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HomeMy Public PortalAbout5740 PRIMROSE AVE_Plumbing__ 176b.•667 (CE-8171- 5/73 �r .APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION MAKE. CHECKS PAYABLE TO: BUILDING. ADORES HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY FOR APPLICANT TO FILL IN (PRINT O TYPEI' NEAREST NUMBER FIXTURE OR ITEM F CROSS ST. _ 1 AJ WATER CLOSET 1. 5 OWNER f. MAIL: • BATH TUB 1. .5 ADDRESS CITY TEL. NO. SHOWER I-P5 LAVATORY A 1 75 CONTRACTOR SINK O -1 75, ADDRESS DISHWASHER ii N 1 75 CITY TEL. NO. CLOTHES WAS 1 75 STATE LICENSE NO: C. S SWIMMING'POOL RECEPTOR 1 75 TRICT NO. UP USSEO BY LAWN SPRINKLER SYSTEM" 1 75 % WATER HEATER 1" 5 INDUSTRIAL WASTE APPROVAL �•:' GAS SYSTEM OUTLETS 1. 5 CD �•_ INSPECTION RECORD CD 'OUTLETS,,OVER =,� 5 PER-SYSTEM30. CD W Z Plan check fee See Reverse PLUMBING PERMIT ISSUING FEE $ 300 TOTAL FEE APPROVALS DATE IN3 PECTOR'S SIGNATURE Plan Check applicant UNDER SLAB WORK Name ROUGH PLUMBING -7 '1/, V,f,71iY,.y,,,) Address GAS PIPING City Tel. NO. GAS VENT HOT WATER HEATER 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION l AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES !�,��7 � �✓f WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST PLUMBING. 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED LICENSEDAS RE11UIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL AWNER OF, AND INTEND TO RESIDE IN THE ABOVE D CRISED REBID T AL PROPERT . FINAL SIGNATURE OF PERMIT PERMIT VALIDATION CK. M.O. CASH PLAN CHECK VALIDATION CK. M.O. CASH 0 9 1v1QMAY 9 5 0 407 5 ©ytt 76A667,A,s++yw�" Cp GE 81�Pl9�v.8/78) pLA 1plb APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY • Al FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING NUMBER FIXTURE OR ITEM ® FEE ADDRESS • / LOCALITY WATER CLOSET NEAREST / BATH TUB CROSS ST. SHOWER O OWN LAVATORY Q-} MAIL ES 0 ADDR SINK CITY7,1---- L _ TEL.NO. DISHWASHER CONTRACTOR, CLOTHES WASHER 9-77) ADDRESS SWIMMING POOL RECEPTOR CITY TEL.NO. LAWN SPRINKLER SYSTEM STATE LIC: WATER HEATER LICENSE NO. CLASS f GAS SYSTEM 7Z OUTLETS APPROVALS DATE INSPECTOR'S SIGNATURE OUTLETS OVER UNDER SLAB WORK 5 PER SYSTEM ROUGH PLUMBING GAS PIPING GAS VENT HOT WATER.HEATER PLUMBING FIXTURES GAS TEST Plan check fee UTILITY CO.NOTIFIED PLUMBING PERMIT ISSUING FEE$ `] i? TOTAL FEE FINAL' VY—791 ` _ Plan check applicant 42 PLAN CHECK VALIDATION Name Address City Tel.No. 11 0 3 7 9 A 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATE # O O O O O 5 THAT THE ABOVE IS CORRECTAND AGREETO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. PERMIT VALIDATION 2 O - 2500 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REOU IRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE O O O 2.0 7 O O C.7 LEGAL OWNER OF,AND INTEND TO RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. oA21 -78 SIGNATURE OF PERMITT DISTRICT NO. PRESSED BY INDUSTRIAL WASTE APPROVAL