO. ,j 7 .< CLASS
SWIMMING POOL RECEPTOR 1.75
DISTRICT .O. [.��Up ZO I .:- FROG S BY
LAWN SPRINKLER SYSTEM 1.75 ,,. " �"
WATER HEATER 1.75INDUSTRIAL CD
WASTE APPROVAL
GAS SYSTEM OUTLETS 1.75 c-�5� INSPECTION RECORD
OUTLETS OVER w
5 PER SYSTEM .30 }
CD
d
.r w
F-
Plan Check fee See Reverse
PLUMBING PERMIT ISSUING FEE $ 3 00
TOTAL FEE I °�
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
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
i AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND .STATE LAWS REGULATING GAS TEST
PLUMBING.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED
LICENSED AS REQU I REO BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO
RESIDE IN THE ABOVE ESCRIBED RESIDENTIAL PROPERTY. FINAL
[IllIllSIGNATURE �+
OF PERMITTEE
PERMIT VALIDATION CK. M.O. CASH
PLAN CHECK VALIDATION CK. M.O. CASH
.5x.`75 • .