HomeMy Public PortalAbout5521 PARMERTON AVE_Plumbing_4/3/1969_gas system, 1 outlet 75A557 CE^BIT 5 65 � /}��l�� ¢
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APPLICATION FOR PL MBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BTIILDING /
JOHN A LAMBIE COUNTY ENGINEER ADDRESS
COLEMAN W JENKINS SUPT OF BUILDING y
LOCALITY / L
FOR APPLICANT TO FILL IN CRREARSTT
NUMBER FIXTURE OR ITEM EACH FEE
OWNER
WATER CLOSET 11 35
BATH TUR 125 ADDBE88 2� A MAIL fir/
SHOWER 125 CITY e/T/)/, TEL NO �
LAVATORY 115 CONTRACTOR
PA k-
SINK 125 ADDRESS 7 1_66 ,>
DISHWASHER 125 CITY ?�/ TEL NO( �
LAUNDRY SUB 125 STATELICENSE NO /J G� CLALIC
SS e2-c>
(17
CLOTHES WASHER I25 DISTRICT NQ,/ ORO ZO E ► BY
WATER HEATER 1 SB O(J
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GAS SYSTEM OUTLETS I SO WASTE MPROVAL 0
OUTLETS OVER 5 PER SYSTEM SB IN E ION REC RD V
109 0 G
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Z
APPROVALS DATE INSPECTOR SSIGNATURE
PERMIT S 2 00 UNDER SLAB WORK
�A ROUGH PLUMBING
TOTAL FEE ✓l
GAS PIPING
I
HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLIUT ION GAS VENT
AND STATE TXAT THE ABOVE 1[ CORRECT AND AGUE[ TO COMrLY
WITH
ALL COUNTY ORDINANCES AND STATE uwE ReGuunNo HOT WATER HEATER
PLUMBING
1 HERESY c¢Rr FY THAT 1 AM PROPERLY R[cleT[RCD A.]./OR FIXTURES
LICENSED AS IF BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF AND INTEND TO
RESIDE IN THE ABOVEPRIMED RESIDENTIAL PROPERTY UTILITY CO NOTIFIED
SIGNATURE
OF PERMITTEE
FINAL
ALI
M 0
crc M o CASH
5 AN 3 5 D 3-50=' C4
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