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Los Angeles Fire Department

FEES

APPLICATION FOR HYDRANTS AND ACCESS

(Please print legibly)

Applicant Information (expediter, designer, engineer, architect, contractor, other) Name of Company:

Phone:

Address: City:

State:

Print Name:

Signature:

Zip Code: Title:

Email Address: Email Address For Billing:

Project Information

Address: SFD

Project's Name: Zip Code:

APT

Other

City: LA

Date Phone:

PCIS #

Property Owner Information

Name:

Phone:

Address: City:

State:

Print Name:

Signature:

Zip Code: Title:

Please Select One of the Following Options if Applicable to your Project Accessory Dwelling Unit (ADU)/Accessory Living Quarters (ALQ) Single Family Dwelling Remodel Oil Well Clearance Only - CalGEM (D.O.G.G.R.) CSWR Letter Attached Affordable Housing

Re-Stamp If the project is being resubmitted due to corrections issued by an Inspector or you have a prearranged drop off, please indicate the name of the Inspector to whom these are being submitted to. Inspector ____________ 201 N. Figueroa St. Suite 300, Los Angeles, CA 90012

Profile for Los Angeles Fire Department

H&A Plan Check Application 9/18  

H&A Plan Check Application 9/18  

Profile for lafd

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