HomeMy Public PortalAbout9959 BOGUE ST_Plumbing__ 78A667-CE#517 9/63 -
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER`
BUILDING AND SAFETY DIVISION BUILDING (�
JOHN A. LAMSIE, COUNTY ENGINEER ADDRESS
' WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE
OWNER
WATER CLOSET $1.25 MAIL
BATH TUB 1.25 ADDRESS S
SHOWER 1.25 CITY TEL.
LAVATORY 1.25 CONTRACTOR -
SINB1,25 ADDRESS
DISHWASHER 1.25 CITY75TEL. NO. �`�3311
LAUNDRY TUB 1.25 CONT CTOR' STATE
REGISTRATION NO. Ey'r COUNTY ❑
CLOTHES WASHER 1.25 DISTRI T NQ. GROUP NE PCESSED BY/
WATER HEATER 1.50 `
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GAS SYSTEM OUTLETS 1.50 INDUSTRIAL D_
WASTE APPROVAL O
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD U
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U
W
D.
N
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APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT S 2 00 UNDER SLAB WORK
ROUGH PLUMBING f
TOTAL FEE GAS PIPING
1'HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT r
AND STATE THAT THE ABOVE 19 CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING B
PLUMBING. HOT WATER HEATER /I4l g✓ y!„i,-",+•.�..�sir,
IHEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES p• f v r
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF ( ,
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF,AND INTEND TO GAS TEST
RESIDE IN,THE ABOVE DESC IBED RESIDENTIAL PROPERTY, UTILITY CO NOTIFIED
SIGNATURE I' _♦
OF PERMITTEE s
FINAL Li
LIDATION ROBERT A. WOOD
cK M O. CASH SUPERVISING MECHANICAL ENG'R
E`I o8 7 7 FEB1 9 5 D 3,50-
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76A667-CE jS 17 5-61
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINM
BUILDING AND SAFETY DIVISION BUILDING C-�=
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS l
WILLIAM A. JENSEN, SUPT OF BUILDING
LOCALITY
FOR APPLICANT TO FILL IN NEST
CROSS ST.
NUMBER FIXTURE OR ITEM OWNER
WATER CLOSET MUL
HATH TUB ' ADDRESS
CITY TEL. NO.
SHOWER
LAVATORY CONTRACTOR
SINS ADDRESS22
DISHWASHER CITYSTATE
LAUNDRY TUB REGISTRATION NO. Q L/�Cy/� COUNTY
CLOTHES WASHER DISTRICT No. G OUj) ZONE SSED BY
WATER HEATER O
INDUSTRIAL
GAS SYSTEM WASTE APPROVAL u
INSPECTION RECORD Cd
O
u
W
CL.
Vf
z
1 '
$1.00 PER ITEM
OR FIXTURE $ 'APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ UNDER SLAB WORK
TOTAL FEE ROUGH PLUMBING
GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE 19 CORRECT AND AGREE TO COMPLY GAS VENT
L�
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING.
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT 1 AM THE LEGAL OW R OF -ABOVE -
DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO NOTIFIED
SIGNATURE
OF PERMITTE --
FINAL
VALIDATION ROBERT A. WOOD
K.
M.0. CASH SUPERVISING MECHANICAL ENG'R
[";PLY 2 54 5 D cn