HomeMy Public PortalAbout5617 A & B SULTANA AVE_Plumbing__ 7"7A
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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
NUMBER FIXTUREORITEM 8 . FEE
WATER CLOSET LOCALITY L
OE14EAREST ja
BATHTUB CROSS ST
SHOWER OWNER '
LAVATORY -MAIL
ADDRESS
SINK G CITY TEL NO ;�VS- 7
DISHWASHER {, CONTRACTOR G�
CLOTHES WASHER ADDRESS
SWIMMING POOL RECEPTOR z O
CITY TEL NO s�' 7
LAWN SPRINKLER SYSTEM STATE (' LIC
WATER HEATER LICENSE NO CLASS
GAS SYSTEM OUTLETS APPROVALS DE I RS54NATURE
Oun SySOR UNDER SLAB WORK
F R T ROUGH PLUMBING
GAS PIPING
O_
GAS VENT Y
HOT WATER HEATER EmsE...
PLUMBING FIXTURES („>r
GAS TEST T 611
PIOn check fee UTILITY CO NOTIFIED
PLUMBING PERMIT ISSUING FEE E
TOTAL FEE FINAL
Plan check applicant P .N CtIECTIO_ N
Name
Address
CITY Tel No 2 8?,8 A
1 HEREBY ACStlOWLEOUE THAT I HAVE READ THIS APPLICATION AND STATE �F C
THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES # J
AND STATE IAWS REGULATING FLU MB I" PERMIT VALIDATION 2 • • 7 O O
HEREBY CERTIFY THAT I AM PROPERLY REGLSTERED AND/OR LICENSED AS
REOUWED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE I O 0
LEGAL OWNER OF AND INTEND TO RESIDE IN THE ABOVE D 1 ED RESIDENTIAL
PROPERTYSIGNATURE o220-79
OF PEgM nTfiE
DISTRICT NO ESSED By
IN
WASTE APPROVAL