HomeMy Public PortalAbout4503 FIESTA AVE_Plumbing_12/23/1963_SINK, GAS SYSTEM 76A667 CEA1817 5/63 S'
APPLICATION FOR PLUMB G PERM
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DMSION rD
DING
JOHN A LAMBIE COUNTY ENGINEER ESS
WILLIAM A JENSEN SUP T OF BUILDING ALITYFOR APPLICANT TO FILL IN tv
�STT L �,
NUMBER FIXTURE OR ITEM EACH FEE
--
WATER CLOSET $l 25 OWNER J. Meyer
BATH TUB 1 25 ADDRESS Same
SHOWER 125 CITY TEL NO
LAVATORY 125 CONTRACTOR Paciftc Installers
SINK 1252 ADDRESS 0920 Z. Gran d
DISHWASHER 125 G CITY City TEL NO 442-1231
CONTRACTOR S STATE
LAUNDRY TUB 1 25 REGISTRATION NO 211898 COUNTY p
CLOTHES WASHER 1 25 iDISTRICT NO GROUP ZONE VZOCESSED BY
WATER HEATER 150
GAS SYSTEM OUTLETS 150 lm 0 INDUSTRIAL a
WASTE APPROVAL O
OUTLETS OVER 5 PER SYSTEM 20 INSPECTION RECORD V
of
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replacement..qq oven
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APPROVALS DATE INSPECTOR S SIGNATURE
PERMIT s 2 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE LL.75GAS PIPING 1 /~09,4
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
LPL.UMBING
COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
Y CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES f /
ASREQUIRED BY LOS ANGELES COUNTY AND STATE OFGAS TESTI�f [� /'�A OR THAT I AM THE LEGAL OWNER OF AND INTEND TO �! / 4, /THE ABOVE DESCRI ED RESIDENTIAL PR ERTY UTILITY CO NOTIFIED
REMITTEE FINAL �� ��
VALIDATION ROBERT A WOOD
CK M O CASH SUPERVISING MECHANICAL ENG R
LjjL'O3 8 0 5� DEC2 3 5 D 475-