HomeMy Public PortalAbout6236 ENCINITA AVE_Plumbing__ 75A667-CEP817 6-65 //� I
APPLICATION FOR PLUMBIN PERMIT
COUNTY OF LOS
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING 9 / '
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS pl -3E�
COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST. cy
NUMBER FIXTURE OR ITEM EACH FEE
OWNER
WATER CLOSET $1.25 MAIL
BATH TUB 1,25 ADDRESS
CITY TEL. NO.
SHOWER 1.25
LAVATORY 135 CONTRACTOR ,/3_ Vr' e,,
SINS 1.25 ADDRESS ry,
DISHWASHER i.25 CITY re s% SEL. NO. /.j-o7eb?5
rLAUNDRY TUB 1,25 STATE LIC
LICENSE NO. Q CLASS
CLOTHES WASHER 1.15 DISTRICT NO. GROUP NE P O 85 BY
WATER HEATER 1.50 r L � I
GAS SYSTEM OUTLETS 1.50 INDUSTRIAL a
WASTE APPROVAL O
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD V
0
V
a
Z
APPROVALS DATE INSPECTOR'5 SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK
Q ROUGH PLUMBING
TOTAL FEE
GAS PIPING /J<J-
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
ANO STATE THAT THE ABOVE ICORRECT AND COMPLY GAS VENT _ /J
WITH ALL COUNTY ORDINANCES
LAW.9 AND STATE LAW9 REGULATING HOT WATER HEATER � J�/J �.r✓�� �-
PLUMBING.
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES /✓
LICENSED AS REQUIRED BY LOS ANGELES COUNTY ANDSTATE OF GAS TEST 2'
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF,AND INTEND TO
RESIDE IN, THE ABOVE DEGCRIBEO RESIDENTIAL PROPE UTILITY CO. NOTIFIED A
SIGNATURE
OF PERMITTEE - v..
FINAL
VALIDATIO1 L
" CH. M.O. CASH
71 81m FEB 15 5 D 15,00- c