HomeMy Public PortalAbout6228 RENO AVE_Plumbing__ 76A667 (CE-817)-8-71
' - APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
ADDRESS ,
LOCA LITY
FOR APPLICANT TO FILL IN (PRINT OR TYPE)FIXTURE OR ITEM @ FEE NEAREST '
CROSS ST.
NUMBER
OWNER
WATER CLOSET 1.75
MAIL
BATH TUB 1.75 ADDRESS
SHOWER 1.75 CITEL. NO.
LAVATORY 1.75 CONTRACTO
SINK 1.75 ADDRESS�J
DISHWASHER 1.75 C TY G TEL. NO O
CLOTHES WASHER 1.75 STATELIC
SWIMMING POOL RECEPTOR 1.75 LICENSE NO.�.O// �peCLASS
DISTRICT NO. GROMP ZONE PROCESSED BYLAWN SPRINKLER SYSTEM 1.75 �' ",
WATER HEATER 1.75 INDUSTRIAL
WASTE APPROVAL
GAS SYSTEM OUTLETS 1.75 INSPECTION RECORD
OUTLETS OVER 30 .^� Z
5 PER SYSTEM
7� •' l'
Z �
z
P!an check fee See reverse.
PLUMBING PERMIT ISSUING FEES E3, 00
TOTAL FEE 6—
APPROVALS DATE INSPECTOR'S SIGNATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
city Tel. No. GAS VENT
1HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEAVER
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. GAS TEST
I HEREBY CERTIFY THAT I 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 DES BEID�N . FINAL ry
SIGNATURE
OF PERMITTEE
PERMIT VALIDATION C..) M.O. CASH
PLAN CHECK VALIDATION CK. M.O. CASH
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