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HomeMy Public PortalAbout6259 RENO AVE_Plumbing__ 76A667 (CE-817)- 5/73 APPLICATION R PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION MAKE CHECKS PAYABLE TO: ADDRESS HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY FOR APPLICANT TO FILL IN (PRINT OR TYPE NEAREST NUMBER FIXTURE OR ITEM @ FEE CROSS S OWNER WATER CLOSET 1.75 MAIL BATH TUB 1.75 ADDRESS 1p- SHOWER 1.75 CITY TEL. NO.ACK 5,(06-60 LAVATORY 1.75 C O NTRAC TOR SINK 1.75 ADDRESS DISHWASHER 1.75 CITY 10 TEL. NO. CLOTHES WASHER 1.75 STATE LIC SWIMMING POOL RECEPTOR 1.75 .� (CENSE NO. CLASS DISTR T NO. G UP ONE PR ESSBD Y LAWN SPRINKLER SYSTEM 1.75U8 _J WATER HEATER 1.75 DUSTRIAL /Tl ASTE APPROVAL 3• GAS SYSTEM OUTLETS 1.75v INSPECTION RECORD OUTLETS OVER 5 PER SYSTEM .30 �nk-W/ �e- r -/ LLJ a rn Plan check fee See-Reverse PLUMBING PERMIT ISSUING FEE $ 3 00 TOTAL FEE APPROVALS DATE IN3 PEC 70 R'S SIGNATURE Plan check applicant UNDER SLAB WORK Name ROUGH PLUMBING Address GAS PIPING LRESIDE Tel. NO. GAS VENT HOT WATER HEATER EBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION TE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES L COUNTY ORDINANCES AND STATE LAWS REGULATING . GAS TEST -/�•7E� �. E/''� ✓, EBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED yy S ED LICAND STATE OF IA OR THAT IRECJUIREAM THE LEGBY LOS AN 6ALLOWNER OES F, AND INTEND TO �, ��(` �,� {j ��o�_*7V W{%'/lAiC,w•R'�✓ THN ED ASE ABOVE DRIBENTIAL FINALrU RE ERMITTEE - PERMIT VALIDATION OCKM.O. CASH PLAN CHECK VALIDATION CK. M.O. CASH 6 2 7 XT JUN 2.0 5 D 6-50 A88