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HomeMy Public PortalAbout5329 FARAGO AVE_Plumbing__ ' 76A867 CE#817 10 62 APPLICATION FOR PLUM IMG PERM T COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING JOHN A LAMBIE COUNTY ENGINEER ADDRESS WILLIAM A JENSEN SUP T OF BUILDING LOCALITY 7� 7 FOR APPLICANT TO FILL IN CRO REST CROSS N NUMBER FIXTURE OR ITEM EACH FEE OWNER ,L WATER CLOSET $125 MAIL C� r BATH TUB 125 ADDRESS 3 -2 / C- V CITYit � Y' TEL NO y d SHOWER 125 LAVATORY 125 CONTRACTOR SINS 125 ADDRESS C�L S O o DISHWASHER 125 CITY TEL NO 7Q� CONTRACTOR S STATE ElE] NO p? SV COUNTY ❑ LAUNDRY TUB 1 25 CLOTHES WASHER 125 DISTRICT NO GROUP I ZONE PR CESSED BY WATER HEATER 1 50 0 9 �_ GAS SYSTEM�_OUTLETS 150 INDUSTRIAL d WASTE APPROVAL 0 OUTLETS OVER 5 PER SYSTEM 30 INSPECTION RECORD U OC C.a0 I IS>1 S 0 S 4 I rel JAS+ O d z APPROVALS DATE INSPECTOR S SIGNA;U RE PERMIT $ 2 CC UNDER SLAB WORK ROUGH PLUMBING 'I a-(,o j, TOTAL FEE GAS PIPING I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT �f AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY O II WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER PLUMBING / I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES r LICENSED AS REQUIRED BY LOS AN E S COUNTY AND STATE OF GAS TEST r CALIFORNIA OR THAT 1 AM THE LEG L O NER OF AND INTEND TO RESIDE IN THE ABOVE DESCRIBED 7S ENT L PROPERTY UTILITY CO NOTIFIED SIGNATURE OF PERMITTE 4 FINAL ,/WLIDATION ROBERT A WOOD ICK/ M O CASH SUPERVISING MECHANICAL ENG R 11 2 8 4-D mAy 5 5 D 6 25- 3 Ilk 4 76A667 CE817 8 57 r APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES I DEPARTMENT OF COUNTY ENGINEER BUILDING AND $AFETY DIVISION BADDUILDING h RESS p JOHN A LAMBIE COUNTY ENGINEER CASSATT D GRIFFIN SUP T OF BUILDING LOCALITY Lr FOR APPLICANT TO FILL IN NEAREST CROSS ST NUMBER FIXTURE OR ITEM WATER CLOSET OWNER MAIL / BATH TUB ADDRES SHOWER CITY TEL NO ?/ LAVATORY CONTRACTOR vaii,sY Teluinoing SINS ADDRESS 442 W, Fleetwood DISHWASHER CITY 910nd'gIR a' TEL NO Ed 5-1 LAUNDRY TUB CONTRACTORS STATE El REGISTRATION NO COUNTY ❑ CLOTHES WASHER r/ DISTRICT NO^ 1 A GRQ�{�^ ZC]=E/ READY FOR INSPECTION WATER HEATER V¢ a i / GAS SYSTEM INDUSTRIAL WASTE APPROVAL INSPECTION RECORD APPROVALS $100 PER ITEM DATE INSPECTOR S SIGNATURE OR FIXTURE $ D v UNDERASLI& WORK ROUGH PLUMBING �"✓ „� PERMIT S 1 00 GAS PIPING TOTAL FEE /'01 00 GAS VENT I HEREBY ACKNOWLEDGE THAT IHAVE READ THIS APPLICATION HOT WATER HEATER AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES PLUMBING IHEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF / CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE UTILITY CO NOTIFIED DESCRIB,D RESIDENTIAL PROPERTY SIGNATURE 0FPERM I T T E E '"r a'��L � FINAL /// ROBERT A WOOD © LIDATION SUPERVISING MECHANICAL ENG R ��* t CK M 0 CASH 4o64m -AUG 20 5 A 10,00