HomeMy Public PortalAbout9229 FLAHERTY ST_Plumbing__ 78A667 CE*817 4 64
APPLICATION FOR LUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DMSION BUILDING
JOHN A LAMBIE COUNTY ENGINEER ADDRESS ,q rL SRT
WILLIAM A JENSEN SUP T OF BUILDING
LOCALITY � LE C/rtf
FOR APPLICANT TO FILL IN NEAREST
CROSS ST FNe/.VY
NUMBER FIXTURE OR ITEM EACH FEE
OWNER �C5 C C�RA�.u%
WATER CLOSET $125 MAIL
BATH TUB 1 25 ADDRESS S
SHOWER 125 CITY r&�Pj E CiY41 TEL NO
LAVATORY 125 CONTRACTOR -
SINK 125 ADDRESS
DISHWASHER 125 CITY TEL NO
LAUNDRY TUB 1 CONTRACTOR S STATE [I
REGISTRATION NO COUNTY ❑
CLOTHES WASHER 125 DISTRICT NO GROUP ZONEPROLE S D BY
WATER HEATER 150 O IF,- �—
GAS SYSTEM_ Z OUTLETS 150 v INDUSTRIAL �
WASTE APPROVAL a
OUTLETS OVER 5 PER SYSTEM 30 INSPECTION RECORD O
fm
O
I-
V
W
a
h
Z
APPROVALS DATE INSPECTOR S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE L
GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS A PLICATION GAS VENT
AND STATE THAT THE ABOVE 19 CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND�OR PLUMBING FIXTURES A
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF AND INTEND TO
RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL PROPERTY UTILITY CO NOTIFIED
SIGNATURE
OF PERMITTEE Ci wLQrM
FINAL
VALIDATIROBERT A WOOD
CK M o ca SUPERVISING MECHANICAL ENG R
LA'7512% MAR 9 5 D 4.75"