HomeMy Public PortalAbout9014 ACASO DR_Plumbing_7/16/1964_gas outlet 76AG67.CE*817 9/89 '
APPLICATION : FOR "PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISIONB
UILDINGdl�f
JOHN A. LAM IE. COUNTY ENGINEER
WILLIAM A.JENSEN, SUPT OF BUILDING LITY '
FOR APPLICANT TO FILL IN S ST.
NUMBER FIXTURE OR ITEM EACH FEE
EKAIL-
IR ,
WATER CLOSET $1.25 BATH TUB1.25 SS
SHOWER 1.25 CITY TEL. NO.
' LAVATORY 1.25
CONTRACTOR !
SINK i.25 ADDRESS
DISHWASHER 1.25 CITYofTEL. NO. ' ,
CONTRACTOR'
GTATGATE 01AUNDRY TUB 1.25 RIISRINO. &a COUNTY ❑
CLOTHES WASHER, 1.25
DISTRICT NO, GROUP ZONE �Pl�OCESSED B
WATER HEATER 1.50 J Q //
1.50 INDUSTRIAL IL
--t---GASSYSTEM OUTLETS WASTE APPROVAL O
OUTLETS OVER 5 PER SYSTEM .30 V
I INSPECTION RECORD
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CL
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Y
APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK
ROUGH PLUMBING 101"
TOTAL FEE GAS PIPING 1 %6 341 +s/�dr
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT 11114" ✓ r.- ' Yi"�r '
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
LOFPERMITTE
COUNTY ORDINANCES AND STATE, LAWS REGULATING HOT WATER HEATER o - - s_�_::. 3—•:.,.��
Y CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
AS REQUIRED BY LOS ANGELES NTY AND STATE OF GAS TEST
A OR THAT 1 THE LEGA OF,AND INTEND TO
THE ABOVE ES RIBED R E A PROPERT UTILITY CO NOTIFIED
RE _
MITTE FINAL
ALIDATION ROBERT A WOOD
CK M,O CASH SUPERVISING MECHANICAL ENG'R
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