HomeMy Public PortalAbout6147 ENCINITA AVE_Plumbing__ .76A667-CE817 12/59 TEMPLE_ CHTY
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SI FETY DIVISION BUILDINGS
JOHN A. LAMBIE. OUNTY ENGINEER ADDRESS Q7 ? /�
WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY 6 /
FOR APPLICANT TO FILL. IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM OWNER
WATER CLOSET MAIL
ADDRESS 6/
BOWER CITY TUB NO.p7`� SIa
LAVATORY CONTRACTOR
SINK ADDRESS Al !
DISHWASHER CITY 7-, ` , TEL. IQO.ATA
7 ll O (O '
CONTRACTOR'S / p STATE
LAUNDRY TUB REGISTRATION NO. !O / ��3 6 COUNTY Ela „
CLOTHES WASHER I DISTRICT NO. GROUP ZONE P OCESSE^D BY
J
WATER HEATER .lc.� ?X/
GAS SYSTEM INDUSTRIAL (\ \
WASTE APPROVAL
INSPECTION RECORD IAV
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/ O
a
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$1.00 PER OR IXTURITEM $ 1 >j �-� '.. /
pC APPROVALS ATIE' INSPECTOR'S SIGNATURE
PERMIT $ 2100 UNDER SLAB WORK V
TOTAL FEE `, ROUGH PLUMBING /
GAS PIPING
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AN STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. HOT WATER HEATER
`.
1 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 I AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED
SIGNATURE
OF PERMITTE FINAL
®e VALIDATION ROBERT A. WOOD.
CC.
0.0. CASH SUPERVISING'MECHANICAL ENG'R
����1 5 4 1 JAli 25 5 D 4.0 0
76AS67-CE817 12/59 TEMPLE CU !TY
APPLICATION FOR PLUMBING PERMII_T, �]
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION HDILDIBE 6lry �L�✓+Ct.r�fiCQ
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS
WILLIAM A JENSEN. SUP'T OF BUILDING
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITot
EM
WATER CLOSET - MAIL
ADDRESS
BATH TUB Ly /
CITY 7ENO.pT7 p�S/2
SHOWER
LAVATORY CONTRACTOR
SINE ADDRESS Lr-3
DISHWASHER CITY 7— `` ��// iJ/TEL NO 7 x7400 6
CONCTOR'SSTATE CEF.
LAUNDRY TUB REGIS RAT ON NO.17iL J b c 3 6 COUNTY ❑
CLOTHES WASHER DISTNO. G v DONE .I ESSSED
p WATER HEATER
GAS SYSTEM INDUSTRIA'
WASTE APPROVAL
f INSPECTION RECORD
0
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U
o
9OLII f3/?— l, A77Ff? a
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hl/GL /3F /?E(v/A
0 $1.00 PER ITEM
OR FIXTURE $ APPROVALS DATE INSPECTORS SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK
TOTAL FEE h ROUGH PLUMBING
GAS PIPING
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION i
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING (
PLUMBING. HOT WATER HEATER
IHEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES ��c N/P�
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST P/K L -Z �i�Y/Kw,ce
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE .. .Ireh
DESCRIBED RESIDENTIAL PROPERTY.
UTILITY CO.NOTIFIED .G/ •wsrArJ�/�1®O
SIGNATUREI .�jtLt_iv n
OF PERMITTE _ FINALGAI� w-�--1
. ..:...:..... c. �...:.. ., ..
®, v VA � ROBERT A. WOOD,
U.0.
CK. Y.o. CASH SUPERVISING MECHANICAL ENGR
LACD 1 5 4 9 .;IPJ ?5 5 D 5 .09 0
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