HomeMy WebLinkAbout0 CN 6,7 LNev.6/781, -
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APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
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FOR APPLICANT TO FILL IN IRONY OR TYPE -
- NUMBER FIXTURE OR ITEM B FEE ADDRESS
LOCALITY
WATER CLOSET '.'ll {+ NEAREST
BATHTUB -CROSS ST.
If SHOWER OWNER �• �'
r`.
LAVATORY -s App ESS
I' ? SINK .!. CIM _ '� .....TEL.NO.
` 1 DISHWASHER _ 1 'OONTRACFOR
I'.
PPPP CLOTHES WASHER ADDRESS
SWIMMING POOL RECEPTOR
C- TEL.NO.
j: LAWN SPRINKLER SYSTEM - STATE 11 LIC
IIP; WATER HEATER LLCENSENO. ' &y CLASS -
l " GGLAIS`SYYSTEMSTEME OUTLETS APPROVALS DATE INSPECTORS SIGNATURE
¢P 5 SYSOR UNDER SLAB WORK
PFR 6
6, ROUGH PUJMBING - v
11 GAS inmci W
GAS VENT LL
HIM WATER+IEATElt - y
S{F, PLUMBING fDOURES 4
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GAS TEST
J,; Plan check fee UTILITY CO.NOnFIED
PLUMBING PERMIT ISSUING FEE 1i
1�
I, TOTAL FEE t p J NNAL .
�. Plan check applicant - FLAN CHECK VAILIDATION
Nome -
Address -
CitK; Tel.No.
1 NLREBTADNMOWLEDGE THAT I HAVE READ THIS/JPLIGTIDN AND RATE -
THAT THE ABOAI S CORRECT AND AONEE TO COMPLY WITH ALL COUNTY ORDINANCES
Jr AND STATE UVFS REGULATING PLUMBING, PERMIT VAUDAnON
II 1 HEREBY CERIPY T—1 AM PROPERLY REGISTERED AND/OR LICENSED AS
NEGUAID BY LDS ANGELES COUNTY AND STATE OF CALIPORNIA OR THAT I AM TNI
LEGAL OWNER OF.AND INTEND TO RESRIE IN THE ABOVE DESCRIBEO RESIGENTML
PNOPERTY.
516 .TUNE
OF PENMITO - '
I DLSTRB TND, !"ED"—BY
INDUSFAP.L -7A 4
kwnsr€APPROVAL '��� ��$� �
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