HomeMy Public PortalAbout5336 ZADELL AVE_Plumbing_8/6/1965_ 78A887-CE*81,• .A BF_: kz�7 /
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APPLICATION FOR PL.UMBI G PERMIT
COUNTY OF .LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION fNEAREfff
WRs a 5' i
JOHN A.LAMBIE. COUNTY ENGINEER
WILLIAM A.JENSEN,SUPT OF BUILDING CALITY
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FOR APPLICANT TO FILL IN T, L
NUMBER FIXTURE OR ITEM EACH FEE �A,
OWNER +�`!l, O
WATER CLOSET $1.25
MAIL
BATH TUE 1.25 ADDRESS �L
SHOWER 1.25 CITY Lc / TEL.NO.�
LAVATORY I,25 CONTRACTOR
SINK I,2S ADDRESS ,
DISHWASHER 1.25 CITY TEL.NO.
LAUNDRY TUR 1.25CONTAACTOR'B COUNNATE
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REGISTRATION N
CLOTHES WASHER 1,25 DIST ICT NO. GROUP I ZONE EBBED BY
WATER HEATER 1.50
GAS SYSTEM_4!�_OUTLETS I.50 WASTE INDUSTRIAL a
WASTE APPROVAL O
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD U
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APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK o
ROUGH PLUMBING
TOTAL FEE GAS PIPING
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE 18 CORRECT'AND AGREE TO COMPLY _
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER ,
PLUMBING. n
1 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 THE LEGAL OWNER OF,AND INTEND TO
RESIDE IN,THE ABOVE D CRIBED RESIDENTIAL ROPERTY. UTILITY CO.NOTIFIED
SIGNATURE fl
OF PERMITTEE FINAL !
LIDATION ROBERT A.WOOD
CK. M.0. CASH SUPERVISING MECHANICAL ENG'R
JACO 4 4, 2 0 L' AM 6 5 D 1 1.00N