HomeMy Public PortalAbout4815 RYLAND AVE_Plumbing__ 76A667A L 11
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APPLICAT N RPL B NG PERMIT
COUNTY.OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING ADDRESS 4815..N. RN ATT()
_
NUMBER FIXTURE OR ITEM ® FEE
LOCALITY c l
+�
WATER CLOSET
NEAREST
BATH TUB CROSS ST:
SHOWER OWNER IMINGE, .JUDY 61
MAIL
LAVATORY ADDRESS SAT +',
SINK CITY TE41E cm TEL.NO.686
DISHWASHER CONTRACTOR �I'RQTTH'. HCC
CLOTHES WASHER ADDRESS
203/+:N. ,PEGK
SWIMMING POOL RECEPTOR
LAWN SPRINKLER SYSTEM CITY .S � IV=.. EL. 0-579-j7982
STATE LIC.
WATER HEATER LICENSE NO. CLASS _
1 GAS SYSTEM 1 OUTLETS3 APPROVALS DATE INSPECTOR'S SIGNATURE
OUTLETS OVER UNDER SLAB WORK
5 PER SYSTEM ROUGH PLUMBING gam,
GAS PIPING OC
GAS VENT @�
HOT WATER HEATER.
PLUMBING FIXTURES
GAS TEST r `
Plan check fee UTILITY CO.NOTIFIED
PLUMBING PERMIT ISSUING FEE S 7 00.
TOTAL FEE To 100
FINAL
Plan check applicant L N
Name ;'-_053.2A
Address
# 00,0 5
City Tel.No. .2 o c 1 GO 0
1 HEREBY ACRIr0WI EDGE THAT I HAVE READ THIS APPLICATION AND STATE
THATTHE ABOVE IS CORRECT AND AGREE.TO COMPLY WITH ALL COUNTY ORDINANCES
AND STATE LAWS REGULATING PLUMBING. PERMIT VALIDATION O O O 1 O Q Cl U
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS -80
�, p-O 0
REQUIRED BY LOS ANGELES COUNTY AND STATE OF C ORNIA OR THAT I AM THE 2 8 U
LEGAL OWNER OF.AND INTEND 1p REDE IN THE O DE RIBED RESIDENTI
PROPERTY. . '
SIGNATURE
OF PERM ITTEE
DI TRICT NO GrNPROCESSED BY_
INDUSTRIAL
WASTE APPROVAL
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