HomeMy Public PortalAbout6011-6015 RENO AVE_Plumbing__ ;eaBB>a e=817131 ap»
-,. ",APPLICATION FOR PLUMBING PERMIT
BUILDI AND SAFETY DIVIS
FOR APPLICANT.TO FILL IN(PRINT OR TYPE( BUILDING wo`
NUMBER FIXTURE OR ITEM ® FEENEAREST
ADDRESS 1
WATER CLOSET LOCALITY aey n ��a e
BATH TUB �O CROSS-ST. -rU� S O-OZ 'm`G
SHOWER OWNER L IDLAN t1ouvos
LAVATORY MAIL
ADDRESS
SINK CITY TIPAl TEL.NO:
DISHWASHER CONTRACTOR 36 5<,P ii Le V A
CLOTHES WASHER
ADDRESS 7'p�ge, AlV+�
SWIMMING POOL RECEPTOR _. /
CITY '�� TEL.NO. (Tj 10 3 j
LAWN SPRINKLER SYSTEM
STATE LIC.
WATER HEATER
LICENSE NO. CLASS �-
GAS SYSTEM OUTLETS DISTRICT NO. GROUP
3- O E CESSED
OUTLETS OVER CD
5 PER SYSTEM INDUSTRIAL K
WASTE APPROVAL e
INSPECTION RECORD.
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r
Plan check fee 1
PLUMBING PERMIT ISSUING FEE$
TOTAL'FEE
Plan check applicant i 1
Name I_Z_ s' �f� APPROVALS DATE INSPECTOR'S SIGNATURE
A UNDER SLAB WORK r
Address 5 / ��2C. !/�/ ROUGH PLUMBING .
City Z_ Tel: o. ws o r GAS PIPING F
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATE GAS VENT
THATTHE:ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
AND STATE LAWS REGULATING PLUMBING. HOT WATER HEATER
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS PLUMBING FIXTURES
REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE GAS TEST ZERO
LEGAL OWNER OF.AND INTEND TO RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL
PROPERTY. UTILITYCO.NOTIFIED
SIGNATURE
OF PERMITTEE - FINAL I
PLA CHECK VAL'IDATIO CK. M.O. CASH PERMIT VAODATION CK. M.O. CASH
B o o s-o ML ��. 5 D 3 7.0 0 ,&�v
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