HomeMy Public PortalAbout5816 ROWLAND AVE_Plumbing__ i
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,&A. CE 617 7-69. ,
o APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
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AG/AMBIE CFOEUNTYY ENGNEOERSSCOLEMAN W. JENKINS. SUP'T..OF BUILDING CALITYFOR APPLICANT TO FILL IN PR NT O .TYPE) ARESTOSS.ST.
NUMBER FIXTURE OR ITEM EACH FEE "
OWNER
WATER CLOSET 1.50 MAIL
BATH TUB 1.50 1 ADDRESS,
SHOWER 1.50 CITY TEL. NO.
CONTRACTOR
LAVATORY 1.50 �iL.Pd/d� 1
SINK 1.50 ADDRESS
DISHWASHER 1.50• CITY TEL.NO. S( Le3
CLOTHES WASHER 1.50. STATE LICII LICENSE NO. �" CLASS
SWIMMING POOL'RECE'PTOR 1.50 D18TRICT NO . GROUP ZONE PROCE6SED BY
LAWN SPRINKLER SYSTEM 2.Q0
WATER HEATER 1.50 INDUSTRIAL
-WASTE APPROVAL
GAS SYSTEM OUTLETS 1.50 INSPECTION RECORDLA
OUTLETS OVER. Izz
5 PER SYSTEM .30
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Plan check fee 25% of above. See reverse.
PLUMBING PERMIT ISSUING FEE 3 1 2 00
TOTAL FEE
APPROVALS. AT 1)(oECTORjfi StPNATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
GAS VENT
City. Tel. NO. HOT WATER HEATER
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS. APPLICATION
AND STATE THAT THE ABOVE 18 CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES 5`71
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST qq 55, g�iy��
PLUMBING. ,rfy�70 YYl�.'"Y�
1 HEREBY CERTIFY THAT 1 AM PROPERLY pEGISTERED. AND/OR UTILITY CO.NOTIFIED
47.
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF ..
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF AND INTEND TO - -
RESIDE IN,THE ABOV BCRIBED RESIDENTIAL.PROPERTY. FINAL '�L�7O
SIGNATURE .TACK R. ALLEN, SUPERVISICC
CHANICAL EN'G'R.
OF PERMITTEE
PERMIT VALIDATION . M.O. CASH.
PLAN CHECK VALID TION CK. M.O. CASH
?. ' :�:.4-;og ,m'17 9.50P,