HomeMy Public PortalAbout5126 FARAGO AVE_Plumbing__ 76A667 CE817 6 6U
APPLICATION OR PLUMING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER n /
BUILDING ILDING
HNALAMB E COUNTTY EFETY NGINEER ADDRESS
WILLIAM A JENSEN SUPT OF BUILDING
LOCALTfY
FOR APPLICANT TO FELL IN NEAREST
CROSS Si
NUMBER FIXTURE OR ITEM OWNER
WATER CLOSET KAM
ADDRESS
BATH TUB
CITY TEL NO
SHOWER
CONTRACTORf I
LAVATORY
SINK ADDRESS a _ 1 +
DISHWASHER CITY TEL NO TQ x 5
CONTRACTOR ATE
LAUNDRY TUB REGISTRATION NO COUNTY
CLOTHES WASHER DISTRICT NO GROUP ZONE PROCESSED BY
WATER HEATER 5 i d
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
a
0
0
F
U
W
W
Ala
Vl
$100 PER ITEM
OR FIBTIIBE U APPROVALS DATE INSPECTOR S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK
TOTAL FEE Do ROUGH PLUMBING
GAS PIPING
1 HEREBY ACKNOWLEDGE THAT 1 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 A
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST L -0/6/
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL PROPERTY UTILITY CO NOTIFIED
SIGNATURE
OF PERMITTE FINAL
®r VALIDATION ROBERT A WOOD
111 0. CADE SUPERVISING MECHANICAL ENG R I
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76A667 CE817 12/59
APPLICATION FOR PLUMBING PERMI �
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING ANBD,SAFETY DMSION BUILDIN �
JOHN A LAM I COUNTY ENGINEER
WILLIAM A JENSEN SUP T OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST °—
CROSS ST
AAA C/
NUMBER FIXTURE OR ITEM
OWNER
WATER CLOSET MAIL v—
BATH TUB ADDRESS
LjL
CITY TEL NO
'47-
SHOWER
LAVATORY CONTRACTOR `
SINS ADDRESS
DISHWASHER CITY TEL NO r 7 7 7 Z 15
COCTO STATE I&
LAUNDRY TUB REGISTRATIOS NO (p COUNTY ❑
CLOTHES WASHER DII-S-T�RICTNOO/ G Z NER ES BY
WATER HEATER f O �J / r-�7_
GAS SYSTEM INDUSTRIAL i
WASTE APPROVAL
INSPECTION RECORD a
0
W
F
$100 PER ITEM IlQ� 7�Y - •
OR FIXTURE $ 6 Q APPROVALS QATE INSPECT`SSIGNATURE
PERMIT $ 2100 UNDER SLAB WORK
TOTAL FEE f 0o ROUGH PLUMBING
/ GAS PIPING til i1"1
I HEREBY ACKNOWLEDGE THAT 1 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
PLUMBING HOT WATER HEATER
I 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 1 AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL PROPERTY UTILITY CO NOTIFIED
SIGNATURE
OF PERMITTE FINAL
®PALIDATION ROBERT A WOOD
cK m 0 CASH SUPERVISING MECHANICAL ENG R
7 7 5 D 1 1 Ca o
.1�'h