HomeMy Public PortalAbout10643 DAINES DR_Plumbing__ 76A477' CEk81T 10.62
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS16
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WILLIAM A. JENSEN. SUPT OF BUILDING
LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE cr
OWNER
WATER CLOSET $1.25 L( MAIL
I BATH TUB 1.25 ADDRESS
SHOWER 125 25' CITY TEL. NO.
LAVATORY 1.25 1> .CONTRACTOR C.
SINN 1.25 wC ADDRESS a S' r
DISHWASHER 1.25 CITY TEL. NO.11--I-?-00
LAUNDRY TUB 1,25 CONTRACTOR'S i STATE
REGISTRATION NO. 7 COUNTY'
- CLOTHES WASHER 1.25 DISTRIRI.CFT NO. GROUP ZONE P SSED BY
WATER HEATER 1.50 D G C�
GAS SYSTEM OUTLETS 1.50 V INDUSTRIAL y
WASTE APPROVAL O
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD V
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APPROVALS DATE INSPECTORSSIGNATURE
_ PERMIT $ 2 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE 11510 d GAS PIPING
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND IOR PLUMBING FIXTURES �� J
LICENSEDAS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST a_
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF.ANO INTEND TO
RESIDE IN,THE AB E D RIBEO RESIDENTIAL PROPERTY. UTILITY CO. NOTIFIED
SIGNATURE U
OF PERMITTEE FINAL'
VALIDATION ROBERT A. WOOD (J
cK.
IT 0.. CASH SUPERVISING MECHANICAL ENG'R
-07 4 6 2-� JAN12 5 D 1 5,0 0, 4