HomeMy Public PortalAbout5926 PRIMROSE AVE_Plumbing__ 76 A 667- CE 617 7-69
APPLICATION FOR PLUMBING P RMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS
COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALTfY
FOR APPLICANT TO FILL IN PR INT OR TYPE) NEAREST
CROSS ST.
NUMBERFIXTURE OR ITEM EACH FEE
OWNER .
WATER CLOSET 1.50
MAIL
BATH TUB 1.50 ADDRESS '
SHOWER 1.50 CITY TEL. NO
LAVATORY 1.50 v CONTRAC R
SINK 1.50 ADDRESS A ®�f 1
DISHWASHER 1.50 CITY TEL. NO.
CLOTHES WASHER 1.50 STATE A LIC
LICENSE NO. v CLASS
SWIMMING POOL RECEPTOR 1.50 DISTRICT NO. GR UPNE PI$OG SEED BY
LAWN SPRINKLER SYSTEM 2.00 �O� /-7 <C
WATER HEATER 1.50 WTE AIp
'ASAPPROVAL
OVAL
GAS SYSTEM OUTLETS 1.50 INSPECTIION RECORD
5PERSOUTLETS OVETEM (. -fJ 7�r G/1 �-�!/ /� A�
5 PER SYSTEM .30 � /� / � � _ Q
i
916.
CA
••'/ri lir// /-/Gly-//= i'/�G 'fib C/f !-1 l-Gf� �g
Plan check fee 25% of above. See reverse.
PLUMBING PERMIT ISSUING FEE 8 2 00
TOTAL FEE 66 194b APPROVALS DATE INSPECTOR'S SIGNATURE
Plan check applicant UNDER SLAB WORK
Name TROUGH PLUMBING
Address ,GAS PIPING
GAS VENT
City Tel. No. ;HOT WATER HEATER
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION !PLUMBING FIXTURES
AND LY
STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMP
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 AS REQUIRED BY OS GELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM HE GAL OWNER OF,AND INTEND TO yg
RESIDE IN,THE
ABOVE DE pl RESIDE11 NT! PROPERTY. FINAL �� ��d/
SIGNATURE JACK R. ALLEN, SUPERVISING MECHANICA
OF PERMITTE
PERMIT VALIDATION CK. M.O. CASH
PLAN CHECK VALIDATION CK. M.O. CASH
M11 1 D 3.50"` CQ