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HomeMy Public PortalAbout6303 OAK AVE_Plumbing__ 76A667C (Cr.-8178( -9/75 X . APPLICATION FOR PLUMBING PERMIT BUILDING AND SAFETY DIVISION FOR APPLICANT TO FILL IN (PRINT OR TYPE) BUILDING NUMBER FIXTURE OR ITEM @ FEE ADDRESS WATER CLOSET LOCALITY ' C NEAREST BATH TUB CROSS ST. /Cl SHOWER OWNERMAIL LAVATORY ADDRESS SINK CITY TEL.NO. DISHWASHER CONTRACTOR ,i F ; d1ji 7 A LZA!WS CLOTHES WASHER ADDRESS & SWIMMING POOL RECEPTOR LAWN SPRINKLER SYSTEMSTATE LIC CITY L TEL. WATER HEATER LICENSE NO. ,fp� CLASS DISTRI T NO. I GROUP NE ;PyCESS BY v GAS SYSTEM OUTLETS © ¢ ( CD � OUTLETS OVER C1 5 PER SYSTEM yV� INDUSTRIAL WASTE APPROVAL d ti INSPECTION RECORD Z t Plan check fee \ PLUMBING PERMIT ISSUING FEE $ aV TOTAL FEE Q Plan check applicant Name APPROVALS DATE INSPECTOR'S SIGNATURE UNDER SLAB WORK Address ROUGH PLUMBING City Tel. No. GAS PIPING I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT AND STATE THAT THEABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER PLUMBING. y I HEREBY CERTIFY THAT I AM PROPERLY REGI ERED AND/OR PLUMBING FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST y� ,� `1, 6 �e!�v CALIFORNIA OR THAT I AM THE LEGAL OWNER OF A INTEND TO RESIDE IN THE ABOVE DESCR D IREI ENTIAL P TY. UTILITY CO. NOTIFIED SIGNATU RE 7 OF PERMITTEE ` FINAL '-LZ�� �,-Z-'5 --�- PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION c M.0. CASH i 0 6 11--NOV 1 5 D 7.5 0 ��