HomeMy Public PortalAbout5725 OAK AVE_Plumbing_5/23/1972_76A667 �,CE817 5/70
APPLICATION
FOR PLUMBING ERMIT
COUNTY OF LOS ANGELES
LAWN SPRINKLER SYSTEM
DEPARTMENT OF COUNTY ENGINEER
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-
0.
BUILDING AND SAFETY DIVISION
JOHN A. LAMBIE.
ZONE
RUILDING L- %2 c—
ADDRESS ✓ /p2c.�J
COUNTY ENGINEER
COLEMAN W. JENKINS. SUPT. OF BUILDING
1 1 I
WATER HEATER
2 L/
LOCALITY �p�yj�J� �2
FOR APPLICANT TO FILL IN (PR
NT OR TYPE)
CRT
OSS
NUMBER FIXTURE OR ITEM EACH FEE
l
/ /'j� GR WATER CLOSET 5p /
MAIL
BATH TUB 1. 0 ADDRESS
--+ � /�� / _ yL,�
/ SHOWER 1. 0 / 7151 CITY / P_.� ./(//� c_ L71 TEL. NO.
/ LAVATORY /,50 %CONTRACTOR { J��j�J e 4 S 4s
SINK 1.50 ` ` ADDRESS f n / lO
DISHWASHER 50 CITY TEL.
CLOTHES WASHER L _ I� LISATE R L IC
CENSE NOCff � CLASS -
SWIMMING POOL RECEPTOR 1.5
J 1 Y'?---
Plan check fee 25% of above. See reverse.
PLUMBING PERMIT ISSUING FEE . $ - ��j7 00
TOTAL FEE
Plan check applicant
Name
Address
City
Tel. No.
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE
CORRECT ANO AGREE TO COMPLY
WITH ALL COUNTY ORCIW CES AND STATE LAWS REGUUTING
PLUMBING.
1 HEREBY CERTIFY THAT 1 PROPERLY REGISTERED AND/
LICENSED AS REQUIRED BY L ANGELES COUNTY O STAT
CALIFORNIA OR THAT I AM T E LEGAL OWNER OF. INTEN O
RESIDE IN, THE AS DESC EBIDENT - PR
SIGNATURE /``�
OF PERMItt A^
Lid,
I i Jdl inliei Lu ilu.I, _I� .L I .i ul i i. i
PLAN CHECK VALIDATION CK. M.O. CASH
APPROVALS
LAWN SPRINKLER SYSTEM
2.96
DI
-
0.
GRQJAP
71
ZONE
PR- 6 B
WATER HEATER
40
l
_-7JNDUSTRIAL
WASTE APPROVAL
- -
�
y
GAS SYSTEM OUTLETS
75
O
[/
INSPECTION
RECORD
L)
OUTLETS
)50
-
5 PER SYSTEM
30
-
Z
O
Plan check fee 25% of above. See reverse.
PLUMBING PERMIT ISSUING FEE . $ - ��j7 00
TOTAL FEE
Plan check applicant
Name
Address
City
Tel. No.
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE
CORRECT ANO AGREE TO COMPLY
WITH ALL COUNTY ORCIW CES AND STATE LAWS REGUUTING
PLUMBING.
1 HEREBY CERTIFY THAT 1 PROPERLY REGISTERED AND/
LICENSED AS REQUIRED BY L ANGELES COUNTY O STAT
CALIFORNIA OR THAT I AM T E LEGAL OWNER OF. INTEN O
RESIDE IN, THE AS DESC EBIDENT - PR
SIGNATURE /``�
OF PERMItt A^
Lid,
I i Jdl inliei Lu ilu.I, _I� .L I .i ul i i. i
PLAN CHECK VALIDATION CK. M.O. CASH
APPROVALS
DATE
14PECTOR'S")G/NATURE
UNDER SLAB WORK
ROUGH PLUMBING
I- /PP //
_ V�/ �I
� 1 �I/ v/ �'1
uU—L-*L_�
GAS PIPING
GAS VENT
HOT WATER HEATER
PLUMBING FIXTURES 1
GAS TEST
UTILITY CO. NOTIFIED
I A
FINAL
JACK R. ALLEN, SUPERVISIN NICAL ENG -R.
PERMIT VALIDATION CK. y.0. CASH
LACo 6 2 o o;s my 2 3
110.00- Q
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