HomeMy Public PortalAbout9020 ACASO DR_Plumbing_1/27/1966_water heater 76A887-CE#817 12-84
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APPLICATION FOR PLUMBING PE MIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A LAMBIE. COUNTY ENGINEER ADDRESS 7 C-14
COLEMAN W JENKINS,SUPT OF BUILDING LOCALITY �L� ��•
FOR APPLICANT TO FILL IN NEAREST
ROSS ST Z�7'�'� 4/
NUMBER FIXTURE OR ITEM EACH FEE
OWNER
WATER CLOSET $125
MAIL
BATH TUB 125 ADDRESS � � • �C1vL�
SHOWER 125 CITY TEL NO
LAVATORY 125
CONTRACTOR,
SINE I ADDRESS 6- '
DISHWASHER 125 CITY TEL NO —,0�7S
LAUNDRY fUB 125 EGIN S�TRATION NO D STATE
COUNTY Cl
CLOTHES WASHER 125 DISTRICT NO GROUP frE J PR SSED B
WATER HEATER 150
GAS SYSTEM OUTLETS 150 INDUSTRIAL
WASTE APPROVAL It
OUTLETS OVER 5 PER SYSTEM 30 INSPECTION RECORD 0
C3
0
ca
W
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ca
Z
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APPROVALS DATE INSPECTOR S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK .j
ROUGH PLUMBING
TOTAL FEE GAS PIPING
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
LO
TE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT
L COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER `r �IL�i �,/2►j
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BY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES + ) v`,
AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF '
IA OR THAT I AM HE L QAL OWNER OF,AND INTEND TO GAS TEST i
,THE ABOVE DES IBE RESIDENTIAL PRO RTY Y
UTILITY CO NOTIFIED
RE / � &�Z6"V/
RMITTEE FINAL
VALIDATION ROBERT A'WOOD
CK M O CASH SUPERVISING MECHANICAL ENG R
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