HomeMy Public PortalAbout8733 HERMOSA DR_Plumbing__ 7BA5E7 -CEN847 9/m-
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER aa
BUILDING AND SAFETY DIVISION BUI NG
ADDRESS iD
JOHN A. LAMBIE. COUNTY ENGINEER
WILLIAM A. JENSEN, SUPT OF BUILDING
LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST. .�
NUMBER FIXTURE OR ITEM EACH FEE
O OWNER
WATER CLOSET $1.25 �?" MAIL
BATH TUB 1.25 i r� ADDRESS
SHOWER 1. CITY TEL. NO.
25
LAVATORY 1.25 CONTRACTOR
SO
SINK 1.25 ADDRESS
DISHWASHER 1.25 CITY TEL.RACTOR'sINyO. �,j
LAUNDRY TUB 1.25 ^
REGISTRATION NO. ' I�/ COUNTY
CLOTHES WASHER 1.25 �S DISTRICT NO. G O 2 NE P /E5!gD BY
WATER HEATER 1.50 ,'pG
/ GAS SYSTEM OUTLETS "So � S J INDUSTRIAL 0-
WASTE
WASTE APPROVAL O
OUTLETS OVER 5 PER SYSTEM .00 INSPECTION AFFORD U
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APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT JREGU�TING 00 UNDER SLAB WORK y -01
ROUGH PLUMBING
TOTAL FEE
GAS PIPING
1 HEREBY THAT
TH LCB O THAT 1 HAVE READ CATION GAS VENT
AND STATE TNAT THE ABOVE 1E CORRECT AND AOMPLY WRH wLL courvrr onDlrvANces weo ETwTE uunNG HOT WATER HEATERPLUMBING.1 HEREBY CERTIFY THAT I AM PROPERLY RENDIOII PLUMBING FIXTURESLICENSED AE REQUIRED BT LOS ANGELES COUNTTE OF TESTCALIFORNIA OR THAT 1 AM THE LEGAL OWNER OND TO RESIDE IN.THE ABOVE DESCRIBED RESIDENTIAL PROUTILITY CO.NOTIFIED
SIGNATURE �/ / /J
OF PERMITTEE-
7/�G 1;4, 9
FINAL
�7ALIDATION ROBERT A. WOOD
k/'cJHJ
.'0. CAB. SUPERVISING MECHANICAL ENG'R
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