HomeMy Public PortalAbout5615 A & B SULTANA AVE_Plumbing__ on a,7(FINE V 6/731,
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APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING
ADDRESS S
NUMBER FIXTURE OR ITEM O FEE
WATER CLOSET LOCALITY
NEARET
BATH TUB O CROSS ST
SHOWER O OWNER
LAVATORY O� ADDRESS
SINK �4 CITY TEL NO
DISHWASHER COMPACTOR
CLOTHE WASHER 0 AD (-
SWIMMING POOL RECEPTOR �L—
CI TEL NO�fI`
LAWN SPRINKLER SYSTEM
STATE LIC ^ �j
WATER HEATER LICENSE NOYL Q CLASS C J
GAS SYSTEM OUTLETS APPROVALS D E SSIGNATURE
OUTLETSOVER UNDER SLAB WORK
5 GER SYSTEM ROUGH PLUMBING
GAS PIPING 0
GAS VENT V
HOT WATER HEATER 0
PLUMBING FIXTURES G
GAS TET 0 40ir
Z
Plan check fee UTILITY CO NOTIFIED ..! _
PLUMBING PERMIT ISSUING FEE E
TOTAL FEE / FINAL r-
Plan check applN:ont PIAN CHECK VALIDA ION
N*T JQeNdV fq/R *V3p6 #AV
Name
Address ,apfi
CITY Tel No
I HEREBY ACKNOWLEDGE THAT I HAVE READ THM APPLICATION ANDISTATE ;92929A
THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
AHD STATE LAWS REGULATING PLUMBING PERMIT VALIDATION # • • 6 • • 5
1 HEREBY CERTNY THAT I"PROPERLY REGISTERED AND/OR LICENSED AS p
REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE ' L 6 117300
LEGAL OWNER OF AND INTEND TO RES E 1N THE ABOVE DESCRIBED RESIDENTIAL ,
PROPERTY • 3 6 7 3 O O 5 '
SOPP RMITTE O ' 20-79
DISTRICT NO PROCESSED BY
ASO / /
INDUSTRIAL
WASTE APPROVAL