HomeMy Public PortalAbout5917 PRIMROSE AVE_Plumbing__ 78A857-C:E#817 1.0-67' + .
APPLICATION FOR PLUMBING' PERMIT
COUNTY .OF' LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION FNEAREST
`M.. .�
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN'W. J'E.NKINS. SUPT. OF BUILDING
FOR.APPLICANT TO FILL:IN(PR NT OR TYPE)..NUMBER. FIXTURE OR ITEM .EACH FEE --
OWNER R.
WATER CLOSET 1.50
MAIL.
BATH TUB 1.50 ADD
SHOWER .1•.50 C TEL. NO �. 10T
LAVATORY 1.50 CONTRACTOR prt
SINK 1.50 ADDRESS
eale',
DISHWASHER 1.50 CITY TEL.NO. W,,6;fj
L
CLOTHES WASHER 1.50 STATE I LICENSE; CLASS
SWIMMING POOL RECEPTOR 1.50 DISTRICT NO. GROUP ZONE PROCESSED.BY
LAWN SP.RINkLER SYSTEM 2.00 ' all"'
O
WATER HEATER INDUS
SEATO-
A ,
1WASTAPPRV
O
GAS SYSTEM OUTLETS 1.50 II_QSPEC.TION'RECORD. 13
OUTLETS OVER W
5 PER SYSTEM .30 N
Plan check fee 25'% of above. See reverse.
PLUM•B•ING'PERMIT'ISSUING FEE 8 2 OU
TOTAL FEE :..
APPROVALS -DATE. INSPECTOR'S S16AATURE
Plan check'applicant UNDER SLAB WORK
Name ROUGH,PLUMBING
Address GAS PIPING.
GAS VENT ,
City. Te.1:. NO: HOT'wATE_R HEATER
1 HEREBY ACKNOWLEDGE THAI 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 GAS TEST
PLUMBING. - _
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR UTILITY CO.NOTIFIED;
LICENSED A9 REQUIRED BY LOS ANGELES.COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL-.OWNER OF.,AND INTEND TO
RESIDE IN,THE ABOVE DE RISED:RESIDENTIAL PROPERTY. FINAL
SIGNATURE J ALLEN, SUPER V.ISIN:G MEG•Hi4Nl'C'A IL..E '
OF PERMITTEE JACK R ALL
PERMIT VALIDATION cie.e M.O. c Sri
PLAN CHECK VALIDATION CK.. M.-Ow CASH O