HomeMy Public PortalAbout5329 ZADELL AVE_Plumbing_1/16/1950_ 76A667 (CE-817) - 5/73
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER f
BUILDING AND SAFETY DIVISION BUILDING /--
MAKE CHECKS PAYABLE TO: ADDRESSIF
HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY
FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST
CROSS ST. `
NUMBER FIXTURE OR ITEM @ FEE
MAIL�iWATER CLOSET 1.75 OWNER
:: --
BATH TUB 1.75 ADDRESS 1 '�y'
SHOWER 1,75 CITY z TEL. NO.
CONTRACTOR
LAVATORY 1,75
�. . -
SINK 1.75 ADDRESS
DISHWASHER 1.75 CITY / M TEL. NO. �� C
CLOTHES WASHER 1.75 f' STATE LIC
LICENSE N0. :• ! CLASS
SWIMMING POOL RECEPTOR 1,75
DISTRICT NO. GROUP ZONE PROCESSED BY
LAWN SPRINKLER SYSTEM 1.75 �- � '
WATER HEATER 1.75 INDUSTRIAL a
WASTE APPROVAL v
GAS SYSTEM OUTLETS 1.75 INSPECTION RECORD Lu
OUTLETS OVER .30
5 PER SYSTEM
O
CL.
W
1--
Plan check fee See Reverse
PLUMBING PERMIT ISSUING FEE $ 3 00
TOTAL FEE "
APPROVALS DATE INSPECTOR S SIGNATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
City
Tel. NO. GAS VENT
HOT WATER HEATER
I 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
PLUMBING. GAS TEST
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 OWNER OF, AND INTEND TO
RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. FINAL
SIGNATU RE
OF PERMITTEE
PERMIT VALIDATION CK. M.O. CASH
PLAN CHECK VALIDATION CK. M.O. CASH
76A667 (CE-8171 - 5;"73 C ff
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
MAKE CHECKS PAYABLE TO: BUILDING
ADDRESS 532f ZALELL,
HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY
FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM @ FEE �.-
OWNER
WATER CLOSET 1.75RAY
MAIL �• -
BATH TUB 1.75 ADDRESS
SHOWER 1,75 CITY .�.l1 q TEL. NO.
LAVATORY 1.75 CONTRACTOR
AQUA= n
SINK 1.75 ADDRESS
ftjnTjE., k t
DISHWASHER 1.75 CITY • TEL. NO.
CLOTHES WASHER 1.75 STATE LIC
LICENSE NO. ry', CLASS
j SWIMMING POOL RECEPTOR 1.75 ;;:,�.
DISTRICT NO. GROUP I,ZQNEI PROCESSED BY
LAWN SPRINKLER SYSTEM 1.75 ,
Y
WATER HEATER 1.75INDUSTRIAL p
WASTE APPROVAL c.')
GAS SYSTEM a,,._- OUTLETS 1.75 INSPECTION RECORD w
J
OUTLETS OVER .30 L`
5 PER SYSTEM
O
CL
w
Plan check fee See Reverse
PLUMBING PERMIT ISSUING FEE S 3 00
TOTAL FEE ;'
APPROVALS DATE INSPECTOR 5 SIGNATURE
Plan check applicant
UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
City Tel. NO. GAS VENT
HOT WATER HEATER
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE ALL COUNTY ORDINAN CIS CORRECT AND AGREES AND STATE LAW SE TO COMPLY PLUMBING FIXTURES
WIT HREGULATING
PLUMBING. GAS TEST
HEREBY CERTIFY THAT 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 OWNER OF, AND INTEND TO
RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL PROPERTY.,. FINAL
SIGNATURE
OF PERMITTEE
PERMIT VALIDATION CK. M.O. CASH
PLAN CHECK VALIDATION CK. M.O. CASH