HomeMy Public PortalAbout8724 BURGHARDT RD_Plumbing__ 7GA667 -CE#8I7 12-66
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APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION 7ADDRESSJOHN A. LAMBIE, COUNTY ENGINEERCOLEMAN W. JENKINS, SUPT OF BUILDINGFOA APPLICANT TO FILL IN NUMBER FIXTURE OR ITEM EACH FEEWATER CLOSET 81. O /BATH TUB 1.25 O G.�
/ SHOWER 125 s CITYOgg
TEL. NO-Ar
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LAVATORY 125 A CONTRACTOR �N
/ SINE 1.25 V ADDRESS
DISHWASHER 1.25 CITY Y� SE'L./NO.�_ STA
CONTRACTOR'S ST9
LAUNDRY TUB 1.25 REGISTRATION NO. p-3� �'7�3 COUNTY
CLOTHES WASHER 1.25 DISTRICT NO. GROUP ZONE PR CESSED BY
WATER HEATER 1.50 i
CAS SYSTEM OUTLETS I.50 INDUSTRIAL 7'
WASTE APPROVAL d
OUTLETS OVER 5 PER SYSTEM .00 INSPECTION RECORD
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APPROVALS DATE INSP TOR'S SIGNATURE
PERMIT S 2 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE G SS GAS PIPING /
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT A
AND STATE THAT THE ABOVE 15 CORRECT AN AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
I PLUMBING.
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED ANO/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF.AND INTEND TO
RESIDE IN. THE ABOVE DESCRIBED IOENTIAL PROPERTY UTILITY CO. NOTIFIED
SIGNATURE D
OF PERMIT
FINAL Y/ �
VALIDATION ROBERT A. WOOD
o ..O. CASH SUPERVISING MECHANICAL ENG'R
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APPLICATION FOR PLUMBING" PERMIT���///l VVV��L
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING �/�
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS ✓NI f1'✓/
WILLIAM A. JENSEN. SUPT OF BUILDING LOCALITY
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FOR APPLICANT TO FILL IN NEAREST
CROSS ST. 417" 42691 op9.
NUMBER FIXTURE OR ITEM EACH FEE OWNER
WATER CLOSET $1.25
BATH TUB 1.25 ADDRESS LGr ✓
CITY y TEL. NO j�_ -
SHOWER 1.25
LAVATORY 1,25 CONTRACTOR d y+ d il
SINK 1.25 ADDRESS 1d143-jEj J J
DISHWASHER 1.25 CITY JlE TEL. NO)4"7, j (y
CONTRACTOR'S STATE
LAUNDRY TUB 1.25 REGISTRATION NO. 1 COUNTY
CLOTHES WASHER 1,25 R�IAC�T N/C.� GROUP KUPR CEGB BY
WATER HEATER 1.50 pIBT
GAS SYSTEM OUTLETS 1.50 INDUSTRIAL G.
WASTE APPROVAL 0
OUTLETS OVER 5 PER SYSTEM .20 INSPECTION RECORD V
J.Yi J 0 p
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APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT S 2 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE !7 GAS PIPING
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE 18 CORRECT AND AGREE TO COMPLY
WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED ANDIOR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR
TNAT 1 TME LEGAL OWNER OF.AND INTEND TO
REBIOE IN, THE gBOVETDE IBEO RESfDENT1ppOPERTY� UTILITY CO. NOTIFIED
SIGNATURE K/
I //(�/•I t
OF PERMITTEE' FINAL Z
�YALIDATION ROBERT A. WOOD
cKH/// M.o. cgsH SUPERVISING MECHANICAL ENG'R
LALo 7 1 7 9:-� FEB 15 5 ,p 3.50-