HomeMy Public PortalAbout6029 PRIMROSE AVE_Plumbing__ 76A6E-B 17)-4/72
APPLICATION FOR PLUMBING PERMIT
• • .COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
MAKE CHECKS PAYABLE TO: 13UILDINO
ADDRESS
HARVEY T. BRANDT, COUNTY ENGINEER
LOCALITY
FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST
CROSS ST. Ci `.(/ ��•=
NUMBER FIXTURE OR ITEM ® FEE:
WATER CLOSET 1,75 OWNER !r--iz G' a
MAIL
BATH TUB 1.75 ADDRESS 62Lomat.^--y- OIL
1,75 CITY TEL. NO.
LAVATORY 1,75 Z _ CONTRACTOR n 0
SINK 1.75 ADDRESS h f r �•�/•�
DISHWASHER 1.75 CITY t4 h TEL. NOqp
CLOTHES WASHER 1.75. 1) ==-O STATEir.
LICENSE NO. Q �a CLASS
SWIMMING POOL RECEPTOR 1;75
DISTRICT NO. GROUP ZONE FROJESSED BY
LAWN SPRINKLER SYSTEM 1.75 5-08
�•
WATER HEATER 1.75 INDUSTRIAL ?•
WASTE APPROVAL a
CD
GAS SYSTEM OUTLETS 1.75 a G INSPECTION RECORD c.a
OUTLETS OVER ,30 p
5 PER SYSTEM
v
a
H
Plan check fee See Reverse
PLUMBING PERMIT ISSUING FEE $ 3 00
TOTAL FEE `j(} -
x. APPROVALS DATE 9 sPECTOR GNATURE
Plan Check applicant UNDER SLAB WORK Iffly
Name ROUGH PLUMBING
Address GAS PIPING
City Tel. No. GAS VENT
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER
R AND STATE TH ATTHE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING /
PLUMBING. 'GAS TEST
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED
LICENSED AS REQUIRED OS ANGELES COUNTY AND STATE.OF
CALIFORNIA OR THAT AM E LEGAL OWNER OF, AND I TO
RESIDE IN THE ABOV DESC BED RESIDENTIAL ROPERT . FINAL 3
SIGNATU RE op
OF PERMIT EE
PERMIT VALIDATION "cK M.O. CASH
PLAN CHECK A ATION CK. M.O: CASH
1 4 0 N DEC11 5 D 62.50,
ti
'74_AC�57 (CE-Ep.17)-4/72 ...�2� _ /►�' _'
APPLICATIO FOR- PL?MBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING �� �-
MAKE CHECKS PAYABLE TO: ADORES C'
HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY
FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEARESZT
CROSS ST.
NUMBER FIXTURE OR ITEM @ FEE
WATER CLOSET 1.,75 OWNER ov
MAIL „!
BATH TUB 1.75 ADDRESS �s"
SHOWER 1.75 CITY TEL. NO.
LAVATORY 1.75 CONTRACTO V ("m"
SINK 1.75 ADDRESS' .,01 < r
DISHWASHER 1.75 CITYU �,�,.� r TEL. NO.
CLOTHES WASHER 1.75 STATE LIC
` X?
SWIMMING POOL RECEPTOR 1.75 LICENSE N —3d3 CLASS
DISTRICT NO. GROUPNE FR CESS BY
LAWN SPRINKLER SYSTEM 1.75
WATER HEATER 1.75 INDUSTRIAL pp..
WASTE APPROVAL O.
GAS SYSTEM OUTLETS 1.75 INSPECTION RECORD CD
OUTLETS OVER O.
5 PER SYSTEM 30 CD
LLA
Ci
N
Z
Plan check fee See Reverse
PLUMBING PERMIT ISSUING FEE $ 3 00
TOTAL FEE
APPROVALS DATE INSPECTOR'S SIGNATURE
Plan Check applicant-, UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
City Te NO. 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 GAS TEST
PLUMBING.
I HEREBY CERTIFY THAT 1 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 RESIDENTIAL PROPERTY. FINAL
SIGNATU RE
OF PERMITTEE
PERMIT VALIDATION CK. M.O. CASH '
PLAN CHECK VALIDATION CK. M.O. CASH
I �� -2 4 3?3 JUL 11 5 0 11 .75-