HomeMy Public PortalAbout8728 BURGHARDT RD_Plumbing__ 7EAee7 -CE9817 12-04
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING ��� ROTS
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS
COLEMAN W. JENKINS, SUPT OF BUILDING 'LOCALITY
iY iC
FOR APPLICANT TO FILL IN NEAREST
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NUMBER FIXTURE OR ITEM EACH FEE
OWNER Aq
WATER CLOSET 51.25 C MAIL
/ ADDRESS / d
HATH NH 1.25
SHOWER 1.25 , CITY TEL. NO.�T
2
LAVATORY 1,25 Q CONTRACTOR
SINK 1.25 ADDRESS S
DISHWASHER 1.25 CITY �Y�N�` cTEL. NO.(-,0�9 79
LAUNDRY TUB 1.25 CONCTOR'S STATE
REGISTRATION NO. 3 p ��' COUNTY 0
CLOTHES WASHER 1.25 DISTRICT NO. GROUP ZONE PR SSED BY
7
WATER HEATER 1.50 d _ c
GAS SYSTEM C, OUTLETS 1.50 V INDUSTRIAL
WASTE APPROVAL a
OUTLETS OVER 5 PER SYSTEM .SO p INSPECTION RECORD
V
0
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ca V
W
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APPROVALS DATE INSPECPDR'S SIGNATURE
PERMIT ]ANDINTEND
2 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL F �6
GAS PIPING It
1 HEREBY ACKNOWLEDGE THAT 1 HAVEI$ APPLICATION GA$VENT
wND STATE THAT THE ABOVE IS COflRECTEE TO COMPLY
WITH ALL COUNTY ORDINANCES AND SS REGULATING HOT WATER HEATER
PLUMBING.
1 HEREBY CERTIFY THAT I AM PROPESTERED AND�OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELEAND STATE OF GAS TEST
CALIFORNIA OR THAT I AM THE LEGAL OAND INTEND TO RESIDE IN.THE ABOVE OESCR RESIDENERTY. UTILITY CO. NOTIFIED
SIGNATURE
OF PERMITT
FINAL l' �
VALIDATION ROBERT A. WOOD
/CK. \ M.O. CASH SUPERVISING MECHANICAL ENG'R
_nl 0 5 1 4 7'� %.LIS 3 1 5 A 1 6.55