HomeMy Public PortalAbout5118 FARAGO AVE_Plumbing__ 76A667 x'E817 12/59
APPLICATION FOR PLUMBING PE MIT �
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AN�ES�FETY RIVISION BUILDING ieA Q
JOHN A LAM I OUNT`! NGINEER ADIDES3 '511
WILLIAM A JENSEN SUP T OF BUILDING / l
LOCALITY
FOR APPLICANT TO FILL IN NEAREST D J�'
CROSS ST
NUMBER FIXTURE OR ITEM
OWNER IN D
WATER CLOSET MAIL
BATH TUB
ADDRESS
CITY TEL NO
SHOWER
LAVATORY CONTRACTORAl Plt Ribs
SINS ADDRESS
ADDRESS 9 So. Crenshaw 1
DISHWASHER CITY Hawthorne 1, TEL No Os 9-3691
TE
CONTRACTORSSTATE 0:
LAUNDRY TUB REGISTRATION NO X8479 C-36 COUNTY ❑
CLOTHES WASHER DISTRICT O GROUP ZONE P OCESSED BY
WATER HEATER �j/ I A I
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD y
U
0 '
r U
P.
f a0
$1 00 PER ITEM I -7
OR FIXTURE APPROVALS ATE N
� a
$ � D7INSPECTOR S SIGNATU E
PERMIT $ 2100 .7yT UNDER SLAB WORK S-b-n k1.
ROUGH PLUMBING
TOTAL FEE -V 61
GAS PIPING N'J9-- m
I HEREBY ACKNOWLEDGE THAT I HAVE REA7 THIS A PLICATION GAS VENTI
AN
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING HOT WATER HEATER 11,0
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES CO AND STATE OF GAS TEST ` �.•-
CALIFORNIA OR THAT I AM THE LEGAL OF TH
DESCRIBED RESIDENTIAL P RTY UTILITY CO NOTIFIED
SIGNATURE
OF PERM I 'TE FINAL
OF ATION ROBERT A WOOD
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m O CASH SUPERVISING MECHANICAL ENG R
V'Co 3851 -0 JULG 5 D 9 c r
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76A667-CE817 6-60 `y�J L '" ` /
APPLICATION FOR PLUMBING PERMIT �
RUTOFOYG
DEPARTMENT LOS ANGELES
BUILDING AND SAFETY DIVISION 7BUILDINGJOHN A. LAMBIE. COUNTY ENGINEER � �WILLIAM A. JENSEN. SUPT OF BUILDING '-lnFOR APPLICANT TO FILL IN
NUMBER FIXTURE OR ITEM OWNER �ht/��SI�} V, 4
WATER CLOSETMAIL
BATH TUB ADDRESS
SHOWER CITY'reY►1 `e-of TEL. NO.
LAVATORY CONTRACTORS � �l 61-s 7:1c
SINE ADDRESS 717 -7 a-Ar
DISHWASHER CITY SJ 4AJ - TEL. NO.
CONTRACTOR'S STATE
LAUNDRY TUB REGISTRATION NO. vZ'J 7 COUNTY
CLOTHES WASHER DISTRRIICT,NO� GROUP Z NE RO ESSED BY
WATER HEATER _-> U ,� /
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
ty
,-T(2- f` N INSPECTION RECORD wT
a
O
U
Ri
O
F
U
W
P.
c� $1.00 PER ITEM
OR FIXTURE $ APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ I 2 00 UNDER SLAB WORK
TOTAL FEE ' ROUGH PLUMBING
y GAS PIPING
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
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
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL PROP TY. UTILITY CO. NOTIFIED
SIGNATURE r—EE--
OF PERMITTE !�✓T s�"'1�i,
FINAL
®r ALIDATION ROBERT A. WOOD,
CK. N.0. CASH SUPERVISING MECHANICAL ENG'R