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HomeMy Public PortalAbout5752AGNES AVE_Plumbing 76A667 •CE#817 5/63 -A- APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES % DEPARTMENT OF COUNTY ENGINEER n BUILDING AND SAFETY DIVISION BUILDING ADDRESS JOHN A. LAMBIE, COUNTY ENGINEER WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY L} FOR APPLICANT TO FILL IN NEAREST CROSS ST. NUMBER FIXTURE OR ITEM EACH FEE OWNER r WATER CLOSET $1.25 MAILsy �O BATH TUB 1.25 ADDRESS L SHOWER 1.25 11 CITY � A) Ct4s4­e � TELO. LAVATORY 1.25 CONTRACTO SINK 1.25 ADDRESS DISHWASHER 1.25 CITY { EL. NO. © ' LAUNDRY TUB 1.25 CONTRACTOR'S STA E REGISTRATION NO. COUNTY ❑ CLOTHES WASHER 1.25 DISTRICT NO. GROUP ZONE PROICESSED BY WATER HEATER 1.50 r" 1.50 I/ INDUSTRIAL a GAS SYSTEM OUTLETS WASTE APPROVAL 0 OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD a O u W a ? I 9T- APPROVALS DATE INSPECTOR'S SIGNATURE PERMIT $ 2 00 UNDER SLAB WORK ROUGH PLUMBING TOTAL FEE GAS PIPING I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER PLUMBING. I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES !2l LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF r CALIFORNIA OR THAT I AM THE LEGAL OWNER OF.AND INTEND TO GAS TEST * A '- RESIDE IN,THE ABOVE DESCRIBED RESIDENTIAL P OP RTY. UTILITY CO. NOTIFIED SIGNATURE OF PERMITTEE FINAL VALIDATION ROBERT A. WOOD CK, M.O. CASH SUPERVISING MECHANICAL ENG'R 9 4 4 4-0 PAY 2 8 5 A 8.5 0 I�