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HomeMy Public PortalAbout10118 1/2 GREEN ST_Plumbing__ 76A667-CE#817 5/63 &GPER APPLICATION FOR PLUMBIMI COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DNISION 7NEAREST JOHN A. LAMBIE, COUNTY ENGINEER WILLIAM A. JENSEN, SUPT OF BUILDING �FOR APPLICANT TO FILLIN L0 j I NUMBER FIXTURE OR ITEM EACH FEE OWNER WATER CLOSET $1.25 MAIL ��^^ r BATH TUB 1.25 ADDRESS I©I� V/ ZF ti} SHOWER 1.25 CITY TEL. NO. / LAVATORY 1.25 CONTRACTOR en1,5L.*_T 4 , .ta SINK 1.25 ADDRESS notAi PA , DISHWASHER 1.25 CITY ( / TEL. NO. 3 co(l, LAUNDRY TUB 1.25 CONTRACTOR'S STATE REGISTRATION NO. COUNTY ❑ CLOTHES WASHER 1.25 DISTRICT NO GRP Z NE P O S D S WATER HEATER 1,50 rC GAS SYSTEM OUTLETS 1.50 INDUSTRIAL CL WASTEAPPROVAL O OUTLETS OVER 5 PER SYSTEM .30 u INSPECTION RECORD n, O 11 V w CL / 4 f -- Z_ 512 APPROVALS DATE INSPECTOR'S SIGNATURE PERMIT $ 2 00 UNDER SLAB WORK TOTAL FEE PLUMBING TOTAL FEE GAS PIPING I HEREBY ACKNOWLEDGE THAT 1 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 HOT WATER HEATER PLUMBING. I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES n LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST pp�� " .. CALIFORNIA OR THAT 1 AM THE LEGAL O R OF,AND INTEND TO ✓ s $4 RESIDE IN,THE ABOVE DESCRIBED RESIDE IAL ROPERTY. UTILITY CO. NOTIFIED -a SIGNATURE OF PERMITTEE FINAL 4' LIDATION ROBERT A. WOOD CK. M.O. CASH SUPERVISING MECHANICAL ENG'R LIiLo 1 5 8 5 OCT 1 8 5 D 7.2�­ 5 76A667-CE#817 4-64 APPLICATION FOR PLUMBI PjERIM IT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS WILLIAM A. JENSEN, SUPT of BUILDING LOCALITY `� FOR APPLICANT TO FILL IN NEAREST Le I . 1�i4� caoss srw i�/ /�'� NUMBER FIXTURE OR ITEM EACH FEE / r SINK 1.25 T/ WATER CLOSET 11.25 OWNER MAIL � BATH TUB 1.2s ADDRESS / /2 O��/Z AF,0" CITY SHOWER 1.25 TEL. NO. (�4e 'Z�D LAVATORY 1.2S CONTRACTOR L I ADDRESS DISHWASHER 1.25 CITY a.)1 C. TEL. NO. d�t7� S LAUNDRY TUB 1.25 CONTRACTOR'S TATE J REGISTRATION NO. 0 COUNTY E) CLOTHES WASHER 1.25 DISTRICT NO. GROUP ZONE PRCES D BY WATER HEATER 1.50 GAS SYSTEM OUTLETS 1'50 AL EL WASI WASTE 0 OUTLETS OVER S PER SYSTEM .30 INSPECTION RECORD V 'A?a L !a rb �f= �fd�nl r mat 519K I s � o �3� oR b PPiZoy�n M�.,t-r tr J FIT'S Ra-'m mtlu of i i f,iaat- Z APPROVALS DATE INSPECTOR'S SIGNATURE PERMIT S 2 00 UNDER SLAB WORK ROUGH PLUMBING (� -(' •� - TOTAL FEE �) GAS PIPING I 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 HOT WATER HEATER PLUMBING. I HEREBY CERTIFY HAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES LICENSED AS REOUI E BY LOS ANGELES COUNTY AND STATE OF GAS TEST CALIFORNIA OR TH AM THE LEGAL WNER OF.AND INTEND TO RESIDE IN,THE ABO E ESCRIBED RESIDE I PERTY. UTILITY CO. NOTIFIED SIGNATURE OF PERMITTEE FINAL DATION ROBERT A. OOD C M.O. CASH SUPERVISING MECHANICAL ENG'R �1 ilf� 2 7 1 2 no Juil 16 5 D 5.75-