HomeMy Public PortalAbout5417 ENCINITA AVE_Plumbing__ 76A667 CE#B17 2 62
APPLICATION FOR,-PLUMB G PERMI
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION 17NEAREST
JOHN A LAMBIE COUNTY ENGINEER T /
WILLIAM A JENSEN SUP T OF BUILDING
FOR APPLICANT TO FILL IN Af
NUMBER FIXTURE OR ITEMEACH FEE OWNER
WATER CLOSET $125 AMAIL
DDRESS
BATH TUB 125
SHOWER 125 CITY 2� I /)� TEL NO
LAVATORY 1 25 CONTRACTOR
SINK 125 ADDRESS r' 0 s'-1
DISHWASHER 1 25 CITY v COCTOR'S / TEL
1 ATE
LAUNDRY B 1 25 REGINS�TRATION NO.:710 G Q 6 COUNTY E)
kj CLOTHES WASHER 125 DISTRICT G P ZONE PROCE J� B
J WATER HEATER 150 56
GAS SYSTEM 'OUTLETS 150 -0 WASTE APPROVAL INDUSTRIAL
OUTLETS OVER 5 PER SYSTEM 30 INSPECTION RECORD d
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APPROVALS D_ TEI INSPECIT S.SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT ^ `
WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER I'M NA Ic 9-Y W" 11
A C /7
PLUMBING
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF AND INTEND TO r
RESIDE IN THE ABOVE DE CRIBED RESIDENTIAL PROPERTY UTILITY CO NOTIFIE
SIGNATURE "' - �i/�I(.� if
OF PERMITTEE FINAL V I1^ r:O D 11 if'J?,-"
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CLIDATION ROBERT AA WOOD
CK M J CASH SUPERVISING MECHANICAL ENG R
LAAO 8 0 9 5 DEC 7 5 0 6.25-