HomeMy Public PortalAbout9332 DAINES DR_Plumbing__ 76A667-CES17 6-60
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DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION t BUILDING C1
ry
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESSl ` �ii�ir`
WILLIAM A.JENSEN. SUPT OF BUILDING
x LOCALITY 7 E m
FOR APPLICANT TO FILL IN NEARESTCROSS T. tti
NUMBER FIXTURE OR ITEM
OWNER
WATER CLOSET CLOSET (`�
/ ADDRESS ��J�, - b�i ,LAL� ;
BATH TUB
CITY , TEL NO.
SHOWER _
CONTRACTOR !`� 4: r�
LAVATORY J'
SINS ADDRESS /
DISHWASHER CITY /--u -0-=i TEL NO.
CONTRACTOR' { STATE
LAUNDRY TUB REGISTRATION NO. � .� COUFff
/ CLOTH HEATER DISTRI' NO. GROUP ZONE P
OCE D BY
WATER
GAS SYSTEM INDUSTRIAL n
WASTE APPROVAL
INSPECTION RECORD
7.
a
0
`",�"�. s��„ C;�:�'S4...�-its-•------' _ p .
W
N
A .
0 $1.00 PER ITEM
OR FIXTURE
�+,- � M1✓- APPROVALS D4LTE INSPECTOR'S S;GNATURE
PERMIT $ 2100 UNDER SLAB WORK I?191.
TOTALFEE ?� /� L�3 ROUGH PLUMBING / f'd/�
GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY .,., GAS VENT w y� ,,✓�,r�
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING �. HOT WATER HEATER.
PLUMBING. �l k
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURE
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST ��+P/.( a�rl�� f� �,�
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDEN TIA�L_R.ROPERTY. UTILITY CO. NO'PIFIED! I. ✓r
SIGNATURE. 4.
OF PERMITTEE yah G / G y FINAL "T
®r
6E,oVALIDATION ' ROBERT A.(WOOD. ;
p,p Wit SUPERVISING MECHANICAL ENG'R
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