HomeMy Public PortalAbout5539 PARMERTON AVE_Plumbing_7/18/1975_ osa R�Flc¢-enl - I!>e
I
/� APPLICAT ON =PCLIUBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING s3 �
MAKE CHECKS PAYABLE TO ADDRESS
HARVEY T BRANOT, COUNTY ENGINEER LOCALITY
FOR APPLICANT TO FILL IN (PRINT OR TYPEI NEAREST E
CROSS ST
NUMBER FIXTURE OR ITEM FEE
WATER CLOSET
2 D OWNER
MAIL C 7
BATH TUB 2 0 ADDRESS �J,J /
SHOWER �, 2 CITY TEL NO
LAVATORY 2 CONTRACT R
SINK 2 75 ADDRESS 156, Oolve-
�'✓•�
DISHWASHER 2 _ CITY `y '7 TEL NO 9/f3 50
CLOTHES WASHER 2 STATELIC
SWIMMING POOL RECEPTOR 2 LICENSE NO g.? ,J✓ / CLASS SS —3
DISTRICT NO GROUP ZONE O SSD BY
LAWN SPRINKLER SYSTEM 2
WATER HEATER �Jg JJ
20 WASTE APPROVAL
GAS SYSTEM OUTLETS 2 O J INSPECTION RECORD 0
OUTLETS OVER U
5 PER SYSTEM 30
O
LJ
1
N
Z
Plan check fee Sae RR verge
PLUMBING PERMIT ISSUING FEE S - 3 00
TOTAL FEE
APPROVALS DATE INSPECTOR a eIGHATUBE
Plan Check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
City TeIANo GAS VENT
HOT WATER HEATER
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING-FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBINGI GAS TEST
IHEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO NOTIFIED
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF AND INTEND TO
RESIDE IN THE ABOVE DESCRIBED RES ENTIA P OPERTY FINAL
`.
SIGNATURE
OF PERMITTEE
PERMIT VALIDATION cK M 0 CASH
PLAN CHECK VALIDATION CK M 0 CABH /
�JUL" 18 5 0
8251A es