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HomeMy WebLinkAbout0874A �.� . . ........ . .. . _ _ _- � �.', 76A667A �%. CE 817(REV.11/78) � , �- �;; � �APPLICATION FOR PLUMBING PERMIT � t� ; , �; ' COUNTY OF LOS ANGELES BUILDING AND SAFETY ' ; r:. 1 ,. , : j, FORAPPLICANTTOfIlLIN1PRINTORTYPEI BUIl01NG — , AODRESS I M NUMBER FIXTUREORIiEM @ FEE , 4 � WATERCLOSET IOCAUTY � , �^ NEAREST . i r. � BATHTUB • CROSSST � SHOWER OWNER �., , „ ,___ __ _ _ . a IAVATORY � . _�------- ... ----- --._-_. ._ _. . � .. _— ----- ------- - �; ADDRESS - -_ ' SINK CITY TEI.NO. � � � DISHWASHER CONTRACTOR _; - ' ' Y - _ __ — __ �` � CIOTHES WASHER ADDRE55 - � SWIMMING POOI RECEPTOR CITY ( 1E1.NO. ' r IAWNSPRINKlER5Y5TEM SiATE LIC. } ' WATER HEATER "' UCFNSE NO_ CLASS { i �1' �� A . V q I GASSYNEM OUTLETS i� �r` APPROVALS DATE INSVECTOp'SS�GN�TUXE , � r OUTLETS OVER UNDER SIAB WORK � �y 5 PER SYSTEM ' ROUGH PWMBING � 1' � ��'.. r ' .. �/(-f:`7 _� C� '� GASPIPING � - Q '' � � � ' � f GASVENT � '' HOT WATER HEATER � t � . � PLUhtBING FIXTURES f ' GAS TEST : �" � Plan check fee unurv co.NoriF�eo �' PLUMBiNG PERMIT ISSUING FEE$ "� ('��� 1 TO1AL FEE f� ��� fINAL � Plan check opplicant PLAN CHECK VALIDATION l ' Nome.. . . t . Address 5 I i� City . Tel.No. � . j� � 1 HEREBY ACKNOWlEOGE THAT I MAVE READ THIS APPLICAiION ANO STATE . � THAfTHEABOVEISCORPECTANDAGREETOCOMVLYWITHALLCOUNTYOR0INAHCES �� • . , S� ANO SiATE LAWS REGULATING PLUMBING. � � . PERMIT VALIDATION � (`1�` %� _ � p:}�.J;T�k� . �� I HEREBY CERTIFV THAT 1 AM PROVERLY REGISTERED ANO/ON LICENSED AS � - � � � �� RE�UIRED BY LOS ANGElES COUNTY AND STATE OF CALIf00.NIA OF THAT 1 AM TME � �f;���,�f�•I i�M � �` LE611L OWNER OF,ANO INTEND TO RESIOE IN TME ABOVE DESCHIBED RESIDENTIAL � . ` �PRO�ERTV.. . . � . . r �.�. �i ��: , . k , ��;����i��i r:�1� 1� SIGNATURE � " 1 1 t.. • � �r k OFPERMITTEE ' -� . .. � . I�J�t',�I��i��1y�., .. !' DISTRICT fVO. PROCESSED BY ti ' �' i' � k�;�IR'iNR � �` �.� � : �, W�USTRIAI. ' � WASTE APPROVAL � . . r � � � � � � �� � � ,- � -� - - �;, , , i � � , i � i I , � ; , , ; , ; !, , , � � , � � � - --- '- - - - -- - � � � _ __ ; , , � i ' ' - I ' � i , � � - , ' � � � � � � i � � �' I � � � ' � �� �i i �� � , , , � ' ��, , � , - �� � . ' ' � , � � . i , - - - � ' � i ', , ' ' , : � _ _ , � � , , , , � ; � , � � �, ,i : _ ;_ :_ ; _ _ : i � ; , ! , � � , � . ; .. ; ; ' ; : � .. ; ' � ' ! ; : � _ i ; ' l , ; i ' i ' ' ' . . f _ , � ; � ; - ' , � ; � � ' . � ' i � I i ! � I , i � i � i i i I i � � � i