HomeMy Public PortalAbout10053 BOGUE ST_Plumbing_6/7/1961 .76N67-CE817 12/59 TERMP_LE • CET t
APPLICATION 'FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE. COUNTY NGINEER ADDRESS dO U
WILLIAM A. JENSEN, SUPT OF BUILDING
LOCALITY �
FOR APPLICANT TO FILL IN 4 NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM OWNER
0 o as
WATER CLOSET MAIL
ADDRESS U
BATH TUB
SHOWER CITY �p TEL. NO.
LAVATORY CONTRACTOR
SINS ADDRESS 44 C
DISHWASHER CITY e% TEL. NO. 7�
CONTRACTOR'S STATE ❑
LAUNDRY TUB REGISTRATION NO. COUNTY ❑
CLOTHES WASHER DIISTTRICTNO. GROUP NE P CESSED BY
WATER HEATER ✓t o
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
t INSPECTION RECORD
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U
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F
W
- a
- m
x
OR FIXTURE $
APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2100 UNDER SLAB WORK
TOTAL FEE ROUGH PLUMBING
GAS PIPING
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
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 GAS TEST
CALIFORNIA OR THAT I AM THE LEGAL OWN OF THE ABOVE
DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED
SIGNATURE f
OF PERM TT zol
FINAL -7 Ll•e4/
L i
6, VALIDATION ROBERT A. WOOD,
cl[. M.0, CASH SUPERVISING MECHANICAL ENG'R
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