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HomeMy Public PortalAbout6056 OAK AVE_Plumbing__ 76A667 (CE-817) - 1/75' �- APPLICATION OR P/N' ' B.ING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION MAKE CHECKS PAYABLE TO: BUILDING ADDRESS ADDRESS Q © ,C_: _ HARVEY T.T. BRANDT, COUNTY ENGINEER LOCALITY FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST ' NUMBER FIXTURE OR ITEM @, FEE CROSS ST. WATER CLOSET 2.0 OWNER f. MAIL BATH TUB 2.0 ADDRESS SHOWER Q(�, C ITY TEL. NO. LAVATORY 2. CONTRACTOR SINK 2.40 ADDRESS DISHWASHER 2.PO CITY TEL. NO. CLOTHES WASHER 2' 0 STATE LIC SWIMMING POOL RECEPTOR 2 10 LICENSE NO. CLASS DISTRICT NO.JGROUPJ ZONE �PRCESS D BY . LAWN SPRINKLER SYSTEM 2 Op �0 '? WATER HEATER 2 00 INDUSTRIAL. 1�^ WASTE APPROVAL d GAS SYSTEM OUTLETS 2.00 INSPECTION RECORD cCD� OUTLETS OVER 4 C 5 PER SYSTEM .30 CD v W d y z - t Plan check fee See Reverse PLUMBING PERMIT ISSUING FEE $ TOTAL FEE APPROVALS DATE INSPECTOR'S SIGNATURE Plan check applicant UNDER SLAB WORK Name / a a/ ROUGH PLUMBING Address GAS PIPING n re City C� Tel. No �y GAS VENT HOT WATER HEATER I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATE THAT THEABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST - r PLUMBING. 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED IT, LICENSED AS REQUIRED B OS ANGELES COU TY T STATE OF j CALIFORNIA OR THAT I HE L AL OWN F Hb (N YE HD TO r RESIDE IN THE ABOVE S off SIDENTI ER7'Y. FINAL y SIGNATURE L• . OF PERMITS � �. PERMIT VALIDATION CK. M,o: CASH �) PLAN-CHECK VALIDATION CK. M.O. CASH , 0 4 0•ren(;T 8 5 0 7.55 0 &68 7GA667 (C6-617) - 1/75" .% ��'-APPLICATPN 75" 'APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION FNEAREST MAKE CHECKS PAYABLE TO: HARVEY T. BRANDY, COUNTY ENGINEER FOR APPLICANT TO FILL IN (PRINT OR TYPE) . NUMBER FIXTURE OR ITEM @ FEE ]( 2.00 OWNER WATER CLOSET .•� MAIL BATH TUB 2.00 / ADDRESS SHOWER 2.00 CITY TEL. NO. �C LAVATORY 2.00 CONTRACTOR SINK 2.00 ADDRESS DISHWASHER 2.00 CITY TEL. NO. CLOTHES WASHER 2.00 STATE LIC LICENSE NO. CLASS SWIMMING POOL RECEPTOR 2.00 DISTRICT NO.JGROUPJ ZONE PR CESSED BY LAWN SPRINKLER SYSTEM 2.00j"C) _ WATER HEATER 2.00 INDUSTRIAL WASTE APPROVAL o� GAS SYSTEM OUTLETS 2.00 INSPECTION RECORD v OUTLETS. OVER 5 PER SYSTEM ,30 O W Cl- N Z Plan check fee See Reverse 1/ 00 PLUMBING PERMIT ISSUING FEE $ 31 00 TOTAL FEE // APPROVALS DATE INSPECTOR'S SIGNATURE Plan check a plicant ip•� UNDER SLAB WORK p. Name E`�- � ROUGH PLUMBING Address d f~� dG� GAS PIPING f City �f Tel. No. 7 GAS VENT rr�1 1 ' HOT WATER HEATER 1HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION _ AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES '� ✓ 1 �' WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING f` p PLUMBING. GAS TEST I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED I J �� LICENSED AS REQUIRED BY LOS ANGELES COUNTY _AND STATE OF CALIFORNIA OR THAT I AM TU LEGAL OWNER OF N-6 MY1_NO TO I RESIDE IN THE ABOVE DESC rB R IDENZPPERTY. FINALV`�SIGNATURE � OF PERMIT-EE PERMIT VALIDATION CKK..''' M.O. CASH PLAN-CHECK VALIDATION CK. M.O. CASH 0.4 0:'r4o-AUG. .15 5 0 �.5.�?'ess