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HomeMy Public PortalAbout5567 SULTANA AVE_Plumbing__ 7e A 887-CE 817 a-Be - APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION RBILODta JOHN A LAMBIE COUNTY ENGINEER ADDRPF� COLEMAN IN JENKINS SUPT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN PR NT OR TYPE) 1(EIlRTTBT l 8088 BT NUMBER FIXTURE OR ITEM EACH FEE O WATER CLOSET 150 MAII BATH TUB 1 50 ADDVSR SHOWER 150 CRT TEL 110 LAVATORY ISO COA3'RACTO SINK 150 ADDRESS DISHWASHER 1 50 CITY TEL RO CLOTHES WASHER 1 50 STATE LIC LICENSE NO CLASS y SWIMMING POOL RECEPTOR 1 50 DISTRICT NO GROUP [ ► [S[[D SY G� LAWN SPRINKLER SYSTEM 7 00 r e 8 WATER HEATER 1 50 INDGRTRIAL wASTR APPROVAL GAS SYSTEM OUTLETS 150 B CTP M RRCORD OUTLETS OVER 5 PER SYSTEM 30d.11L714 d ItC � Plan check fee 25% of above See reverse PLUMBING PERMIT ISSUING FEE S 1 2 00 TOTAL FEE APPROVALS DATE IMeP[cioq s[ICNATUq[ Plan check applicant UNDER SLAB WORK Name ROUGH PLUMBING Address GAS PIPING GAS VENT Cit) lel No HOT WATER HEATER I NEMMYSTATE THAT TH AO[ THAT I CORRECT [ND THIS AO COMION AND [TAT[ COAs TN[ DIVA 15 cAND S AND LAWS i0 LATILY PLUMBING FIXTURES PWITHLUM ALL COUNTY ORDINANCES AND [TAT[ LAW[ IQOULATIMO GAS TEST PLUMBING 1 HEREBY CREQUI THAT I AN IGELES O 1NTY AND AND/OR UTILITY CO NOTIFIED L UFO[D AS REQUIRED N LO[ GAL O COUNTY ANO [TATE OF GL11011NIA OR THAT I AN THIS "GAL OWNER 01 AND INTEND TO BESIDE IN THE Awv[Cf[CRI[[D RESIDENTIAL P STY FINAL Q SIGNATUR[ JACK R. ALLEN, SUPERVISING MECHANICAL OF ►[RMITT!! PERMIT VALIDATION cK MO c eH PLAN CHECK VALIDATION CK M O CASH ta(` 2 7 2 4o Wyl4 5 D 350TY -