HomeMy Public PortalAbout5060 SERENO DR_Plumbing__ ".it7 MEN 6/781
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL IN IPRINT OR TYPE BUILDING �DIV
NUMBER FIXTURE ORITEM O FEE ADDRESS
6,a Dr-
WATER CLOSET LOCALITY _
NEAREST
BATH TUB CROSS ST
11, li-
SHOWER OWNER p. / O
LAVATORY MAILADDRESS Ip -
SINK CITY I TEL NO
DISHWASHER CONTRACTOR
CLOTHES WASHER ADDRESS
SWIMMING POOL RECEPTOR _
CRY a IF-P4 ALNvy- TEL NO
LAWN SPRINKLER SYSTEMA
STATE LIC
WATER HEATER 3FGASTEST
ENO 7 CLASS
GAS SYSTEM OUTLETS PPROVALS DATE INSP CTOR SSWNATU
OUTLETS AVER LAB WORK
5 PER SYSTEM PLUMBING
ING 0
T L)
TER HEATER O
G FIXTURES
TPlan check fee O NOTIFIED _
PLUMBING PERMIT ISSUING FEE E
TOTAL FEE oZ FINAL
rAd
check applicant 'PLAN CHECK VALIDATION
e
ess �'
pTel'NoI HEREBY ACCNOWLEDGE TINT I NAVE READ TNLS APPLICATgN AMD STAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES ;10 32 7 A
AND STATE UWS REGULATING PLUMBING PERMIT VALIDATION My 5I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS R 6 6
REOUNED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE
LEGALWNER W OAND INTEND TO RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL 2 a * 2500
PROPERTY
SIGNTURE
OF,ERM 0 9, 19-78
DISTRICT NO SSED BY
INDUSTRIAL
WASTE APPROVAL ,
)ef�A 1 • ii
CK2174R" 0/781
m1 •
APPLICATION FOR PLUMB ING 'PERMIT-
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL IN(PRINT OR TVPE1. BUILDING t+ T
NUMBER FIXTURE OR ITEM 9 FEE J V
WATER CLOSET LOCALITY 1}
NEAREST
BATHTUB CROSSST S
SHOWER OWNER
LAVATORY AVAIL I V L'
ADDRESS
SINK CITY TEL NO
DISHWASHER CONTRACTOR
CLOTHES WASHER ADDRESS
SWIMMING POOL RECEPTOR
CITY. (I�Tl TEL NOSTATE JL2
LAWN SPRINKLER SYSTEM �j
WAT HEATER LICENSE NO 2— 772-S-
V
LIC
pGAUrS SYSTEM
OUTLETS APPROVALS DATE INSPECTOR S SGNATURE
S PER SYSTEM UNDER SLAB WORK
ROUGH PLUMBING
GAS PIPING 0
FFINAL
Y
ATER g
TURES
rPlonck fee TIFIED _
PLUMBING PERMIT ISSUING FEE E
TOTAL fEE Plan check applicant CK VALIDAT ON
Name
Address � ' � •
CITY Tel No cxt3 $ 1 791 A
I HEREBY ACKNOWLL LEDGE THAT I HAVE READ THIS APPLICATION AND STATE L • . • •
THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH AC W NTY ORDINANA,CES A
AND STATE LAWS REGUTAn"PLUMBING PERMIT VALIDATION /� /�
I HEREBY CERTIFY THAT I W PROPERLY REGISTERED AND/OR LICENSED AS L p,0 - 1 GOO xx
REDU IRED BY LOS ANGELES COUNTY AND STATE Of CALIFORNIA OR THAT I W THE 1 Q O O U
LEGA-OWNER OF AND INTEND TO RESIDE IN THE MOW DESCRIBED RESIDENTIAL a
PROPERTY • •
SIGNATURE 1213-78
OF PERMITTEE A
DISTRICT NQ I %PROC I
INDUSTRIAL \�J
WASTE APPROVAL
• I