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HomeMy Public PortalAbout5220 DALEVIEW AVE_Plumbing__ 76AG67 CE817-8-57 APPLICATION FOR PLUMBING PERMIT 1 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING ADDRESS Z y 111.14 /11-L.C ' JOHN A. LA GRIFFIN, , SUP ENGINEER CABSATT D. GRIFFIN, SUPT OP BWLDIrvG LOCALITY FOR APPLICANT TO FILL IN CROSS ST. NUMBER FIXTURE OR ITEM WATER CLOSET OWNER (�j`'� ��/fi;�i.�� e YY MAILF �QZIAA//A BATH TUB ADDRESS I SHOWER CITY&,,,.7y,- TEL.NO.,<lJ, LAVATORY CONTRACTOR � 9ALAW /,r 1-06UA, SINK ADDRESS .y p p �� �(,(�r. ,&J,/ DISHWASHER CITY -/, TEL.NO. ' --'1-3 3 02 LAUNDRY TUB CONTRACTOR'S (/ STATE ❑ REGISTRATION NO. V COUNTY CLOTHES WASHER 01:r NO. I GROUP ZONE READY FOR INSPECTION WATER HEATER GAS SYSTEM IND-3.111— v, rE NDUSTRIWASTE APPROVAL INSPECTION RECORD / v � APPROVALS $1.00 PER ITEM DATE INSPECTOR'S SIGNATURE OR FIXTURE S UNDER SLAB WORK ROUGH PLUMBING PERMIT 5 1 00 GAS PIPING TOTAL FEE • GAS VENT I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES PLUMBING. I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST 9 $ LICENSED AS REQUIRED BY LDS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE UTILITY CO. NOTIFIED L DESCRIBED RESIDENTIAL PROPERTY. - SIGNATURE OFPERMITTEE iA FINAL d 7C ROBERT A. WOOD. ©s VALIDATION,,.o,_- SUPERVISING MECHANICAL ENG'R UC R. m.O. 1 3826-; AIr1*3 5 A 2.00 to ®JBH.,9 25M BETS ,-� • APPLICATION FOR PERP4IT /DEPARTMENT OF BUILDING AND SAFETY r COUNTY OF LOS ANGELES � WM.J. FOX. CHIEF ENGINEER " NATURE OF INSTALLATION DISTRICT NO. GROUP ZONE / PERMIT eNO..'. ROUGH FIXTURES COMPLETERECEIVED READY FOR DA^TH 188U/E/D HEATER CESSPOOL SEPTIC TANK FIRST INSPECTION a�ol n/T GAB MIBCELLANEOUB APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY H NAME . Q� ADDRESS 11-16 1,,/hV�- ri YL31' FL' .6d� ADDRESS LOCALITY D = /T N¢AREST y CITY V TEL.No. CR088 HT. JIts1 COUNTY CERT.No. EXPIRES H NAME /wl... .. l"✓�.., s LOCATION OF SEPTIC TANK, OR CESSPOOL 2 MAIL ?. ADOREBB�i� NORTH O CITY y WM1�l.(TEL.No. 1 AM 'THE`LEGAL POSSESSOR OP THE ABOVE LOB ANGELES COUNTY CERTIFICATE OF QUALIFICATION. PLUMBER I AM THE LEGAL OWNER OP THE,PROPERTY DESCRIBED B� ABOVE. 3 IB OWNER CORRECTIONS V SOUTH J DESCRIPTION OF WORK a / Z BATH TUB FURNACE L7 -Q SHOWER DISHWASHER p / LAVATORY REFRIGERATOR ITCHEN SINK WATER SOFTENER FLOOR SINK HANDTRAP LOP SINK FLOOR DRAIN WASH TRAY URINAL APPROVALS WATERCLOSET DRINKING FOUNTAIN DATE INBPBe'!oR'9 NAME / WATER HEATER DENTAL LAVATORY ROUGH PLUMBING METES _ \GAB SODA FOUNTAIN DAH PIPING OUTL _ GAB VENT CESSPOOL TOTAL NUMBER OF FIXTURES T SEPTIC TANK LTOTAL Q, SEPTICTANK SEWERUTILITY CO.NOTIPIBD FEE G� FINAL /� '