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HomeMy Public PortalAbout5828, 5828 1/2 ENCINITA AVE_Plumbing__ 7GA667-CE817 e-UY APPLICATION FOR PLUMBING PERMIT 1 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING ' BUILDING AND SAFETY DIVISION ADDRESS �b JOHN A. LAMBIE. COUNTY ENGINEER CASSATT D. GRIFFIN. SUPT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST CROSS ST. NUMBER FIXTURE OR ITEM OWNER WATER CLOSET MAIL BATH TUB ADDRESS SHOWER CITY TEL.NO. LAVATORY CONTRACTOR SINK ADDRESS DISHWASHER CITY TE .NO /� LAUNDRY TUB CONT ACTO /+� ^ TAT REGISTRATION NO. /� 7 COUNTY CLOTHES WASHER DISTRICT O. GROU ZONE RKADV FOR IxSPE<nGN �-- WATER HEATER GAS SYSTEM INDUSTRIAL WASTE APPROVAL INSPECTION RECORD APPROVALS ATE INSPECTORIISIGNATURE @ $1.00 PER ITEM --"" / Y OR FIXTURE $ UNDER 96A8 WORK ROUGH PLUMBING j PERMIT 5 1 00 GAS PIPING TOTAL FEE 11 GAS VENT I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION HOT WATER HEATER AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIX UR 5 PLUMBING. I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST 3 �� - LICENSED AS REOUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL HER F THE ABOVE UTILITY CO. NOTIFIED - DESCRIBED RESIOEN,T PROPERTY. \ SIGNATURE r` OFPERMITTEE FINAL o, VALIDATION ROBERT A. WOOD. SUPERVISING MECHANICAL ENG'R C6. M.O, CASH M1298N FEB17 3 A 1 3.00 M 76A667.CERI7.8 57 APPLICATION FOR PLUMBING PERMIT 1 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS r JOHN A. LAMBIE. COUNTY ENGINEER CASSATT D. GRIFFIN. SUPT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN CROSS ST. Z NUMBER FIXTURE OR ITEM e OWNER WATER CLOSET MAIL 9COUNTY BATH TUB ADDRESS SHOWER CITY TEL.NO. LAVATORY CONTRACTOR SINK ADDRESS DISHWASHER CITY JTEL.NO. STATLAUNDRYTUB CONTRACTOR'ION NO. )� CLOTHES WASHER DISTRICT NO. GROUP ZONE aeAor Fon IrvsPEcnon WATER HEATER S GAS SYSTEM INDUSTRIAL WASTE APPROVAL INSPECTION RECORD APPROVALS DATE INSPECTOR'S SIGNATURE $1.00 PER ITEM OR FIXTURE JAND/OR UNDER SLAB WORK ROUGH PLUMBING PERMIT 1 00 _ — GASPIPING TOTAL FEE60 GAS VENT I i I HEREBY ACKNOWLEDGE THAT I HAVE READICATION HOT WATER HEATER AND STATE THAT THE ABOVE IS CORRECT ANDCOMPLY WITH ALL COUNTY ORDINANCES AND STATEULATING PLUMBING FIXTURES PLUMBING, I HEREBY CERTIFY THAT I AM PROPERLY RAND/OR GAS TEST LICENSED AS REQUIRED BY LOS ANGELES COUATE OFCALIFORNIA OR THAT I AM THE LEGAL OW ABOVE UTILITY CO. NOTIFIED DESCRIBED RESIDENTIAL PROPERTY,SIGNATURE TFINAL �� OFPERMITTE U © -,-VALIDATION ROBERT A. WOOD.SUPERVISING MECHANICAL ENG'R CK. M.O. [ASN ,1��1 3 9 7 fn 'Aft 13 3 2.00 °