The URL can be used to link to this page

Home My WebLink About1724A (10) i _ 76A667A � CE 817(REV.i 1/78) AP P L.,�+�A,�"t t�� F'(�R �L.tJ n/l E31 la1� P'E R 91l1 IT COUWTY Of Ll9S Afd��LES BUILDING-AND SAP�TY �� '— �..�l es FOR APPLICANT TO FILL IN�PRINT OR TYPE� � - 6UILDING� �� ...- ��'-'r"� AD�RESS e% � NUPABER FIXTURE OR ITEM (� FEr �7 � / � '_ - � LOCAI.iIY 4 �.;g,,,;�../ 1NATEP.vLOSET �-'" �-�""�" NFAREST /� ./,� .ay BATH TUB . � CROSS ST C.-�2`""C..�:%C... ��7 SHOWER J� O'eVNER �'�fj�,....C.,��'C.L'��',.},�.,.. �, �,`,..,/ LAVATORY �' ,g--i4 ^A,41L "� )"'/'f1's , ��!4.'"�,'�,,-`"f.�""�r� �9-' � y�� 6� e.o ADDR'c�5�r G t SINK .,? � CITY ` �...-� � TE�VCJ. � �. ,�,� ___-�"�--�---��.�.--°�c.3..,A�„°"" ,!�`�' r��'�--/ D',SHWASHeR l✓ d� CONTRAC7pR /`F' � a � ' � �.�r`.�I.``c�°.�y�'��'I,�'..�'!',4� '�'�,�.•,�,�' CLOTHES NiASHER �� AODRFSS a/.�_ --� �� . ��;,,.'. SN�IMMMG POOL RECE�TOR ,�+� �,C - CITY':- dv-�',�..•r..m-^ ' TEL NO.G��r..- P`�/ - LA'JJN SPkINKLER SYSTEM ,r� ` '✓JATERHEATER �� LICEN5EN0. �� C A$5 C,.. "'� GAS SY57EM pUTLLTS .c-.1 APRkOVALS DATE uuS�ECTOR's sl�a7t1�E OUTLET50VER � �� UN�ERSI_AB'WORK ,¢ ,¢` ""`�,.��,^� �" ,�1'� 5 P6R S"STEM _ _ ROUGH PlUMB1NG � �� ` '� ' '"'"� � GAS PIPING '� � �� GAS VENi � I _ � HOT WATER HFATER � � , PLUMBINGFIXTURES � �w GAS 7EST � Plan check fee � un�irvco r:onFieo °LUMEING PER�IAIT ISSUING FfE$ TOTAL FEE � y�,� ��NAL , Plarrcheck applicant PLAN CHECK'JALIDATIO Name Address Ciry Tel.No. ; �. � ;,Li s; I HEREBY ACHNOWLEOGE TNq7 I HAVE RE4�THIS AFPLICATIOV AND S7ATL THATTHEA60VEISCORRECTANDAGREE7000MPLYW17HALLCOUNTVOROINANCES i::@Ac �� y+`ce t�- �' , . , AND STAT[LAWS REGULA7ING PLUMBING. PERMIT VALIDAT'�.ON � I HEREBY CERTIFY THAT I AM PROPERI.Y REGIS7EREJ AND%OR LICENSED AS , , p�� ' �t.�: (r;�., _ REQUIR'cD BY LOS ANGEL=S COUNTY AND STA7E OI"CALIF6RNIA QR TH,4T I AM TH[ LEGAL OWNFR OF,ANC INTEND�O RESIDE�IN iHE ABOtiE pFSCRiBEQ FESIDENTIAL 6 - �'1. � � �, . w_: '�a $,;, t' i; I t C3 VROPERTV. /� ` ' ' SIGNATURE �r' / � � � _ __ / ��. ..°:i,r�1 ".r� �� .. . OFPERMITTEE Z—"`" �✓ "��f°�'`��'� �istaicr No �� cEsseo av�� <�. `.J�'+.c.�K,�-' INDUSl�RIAL - `NASTE APPROVAI _ ;.a:,.,�...�.�.:.�-:r:_'__..__..__..._'_ :.<_._:._.__.....� _�_�_.w....w..�..,,�,.,,...�.,.�.,�a�,��.u��m,,,�,�xi-.,a,�a.�;