HomeMy Public PortalAbout8720 BURGHARDT RD_Plumbing__ 76A667 -CE#017 12-64
w APPLICATION FOR PLUMBING PERMIT )
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION FARE
JOHN A. LAMBIE. COUNTY ENGINEER ,�Q -
COLEMAN W. JENKINS, SUPT OF BUILDING �✓ !
FOR APPLICANT TO FILL IN . USC 6
NUMBER FIXTURE OR ITEM EACH FEE
WATER CLOSET $1.25 dBATH TUB 1.25 I z--s
/ SHOWER 1.25 CITY Z TEL. NO.A�a Q
2 LAVATORY 25 O CONTRACTOR
SINK 1,25 ADDRESS
l DISHWASHER 1.25 y CITY TEL. NO.�-5;119 '
LAUNDRY TUB 1.25 p GINSTRAT ON NO. p� �T� COUNSTATY ❑
CLOTHES WASHER 1.25 DISTRICT NO. GRgUP ZONE P ESSED BY
WATER HEATER 1.50 �[j_-,
GAS SYSTEM OUTLETS 1.50 INDUSTRIAL Y
WASTE APPROVAL 6
OUTLETS OVER 5 PER SYSTEM .00 0NSPECTION RECORD V
;l v
a
N
Z
APPROVALS DATE INSPE OR'S SIGNATURE
PERMIT SICOMPLY
00 UNDER SLAB WORK
ROUGH PLUMBING A
TOTAL FEEGAS PIPING j �/
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIION Y / �-
AND STATE THAT TXE ABOVE IS CORRECT AND AGRPLY GA$VENTWITH ALL COUNTY ORDINANCES AND STATE LAWING HOT WATER HEATER
1 HEREBY CERTIFY THAT I AM PROPERLY REGIS �OR PLUMBING FIXTURES
LICENSED AS REBURIED BY LOS ANGELES COUNTY OF GA$TEST
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, TORESIDE IN, THE ABOVE DESCRIBED SIDENTIAL PPO UTILITY CO. NOTIFIED
SIGNATURE
OF PERMITT '
FINAL
0VALIDATION ROBERT A. WOOD /\
c K. 1 M.0. CASH SUPERVISING MECHANICAL ENG'R
I
,, c 5 1 4 5" ;UP 31 5 A 16.55—
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