HomeMy Public PortalAbout5711 ENCINITA AVE_Plumbing__ 76A667-CE617 12/59 � f__Z 77 -
APPLICATION FOR PLUMBI4VG PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING ANDE,5AFETY RIVISION ennR�tIN -7/1
JOHN A. LAM BI COUNTY NGINEER
WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY �
FOR APPLICANT TO FILL IN NEAREST 7
CROSS ST..
NUMBER FIXTURE OR ITEM
OWNER i
WATER CLOSES MAIL
[/
BATH TUB DRESS
CITY222
NO.
SHOWER
CONTRAC OR
LAVATORY
SINE ADDRESS
DISHWASHER CITY TEL. NO.
CONTRACTORS STATE ❑
J LAUNDRY TUE _ REGISTRATION NO. COUNTY ❑
CLOTHES WASHER DISTRICTNO. I GROUP ZONE PR CESSED BY
WATER HEATER �O JI/
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
A
INSPECTION RECORD w
/ a
0 51.00
/ OR FIXTURE $ !
APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2100 UNDER SLAB WORK
TOTAL FEE ` � ROUGH PLUMBING
GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. HOT WATER HEATER /
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REDUI RED BY LOS ANGELES COUNTY AND STATE OF GAS TEST Z (AIc (+ iJA.r.�� ,
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL PRgPERTY. UTILITY CO.NOTIFIED
SIGNATURE f n
OF PERMITTEF FINAL •�.`],/�(�� 9:lia. �
®r VALIDATION ROBERT A. WOOD.
CK.
M.0. CASK SUPERVISING MECHANICAL ENG'R
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'76A.667-CEU 12/59 7o �
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER w�
BUILDING AND SAFETY DIVISION BUILDING L'� I! G A,C IRI iT/a-
JOHN A. LAM BI E. COUNTY ENGINEER ADDRESS d Y�
WILLIAM A. JENSEN. SUPT OF BUILDING 1—
.. LOCALITY
FOR APPLICANT TO FII.I. IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM OWNER Qc,14-E
? LI
/ WATER CLOSET MAIL c7 IL
BATH TUB ADDRESS
CITY TEL NO.
SHOWER
/ LAVATORY CONTRACTOR A .l ba- & Ni-.g
? I SINK ADDRESS 1 ; ^ Crenshaw R
DISHWASHER CITY HawTEL' No-()c; -- O_Y+
LAUNDRY TUB REGISTRAAT ONSNO. 193617 C-36 COUNTY ❑
CLOTHES WASHER DISTRICT NO. GROUP I ZONE PROCESSED BY
WATER HEATER D17
GAS SYSTEM - INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
0
O
U
0
F
a I
B SLDO PER ITEM
OR FIXTURE $ -/ APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK 'J.'-J.7 4I �q !IAIA�rlpC//q
TOTAL FEE dt� ROUGH PLUMBING
GAS PIPING
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABDVE IS CORRECT AND AGREE TO COMPLY GAS VENT
- WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING k PLUMBING. HOT WATER HEATER w A
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST v /��oLr^J�0
CALIFORNIA OR THAT I AM HE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL P STY �� UTILITY CO.NOTIFIED
SIGNATURE /� /-e/�������
OF PERMITTEEFINAL LL�� -AI'ir�It[1➢fJY/"
®r VALIDATION ROBERT A. WOOD.
Cs.
R.0. CASH SUPERVISING MECHANICAL ENG'R
L-114,02 7 1 3 "1 17 5 D
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