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HomeMy Public PortalAbout5650 CAMBURY AVE_Plumbing__ 76A667-CE617 I2/69 APPLICATION POR PLUM NG PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BDTLDnvG 'l6 JOHN A. LAM D COUNTY ENGINEER > ADDRESS. WILLIAM A. JENSEN, SUPT of BDILDING LOCALITY f FOR APPLICANT TO FILL IN NEAREST CROSS ST. NUMBER FIXTURE OR ITEM OWNER WATER CLOSET - MAIL AD HATH TUB DRESS CITY NO, • SHOWER ej LAVATORY CONTRACTOR SMEADDRESS DISHWASHER CITY fdL. NO. CONTRKCTOR'S.LAUNDRY TUR REGISTRATION NO. U/J STATE COUNTY ❑ a CLOTHES WASHER DISTRICT NO. •GROUP I ZONE P SS Y WATER HEATER - GAS SYSTEM INDUSTRIAL WASTE APPROVAL INSPECTION RECORD a. a O V d 1 F- ° F al; .pv. 7 ® $1.00 PER ITEM �O • OR FIXTURE S APPROVALS DATE INSPECTOR'S SIGNATURE PERMIT S 2100 4 UNDER SLAB WORK qq G ROUGH PLUMBING 7 I1'-QJ TOTALFEE 7 ©O GAS PIPING 'Ynm f - 1Y;1N,19 -yMn �OO HEREBY ANDSTATE TN THAT THE ABOVE IS CORRECT AND APPLICATION ENT COMPLY GAS V /J WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER '"nl7 _if /,/'� PLUMBING. o _ 1 HEREBY CERTIFY-THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES D / n LICENSED AS REQUIRED BY LOS .ANGELES COUNTY AND STATE OF GAS TEST/NFI L -�i. (�Yirl/I R 1(J Q � CALIFORNIA OR THAT I AM THE LE OWNER OF THE ABOVE ,; UTILITY CO.NOTIFIED a R�� (M1� �/// DESCRIBED RESIDENTIAL PROPERTY. SIGNATURE OFPERMITTEE Y FINAL [/'7 93 (Jfi �3(L�Q"✓ J. VALIDATION ROBERT A. WOOD, M.0. M.o. cpgR SUPERVISING MECHANIC�A}ILEpNR. MG' N Y vL� �?�e3 6 7 7 JUL 1 5 5 D �.� 0 r 76AG67-CE81712/59 TEMPLE CITY APPLICATION FOR PLUMBING PERMIT: ] COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND�SAFETY DEIVISION BUHDING 6C, JOHN A. LAME] COUNTY NGINEER - ADDRESS WILLIAM A. JENSEN, SUPT OF BUILDING 7, p/L4 _._ LOCALITY FOR APPLICANT TO FILL.IN CROSSSST. LI NUMBER FIXTURE OR ITEM J rl OWNER - A-KV ej W' l'}CE IJti G E WATER CLOSET MAIL BATH TUB - ADDRESS Szo N Q qq�fJ-M b CITY e.M GE 1.1 T TEL. NO. SHOWER CONT TOR LAVATORY SINK ADDRESS DISHWASHER CITY CONTRACTOR'S - STATE ❑ LAUNDRY TUB REGISTRATION NO. COUNTY ❑ CLOTHES WASHER D15TRICT NO. GROUP ZONE I P O S D BY WATER HEATER GAS SYSTEM INDUSTRIAL WASTE APPROVAL INSPECTION RECORD a O q,� U FO T`,�L�r Pi Px 14/ >01h=-tr aAf ON_ 3/ )TER v -JP LY / OR PER FIXTURE n4YFU PZ $ f Z f9!/d ES. �/GL /�cr✓� S'U APPROVALS DATE INSPECTOR'S SIGNATURE PERMIT $ 2 00 UNDER SLAB WORK TOTAL FEE I 3 e ROUGH PLUMBING GAS PIPING 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION i GAS VENT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER PLUMBING. I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED.AND/OR 7 PLUMBING FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST r CALIFORNIA OR THA 1 AM THE LEGAL OWAR OF THV ABOVE DESCRIBED RESIDE AL PROPERTY. UTILITY CO.NOTIFIED SIGNATURE OF PERM ITTE p +�✓ _ FINAL ®r VALIDATI OBERT A. WOOD. 45UPERVISING MECHANICAL ENG'R , LACo 5 7 4 `a AUU 2 3 5 0 3 .0 0