HomeMy Public PortalAbout5709-5911-5913-5915 SULTANA AVE_Plumbing__ iBAB07 t)BS-17 APPLICATION FOR PLUMBING PERMIT 1
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DII ISIQN OF BUILDING AND SAFETY
Department of County Engineer
County of Los Angeles BUILDING `
JOHN A.LAMBIE. COUNTY ENGINEER :ADDRESS.S��d ���3�, ✓r/.GTi��D�
CASSATT D.GRIFFIN.SUPT OF BUILDING
LOCALITY /r/fiPZ G�IJ`
FOR APPLICANT TO FILL IN 1 NEAREST
CROSS ST.
OWNER � ��- DISTRICT NO. GROUP I ZQNE I READY FOR INSPECTION
MAIL Jr /{/'.�/ Y/�,J
ADDRESS
INDUSTRIAL
CITY TEL.NO. WASTE APPROVAL
PLUMBER��XTd2 0o' INSPECTION RECORD
ADDRESS �d (/�
CITY 7. W 45*r TEL.NO P",0k6-a0'o'
LICENSE NO. �-
NUMBER TYPE OF FIXTURE OR ITEM -
WATER CLOSET (TOILET) @ $1.00 �...-
BATH TUB @ $1.00
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SHOWER @ $1..00 I�� N-0 ��
.41 LAVATORY (WASH BASIN) @ $1.00 d
KITCHEN SINK @_$1.00 `
DISHWASHER @ $1.00 �r. `�'��`� C .c�.(10�1'^t �tSI.{U n 1.1
LAUNDRY TUB OR TRAY @ $1.00 � ,,60y- ► `P��.r(J Q 'vJ
CLOTHES WASHER @ $1.00
Eli
WATER HEATER @ $1.00 O
GAS SYSTEM @ $1..00
APPROVALS
DATE INSPECTORS SIGNATURE
UNDER SLAB WORK 1 6
PERMIT $ 7 00. ROUGH PLUMBING
GAS PIPING'
TOTAL FEE GAS VENT
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION HOT WATER HEATER
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE S• REGULATING
PLUMBING. . PLUMBIJIG FIXTURES4-A. L F
rt
1 HEREBY CERTIFY A. PROP RLY REGIS RED AND/OR GAS TEST
LICENSED AS REO ED BY L ANG E COUN Y NO STATE OF
CALIFORNIA OR HAT I A H• G. OW OF THE ABOVE UTILITY CO..NOTIFIED
DESCRIBED RE III NTIAL P
SIGNATURE
OF PERMITTEE FINAL a
QHN A.LAMBIE,COUNTY ENGINEER ALIDATION ROBERT A.WQOD. CHIEF PLBG. INSPECTOR
CI(.
M.0. CASH
I ,G3407A DEC 17 3 29.00
76AG67A WE 8171B)-11/76
APPLICATION FOR 'PLUMBING PERMIT
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING
NUMBER FIXTURE OR ITEM ® FEE ADDRESS 7 J 1ti.
WATER CLOSET LOCALITY
NEAREST
BATH TUB CROSS.ST.
SHOWER. OWNER
MAIL
LAVATORY ADDRESS 6 ,7;.
SINK CITY . 0_1 TEL.NO.
DISHWASHER CONTRACTOR �'•
CLOTHES WASHER
ADDRESS �` ps
SWIdMING POOL RECEPTOR
CITIf TEL.NO. q i 60
LAWN SPRINKLER SYSTEM. STATE LIC.
WATER HEATER
LICENSE NO. Q CLASS
GAS SYSTEM OUTLETS DIS�ICT GROUPJNE' ROCESSED BY
5 PERSYSTTEM INDUSTRIAL .
WASTE APPROVAL
INSPECTION RECORD in
6
ut
z
Plan check fee `
PLUMBING PERMIT ISSUING FEE$ d
TOTAL FEE 00
Plan check applicant <
APPROVALS DATE INSPECTOR'S SIGNATURE
Name
UNDER SLAB WORK
Address ROUGH PLUMBING
.City Tel.No. GAS PIPING
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE GAS VENT
THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES HOT WATER HEATER
AND STATE LAWS REGULATING PLUMBING.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR L.ICENS As PLUMBING FIXTURES 1 -
REQUIRED BY LOS ANGELES ND STATE OF.CALIF NIA HAT THE AS TEST
LEGAL OWNER'OF.AND 1 ND TO SIDE E ABOUGODE ED' NTIAL -
PROPERTY. UTILITYCO...NOTIFIED
.SIGNATURE -
OFPERMITT FINAL 13 Z 0 / /'l
PLAN CHECK VALIDATIONCK. M.-f/ CASH PERMIT VALIDATION • CK. M.O. CASH.
1 � u 22 13 7.5 0 •98
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