HomeMy Public PortalAbout4820 DOREEN AVE_Plumbing__ 'APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION ABUILDING
DDRESS o ,t2oj2ee1z)
JOHN A. LAMBIE. COUNTY ENGINEER
COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY _ f7� TV
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FOR APPLICANT TO FILL IN CAAo11$TT. / 7 F OrZ (JS/1 /��
NUMBER I FIXTURE OR ITEM IEACHI FEE
OWNER it
WATER CLOSET 51.25
MAIL
BATH TUB 1,25 ADDRESS
SHOWER 1.25 C17Y TEL. NO.
LAVATORY I ],u CONTRACTOR Q )6 /T N
SINK ADDRESS l)(j
DISHWASHER 1.25 CITY e m TEL. NO. _
LAUNDRY TUB 1.25 STATE ['� LIC
i.�` n LICENSE NO. i CLASS C W
/ ( CLOTHES WAS �!/ DISTRICT NO. GROUP ZONE PROCESSED BY
WATER HEATER 1.50 1 L Q '
I GAS SYSTEM OUTLETS 1,50 INDUSTRIAL
WASTE APPROVAL
OUTLETS OVER 5 PER SYSTEM .90 INSPECTION RECORD y
CD
I
APPROVALS DATE INSPECTOR S SIGNATURE
PERMIT 51 Z OO UNDER SLAB WORK 2- I((41'
ROUGH PLUMBING
TOTAL FEE ��j GAS PIPING
1 HSTESYATE ACKNOWLEDGETTHEABO THAT 1 HAVE READ THIS APPLICATION o GOA PLN GAS VENT
AND STATE THAT THE ABOVE IS LAND S ANO LAWS
E CONING
WITH ALL COUNTY ORDINANCES AND STATE LPWS REGULATING HOT WATER HEATER
INV MRIrvc.
I HEREBY CERTIFY THAT I AM PrvOVEVLY REGISTERED ANDIOR PLUMBING FIXTURES
LICENSED AS REQUIRED BI LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, ANO INT Np TO GAS TEST
RESIDE IN. THE ABOVE pESCRIBED RESIDENTIAL(ROPE 4T ITY CO. NOTIFIED
SIGNATURE
OF PERMITTE
�SFINAL Q
NIDATION JACK R. ALLEN
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