HomeMy Public PortalAbout10748 FAIRVIEW AVE_Plumbing__ � I
76A667-C€0817 9/63 /
APPLICATION FOR PLUMBNG PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION ADILDI
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DRESS
JOHN A LAMBIE COUNTY ENGINEER D ��
WILLIAM A JENSEN SUP T OF BUILDING DING
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LOCALITY r
FOR APPLICANT TO FILL IN CROS SST A"0KOJ✓
NUMBER FIXTURE OR ITEM EACH FEE
OWNER L O G
•3 WATER CLOSET $125 WAIL
3
BATH TUB 1 25
ADDRESS /
SHOWER 1251 _c,7a,9 a u,i-v TEL N FD,. j-^ I.—
LAVATORY 1 25 CONTRACTOR Alert P 1'U rl b i n g & Heating
3 SING 125 ADDRESS 13933 So,. Crensnaw Blvd.
DISHWASHER 1 25 CITY HSS7�hOYrie TEL NCP 93691
LAUNDRY TUB 1 25 CONTRACTOR S STATE C1
REGISTRATION NO COUNTY ❑
CLOTHES WASHER 1 25 DISTRICT NO GROUP ZONE I P ESSED BY
WATER HEATER 1 50
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GAS SYSTEM OUTLETS 1 50 INDUSTRIAL a
WASTE APPROVAL O
OUTLETS OVER 5 PER SYSTEM 30 INSPECTION RECORD U
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APPROVALS DATE INSPECTOR S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK 3�.6¢ C4 lCy a
ROUGH PLUMBING 1(J-2y^�_4,q/
TOTAL FEE "_q I GAS PIPING
1 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 HOT WATER HEATER
PLUMBING
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF AND INTEND TO GAS TEST
RESIDE IN THE ABOVE DESCRIBED RESIDEK.TIAL PROPERTY 4
�jf UTILITY CO NOTIFIED
SIGNATURE it I A(�/
OF PERMITTEE /'• FINAL lL-ZI-C7 4-
\J LIDATION ROBERT A WOOD
cK/J M o CASH SUPERVISING MECHANICAL ENG R
2 0 9-0% JUL 31 5 Q 2 9.75N