HomeMy Public PortalAbout4915 ARDEN DR_Plumbing__ 76A 667-CE#BT; 5/63 � �
APPLICATION FOR PLUMBIN FERMI° r
COUNTY OF LOS ANGELES ' a
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING e�
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS �� J
WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST J
CROS$ ST. 4 at
NUMBER FIXTURE OR ITEM EACH FEE
OWNER
WATER CLOSET $1.25 MAIL
BATH TUB 1.25 1 ADDRESS f`
` SHOWER 1.25 ITY TEL. NO.
LAVATORY 1.25 CONTRACTOR F 7S PLUMBING, INC.
SINS 1,25 asr
ADDRESS 2A07 N. Lee Ave.
DISHWASHER 1.25 CITY El Monte, OmliA o.
ONTRACTOR'S �@ _7/ STATE
LAUNDRY TUB 1.25 REGISTRATION NO.6— 6' (�e)i(3 7 COUNTY ❑
CLOTHES WASHER 1.25 DISTRICT NO. GROUP N PROCESSED Y
WATER HEATER 1:50 ox
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GAS SYSTEM 1.50 INDUSTRIAL OUTLETS WASTE APPROVAL / O
OUTLETS OVER-5 PER SYSTEM .30 INSPECTION RECORD U
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APPROVALS DATE INSPECTOR'S IGNATURE
PERMIT $ 2 00 UNDER SLAB WORK 4-17,6
ROUGH PLUMBING
TOTAL FEE S� GAS PIPING
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF,AND INTEND TO
RESIGAS TEST
DE IN, THE ABOVE DESCRIBED RESIDENTLLJ
PROPERTY. UTILITY CO. NOTIFIED r
SIGNATURE may/OF PERMITTEE
FINAL .'^^.
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/ LIDATION ROBERT A. WOOD
CK. M.O. CASH SUPERVISING MECHANICAL ENG'R
Li'It�o 5 7 1 8� NOV 5 0 15.00-