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HomeMy Public PortalAbout6114 PRIMROSE AVE_Plumbing__ 76A667;CEB1I8-59 rI ®�P�/�c I �� 4y ' APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES . DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION FNE �OHN A.LAME.Count ies ,f/ e'7s:.ClTT D. GRIFFIN.Snp t of$uiletiag �",G//; �iFOR APPLICANT TO FILL IN NUMBER Y:IXTUR9 OR ITEM / /j/�,gyp WATER CLOSET OWNER MAIL SATE TUB ADDRESS CITY SHOWER TEL.NO. LAVATORY CONTRACTOR FONTANA PLUMBING CONTRA= I sm ADDRESS 133 . • DISHWARIER CITY City CONTRACTOR'S ' LAUNDRY TUB REGISTRATION NO. #96496 COUNTY ❑ CLOTHES WASHER DISTRICTNO. GROUP I 7QN P CESSED BY WATER HEATER or GAS SYSTEM INDUSTRIAL WASTE APPROVAL INSPECTION RECORD / X2,2 Yi- (/ 0 O.0OP � $ I �� APPROVALS ;7k DATE INSPECTOR'S SIGNATURE PERMIT $ 2 00. UNDER S WORKH ^Q TOTAL FEE /0 Qo ROUGH P NG /J5-f,D GAS PIPIWG ;,HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT AND STATE THAT THE ABOVE 18 CORRECT AND AGREE TO COMPLY LR COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER . `�� owldmbl"i Y CERTIFY THAT I AM PROPERLY REGISTERED AND/OR' PLUMBING FIXTURES AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST �7 L A OR TH I AM THE LEGAL OWN OF THE ABOVE... RE D ALP ERTY UTILITY CO.NOTIFIED REITTE FINAL ®p VALIDATION ROBERT A.WOOD, • ca. M.O. alum SUPERVISING MECHANICAL.ENG'R UgO .665w APR 5A 13.00 � . 76A667 (CE-Br7) - 1/75 � ( .T L) I p�_ �q i` cir/ APPLICA ION FOR PLUM13ING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION /��c MAKE CHECKS PAYABLE TO: AUDIDRESS / RI M JeOS6 HARVEY T. BRANDT, COUNTY ENGINEER l LOCALITY /, J FOR APPLICANT TO FILL IN (PRINT OR TYPE) CNEAREST 0 If ROSS ST. �_ NUMBER FIXTURE OR ITEM @ FEE 2.00 AS OWNER A WATER CLOSET AIL BATH TUB 2.00 ADDRESS SHOWER 2.00 CITY TEL. LAVATORY 2.00 CONTRAC l [+ ' I ERS SINK 2.00 ADDRESS %1 DISHWASHER 2.00 CITY T CLOTHES WASHER 2.00 STATE LICENSE NO. � CLASSe SWIMMING POOL RECEPTOR 2.00 DIS-�WCT NO.JGAOUPJ ONE P CES D B LAWN.SPRINKLER SYSTEM 2.00 k _/ 6 WATER HEATER INDUSTRIAL WASTE APPROVAL GAS SYSTEM OUTLETS 2.00 INSPECTION RECORD v OUTLETS OVER 5 PER SYSTEM .30 O W CL. N a= Plan check fee See Reverse PLUMBING PERMIT ISSUING FEE $ o TOTAL FEE o APPROVALS DATE INSPECTOR'S SIGNATURE Plan check applicant UNDER SLAB WORK Name ROUGH PLUMBING Address GAS PIPING City Tel. No. GAS VENT I HEREBY ACKNOWLEDGE THAT 1 HAVE READ .THIS APPLICATION HOT WATER HEATER ANO STATE THAT THEABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. GAS TEST 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED LICENSEDAS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNU OF, AN-O MY-END TO RESIDE IN THE ABOVE DESCRnR DEN IA PROPERTY. FINAL � 51 G NA`rU RF_ OF PERMITTEE PERMIT VALIDATION CCK. M.O. CASH PLAN-CHECK VALIDATION CK. M.O. CASH 6269,m 5 ©_ ?.50058