HomeMy Public PortalAbout5657 PAL MAL AVE_Plumbing__ 76 A667-C'E 8174W % '7
APPLICATION FOR PLUMBING PERMIT u
COUNTY OF LOS ANGELES u
DEPARTMENT OF COUNTY ENGIg
UMDrNG S,657 pa 1_
BUELDING AND SAFETY DIVISADDRESS YI'1
JOHN A LAMBIE COUNTY ENGIN
COLEMAN W JENKINS SUPT OF BLOCALrfY
FOR APPLICANT TO FILL IN PR NT ONEARSCROSS ST Or
NUMBER FIXTURE OR ITEM EACH
OWNER
WATER CLOSET 1 50MAD.HATH TUB 1 50ADDRESS /O 3SHOWER 150CITY '2' .,� TEL NO ��� � 15'5/
LAVATORY 1 50ONTRACTORSINK 150ADDRF$S d—p DISHWASHER 150GCITY ATE '�11 1y(' TEL NO Lf -3-00
CLOTHES WASHER 1 50 Sa STCENSE NO /-3� _ l T� CLASSC- 3�
LIC
SWIMMING POOL RECEPTOR 1 50 DISTRICT NO GROUP ZONE PROCESSED BY
LAWN SPRINKLER SYSTEM Z 00 . (J� /�d�(
RATER HEATER 150 ' Sa INDUSTRIAL 8
WASTE APPROVAL
IGAS SYSTEM S OUTLETS 150 1 S OWECTION RECORD O
OUTLETS OVER 30
5 PER SYSTEM
0.
N
Z
PI In check fee 25m of aboNe See reverje
P1 UNIBING PERM P ISSUING F CE ((2 00TOTAL EEF " O� APPROVALS ATE INLP RBSIc AT E
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
AddreRS GAS PIPING
GAS VENTCity 7el NoHOT WATER HEATER1HEREBY ACKNOWLEDGE THAT I HAV[ READLICATION ANO STATE THAT THEABOVEm CORRECT ANO COMPLY PLUMBING FIXTURESWITH ALL COUNTY ORDINANCESAND STATE GULATING GAS TEST
PLUMBING
1 HEREBY CERTIFY THAT 1 AM PROPERLY REAND/OR UTILITY CO NOTIFIED
LICENSEO AS REQUIRED BY LOS ANGELES COUNSTATE OFCALIFORNIA OR THAT I AM TH[ LEGAL OWNER NTEND TOReB]D[ IN THEA [ m[D RESIDENTUL PRFINAL
B IGNATURE JACK R ALLEN, SURERVISING MECHANICA
OF PERMITTEE
PERMIT VALH)ATION CK M o CASH
PLAN CHECK VALIDATION cK M o CASH
[f(e8 7 6 2� IYdfe11 5 D 2 0.00—
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