HomeMy Public PortalAbout6000-6002 SULTANA AVE_Plumbing__ 76A667 (C6-817) - 1/73 } ,
APPLICATION
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION ?; BUILDING
MAKE CHECKS PAYABLE TO: BUILDIADDRENG
6WO &I 4AWA . y�-
HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY - '
Elam
FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST A °
CROSS ST. AO II%Qldj
NUMBER FIXTURE OR ITEM Q FEE A C
OWNER
WATER CLOSET 2.00 p U
MAIL
BATH TUB 2.00 a 0 ADDRESS
SHOWER 2.00 CITY TEL. NO. .L
LAVATORY 2.00 G CONTRACTOR
SINK 2.00 ADDRESS
DISHWASHER 2.00 CITY TEL. NO.
CLOTHES WASHER 2.00 STATE LIC
LICENSE NO. CLASS
SWIMMING POOL RECEPTOR 2.00
DISTRICT NO.GROUP ONE ESSE BY
LAWN SPRINKLER SYSTEM 2,00
WATER HEATER 2.00 IN_DJUSTRIAL
WASTE APPROVAL
GAS SYSTEM OUTLETS 2.00 INSPECTION RECORD C
OUTLETS OVER +�-/� C2
5 PER SYSTEM .30 I-� ,�-*AIrvfG iCT&v;1✓ 7-3CD
LLA
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O.
C013
Plan check fee See Reverse
PLUMBING PERMIT ISSUING FEE $
TOTAL FEE
APPROVALS DATE INSPEC:TOR'S SIGNATURE
Plan check applicant ? UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
City Tel. No. GAS VENT
HOT-WATER HEATER
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING_FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST
PLUMBING.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OMER OF, XWB IRTEHD TO
LS
SIDE IN THE ABOVE DES BED RESID T AL PROPERTY. FINAL •� '/� U`�
v•
IGNATU RE
OF PERMITTEE
PERMIT VALIDATION CK. M.O. CASH
PLAN-CHECK VALIDATION CK. M.O. CASH 13.5