HomeMy Public PortalAbout9045 ACASO DR_Plumbing_2/1/1965 78A887-CE#817 9/83 /
` APPLICATION FOR `PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DMSION BUILDING
JOHN A LAM IE. COUNTY ENGINEER ADDRESS
WILLIAM A JENSEN, SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEo$$ST
NUMBER FIXTURE OR ITEM EACH FEE
OWNER
WATER CLOSET $125 MAIL
BATH TUB " 125 ADDRESS
SHOWER 125 CITY L NO
LAVATORY 125 CONTRACTO
SINS 125 ADDRESS
DISHWASHER 125 CI TEL NO
LAUNDRY TUB 125 COlffRACf0R
' STATE
REGISTRATIO NtO COUNTY ❑
CLOTHES WASHER 125 DISTRICT NO GROUP ZONE P CESSED BY/
WATER HEATER 150 's
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GAS SYSTEM OUTLETS 150 INDUSTRIAL D.
WASTE APPROVAL 0
OUTLETS OVER 5 PER SYSTEM' 30 INSPECTION RECORD u
0
u
W
ILN
Z
APPROVALS DATE INSPECTOR S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE GAS PIPING
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL
COUNTY ORDINANCES AND STATE LAWS REGULATINGPLUMBINHOT WATER HEATER f
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 1 AM THE LEGAL OWNER OF,AND INTEND TO
RESIDE IN,THE ABOVE 09".EDC;r ID L PROPERTY UTILITY CO NOTIFIED
SIGNATURE
i
OF PERMITTEE
FINAL
ALIDATION ROBERT A WOOD r ,
CK M o CASH SUPERVISING MECHANICAL ENG R
6 1 0 9'%ro" FEB 1 5 D :3.25N