HomeMy Public PortalAbout6642 OAK AVE_Plumbing__ 78A667A (CE 8176( -477 /� rTc
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APPLI 1��PLB ING PERMIT
BU D G AND SAFETY ISION Q
FOR APPLICANT TO FILL IN(PRINT OR TY BUILDING
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NUMBER FIXTURE OR ITEM ® FEE ADDRESn
WATER CLOSET LOCALITY .���7'G C 1 7-Y
BATHTUB NEAREST CROSS
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CROSS ST. /bf6� G
SHOWER OWNER MAIL
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LAVATORY
ADDRESS d t `� d
SINK TEL.NO. 7 '
DISHWASHER CONTRACTOR L(_7 /
CLOTHES WASHER ADDRESS
SWIMMING POOL RECEPTOR n
CITY l� TEL.N044�6 j/a
LAWN SPRINKLER SYSTEM 'f �7STATI! r
WATER HEATER / LICENSE NOR/3 GT 3 CLASS J�
GAS SYSTEM OUTLETS N GROUP ZONE PROCESSED BY
OUTLETS OVER (� C
5 PER SYSTEM INDUSTRIAL G
WASTE APPROVAL D
INSPECTION RECORD F
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Plan check fee
PLUMBING PERMIT ISSUING FEE$
TOTAL FEE
Plan check applicant
NameAPPROVALS DATE INS'E To'R' SIGNXT E
UNDER SLAB WORK 2 o 0 in nn
Address ROUGH PLUMBING
City Tel.No. GAS PIPING v
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE GAS VENT 0110 6-80
THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES 1 r/�}•b''
AND STATE LAWS REGULATING PLUMBING. HOT WATER HEATER
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS PLUMBING FIXTURES t
REQUIRED BY LOSANG S COUNTY AND STATE OF CALIFORNI OR THAT I AM THE GAS TEST
LEGAL OWNER OF.AND I END TO RESIDE IN THE ABOVE DE RIBED RESIDENTIAL
PROPERTY. UTILITY CO.NOTIFIED
SIGNATURE "
CFPIERMITTE FINAL
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH