HomeMy Public PortalAbout5321 EL MONTE AVE_Plumbing__ 76A667-CE817-11-57
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION a BUILDING
JOHN A. LAMBIE. County EngineerSS ADDRESS
CASSATT D. GRIFFIN. Supt of Building LOCALITY '
FORAPPLICANTTO FILL IN NEAREST
CROSS ST. CP�f
'b NUMBER FIXTURE OR ITEM
OWNER r
WATER CLOSETMAIL
BATH TUB
ADDRESS
SHOWER CITY TEL. NO.
LAVATORY CONTRACTOR
SINS ADDRESS
a DISHWASHER CITY TEL. NO.
LAUNDRY TUB CONTRACTOR'S +7 STATE
f REGISTRATION NO. / COUNTY ❑
Y
CLOTHES WASHER DISTRICT NO. ' GROUP ZONE READY FOR 1.SPECTWN
WATER HEATER
GAS SYSTEM INDUSTRIAL
:i WASTE APPROVAL
INSPECTION RECORD
f.
APPROVALS
`f @ $1.00 PER ITEM DATE INSPECTOR'S SIGNATURE
OR FIXTURE $
UNDER SLAB WORK
PERMIT $ 00 ROUGH PLUMBING
TOTAL FEE - ` GAS PIPING
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. '' PLUMBING FIXTURES
fHEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR -1 GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE UTILITY CO.NOTIFIED L u
.DESCRIBED RESIDENTIA PROPERTY.
SIGNATURE
W"eA-e-,�
OFPERMITTEFINAL
ROBERTA. OD.
®F VALIDATION SUPERVISING MECHANICALENG'R
CK. M.0. CASH
. l ACS 6 a 2 , NOV 13 5 p 8.0 0
76A667-CE#877 10-82 .
APPLICATION FOR PLUMBING PERMIT
COUNTY OF,LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING Y_
JOHN A. LAMBIE. COUNTY.ENGINEER ADDRESS ld c I '\ c ldI L
WILLIAM A. JENSEN, SUPT OF BUILDING
LOCALITY (\7 OL l If IT
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEEOWNER —DU ,2 5 r -
�
WATER CLOSET $1.25 2,�� MAIL '
BATH TUB 1.25 ADDRESS 5 / '/� L
CITY TEL NO.
SHOWER 1.25
LAVATORY 1.25 CONTRACTOR l<L; S l G I►'l L'C 2 i4 F 7-
SINK 1.25 ADDRESS .f22 L K> G Val
DISHWASHER 1.25 CITY )lLn l.J!! jq2K TEL. NO. Y44
LAUNDRY TUB 1.25 CONTRACTOR'S STATE
REGISTRATION NO. Z Z COUNTY El
CLOTHES WASHER 1.25 DISTRICT NQ GROUP ZONE P C ED BY.
WATER HEATER 1.50 S JV(
1.50 INDUSTRIAL
/ GAS SYSTEM _OUTLETS WASTE APPROVAL
OUTLETS OVER 5 PER SYSTEM 30 INSPECTION RECORD
im
p.
Lu
W
N
c�-z3 �
APPR0_V4L_S. DATE INSPECTOR'S SIG A;RE
PERMIT 5 2 00 UNDER WORK 3
ROUGH PLUMBING ®
TOTAL FEE 00 GAS PIPING
1 HEREBY ACKNOWLEDGE THAT I 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. ( r � /
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES 114 J V•-�'
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT I'_AM THE LEGAL OWNER OF,AND INTEND TO A a h A
RESIDE IN,THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. -UTILITY CO. NOTIFIED
SIGNATURE
OF PERMITTEE ��' "�• � '�� FINAL - ` >�, Ate,. d ��•,,
ALIDATION ROBERT A. WOOD
.CK.. M.O. CASH. SUPERVISING MECHANICAL ENG'R
", ,8::5`,2:=;0�
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