HomeMy Public PortalAbout5921 1/2 PRIMROSE AVE_Plumbing__ 76A667-CE#817 10-67J '
APPLICATION FOR LUMBING PERMIT
COUNTY OF LOS ANGELES 1
'DEPARTMENT OF :COUNTY ENGINEER
BUILDING AND SAFETY DMSION F;A
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN,W. JENKINS. SUPT. OF.BUILDI•NG LOCALITY o
FOR_APPL.IC.4NT TO FILL.IN PR NT OR TYPE)
.
NUMBER FIXTURE OR ITEM. EACH FEE
OWNER
WATER-CLOSET 1.50
BATH TUB 11.50 ADDRESS
SHOWER 1.50 CITYdor TEL. NO..I'111
LAVATORY 1.50, CONTRAS O, .
SINK 1.50 ADDRESSII. orwoT
DISHWASHER 1.50 CITY TEL.NO
CLOTHES WASHER 1.50 STA I E LI C
LICENSE'NO: . � CLASS
SWIMMING POOL RECEPTOR 1.50 DISTRICT NO. GROUP ZONE PROCESSED BY/
LAWN SPRINKLER SYSTEM 2.00 ®� �eid%m
O
WATER HEATER 1.50 j fD INDUSTRIAL V
WASTE.APPROVAL C
GAS SYSTEM OUTLETS 1.50 j INSPECTION RECORD_ V
OUTLETS OVER 30 d
SPER SYSTEM
- to
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Plan check fee 25% of above. See reverse.
PLUMBING PERMIT ISSUING FEE 82 00
TOTAL FEE
APPROVALS DATE INSPECTOR•S..SIGNATIIRE''
Plan.Check applican-t UNDER SLAB WORK
Name 116UGH PLUMBING
Address GAS,PIPING
,r
GAS VENT
City. Tel.'1\�7 O. #OT WATER HEATER
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT'THE ABOVE 1S CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES _ -WITH ALL, COUNTY ORDINANCES' AND STATE LAWS REGULATING GAS TEST
PLUMBINGL�C,ALIFORNIA
- -
CERTIFY THAT I AM PROPERLY REGISTERED- AND/OR q!•TILITY CO.NOTIFIED
REQUIRED BY LOS ANGELES COUNTY AND TATE OF
R THAT 1 AM THE•LEGAL'OWNER OF,AND INTEND TO
E ABOVE DE RISE BIDENTI ROP .FINAL JACK R. ALLEN, SUPERVISING MECHANICA EmwwERTEE. 671WIDA
PERMIT VALIDATION CK. M.O: CASH
PLAN CHECK VALIDATION cK. M.O. CASH.