HomeMy Public PortalAbout4932AGNES AVE_Plumbing (2) y ,
78A867 CE4817 63
v APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AM SAFETY DMSION BUILDING 4 9 7 /TfT�V/gam � eS °
JOHN A LAM IE COUNTY ENGINEER "DRESS C]
WILLIAM A JENSEN SUP T OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
NUMBER FIXTURE OR ITEM EACH FEE CROSOWNER 097
r WATER CLOSET 31 25 ZS
MAIL
BATH TUB 1 25 ADDRESS
SHOWER 125 ZS CITY TEL NO �S
LAVATORY 125 L CONTRACTOR i
SINK - 125 "DRESS
DISHWASHER 125 CITY TEL NO
LAUNDRY TUB 1 25 CONTRACTOR S STATE Cl
ZS REGISTRATION NO COUNTY ❑
CLOTHES WASHER 125 DISTRICT NO GROUP ZONE PROCESSED BY
WATER HEATER 150 S Q
GAS SYSTEM OUTLETS 150 INDUSTRIAL WASTE APPROVAL O
OUTLETS OVER 5 PER SYSTEM 30 INSPECTION RECORD %J/ �// V
oc
W
CL
n N
ti 0 t13ap-\P 11.1 P A/A AL
-'ra, I N S P,6rc t 1 e to I k Z.gmci Ls
APPROVALS DATE] INSPECTOR S SIGNA- RE'
PERMIT 5 2 00 UNDER SLAB WORK
ROUGH PLUMBING �Y3
TOTAL FEE 7 " GAS PIPING
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING HOT WATER HEATER
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED ANDJOR, PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY ANDSTATE OF GAS TEST
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF AND INTEND TO
RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL PROPERTY UTILITY CO NOTIFIED
t �
SIGNATURE
OF PERMITTEE n
FINAL 2'
VALIDATION ROBERT A WOOD
—CK M"O CASH SUPERVISING MECHANICAL ENG R
b a
cv
S Y
Lj',o 2 7 4 8 AUG 18 5 0 7.0 O N
T
d I?
4 i