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HomeMy WebLinkAbout0 (4) -77-77---- 77777 76A862 SCE-877) 5173,' -- APP{LTION FOR PL:UME31NG PERMIT COUNTY OF' L© ANGELES. . -DEPARTMENT- 'OF'Co Cb NTY ENGINEER 6UILDING AND SAPETY DIVISION MA KE.CHEGKS PAYt1SLE TO FNE ING ESS #' ` HARVEY T"E39'AND`T BOUNTY ENGINEER LITY - -FOR APrLtCANT'TO FI U IN-(PRINTOR T�'PE) - EST NUMBER- FIXTURE OR ITEM - S-ST. - - - - @ FEE ;WATER CLOSET_ OWNER RATI-#E7_. ADbRESS - SHO t.75 CITY TEL.NO. LAVATORY - 1e75 CONTRACTOR a, xi INK 1.75 ADDRESS ». QISHWA`SHEA --- 1.75 CITY "' - FFF TEL: NO. -�. - CLOTHES WASHER - - 1,75 - . - a STATE LIC- . r LICENSE NO.. r - CLASS # SWIh4MilVG POOL RECEPTOR 1-.75 - e- - - -`- DISTRICT-NO. ---GR13UP ZONE PROCESSED BY LAWN SPRINKLER SYSTEM- 1,75 ---- WATER HEATER1.75 - s- - WASTE APPROVAL Q'�- C� CyAS SYSTEM OUTLETS 1.75 INSPECTION RECORD u€ UUTLETS OVER S'PE-R-SVSTEM .30 Plaridh`eek"fee ;,$ee RcJerse PLUM5fNG'PERMIT ISSUING FEE $ 3 00 TOTAL FEE - - - - APPROVALS - DATE INSPECTOR s SIGNATJRE Plan Check applicant - - UNDER SLAB WORK Name --ROUGH PLUMBING Address .- - GASPIPING - City - - Tel. No. - -GAS VENT - - -- - HOT WATER HEATER - - - - $t I HEREBY ACKNOWLEDGE THAT ]'-HAVE READTHISAPPLICAiI ON:-. ¥r AND STAT THAT THE ABOVE.IS DIRRECT AND AGREE TO-COMPLY- ,PLUMBING FIXTURES WITH. ALk COUNTY- ORDTNANCES ANO""STATE -LAWS REGULAT Ne - - - �PL4b�BlNG; GAS TEST i KfREBY CERTIFY THAT 1 AM`;PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED LICENSED AS REQUIRED BY LOS.ANGELE.S COUNTY- AND STATE OF CALIFORNIA-DR THAT I AMTHELEGAL OWNER QF AND-INTEND TO: - - - - RESIDE IN THE ABOVE DESCRIBED RESt%ENTIAL PROPERTY. FINAL- - FINAL - - 'SIGNATURE - - - - OF P--RMITTEE. _ - __. {� PERMIT VALIDATION -'` CH M.D.M _CASH I PLAN CHECK VALIDATION CK. M.O. cnsn ' A 1 I Y s PER ITSI a aw O 4 _ I QIKS - - s -via Tel EM WAY < i On 1 Y man �I will W9 A