HomeMy Public PortalAbout6002 IVAR AVE_Plumbing__ 78A667 -CE#817 10-62
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PPLICATION FOR PLUMBNG PERi�ll T
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 Temple em le Cit Calif
FORAPPLICANTTO vFILL IN NEAREST
RO ESST. Gar ibaldi
NUMBER FIXTURE OR ITEM EACH FEE
OWNER Mr. n E
nrice
WATER CLOSET $1.25 MAIL
BATH TUB 1.25 ADDRESS r
SHOWER 1.25 CITY C• V TEL. NO.AT6- 2
LAVATORY 1.25 1 2 CONTRACTOR P C
SINK 1.25 ADDRESS I I So San Gabriel B Vde
DISHWASHER 1.25 CITYSan Gabriel TEL. NO.AT 7-0579
CONTRACTOR'S :M
LAUNDRY TUB 1.25 REGISTRATION NO. 126935COUNTY ❑
CLOTHES WASHER 1.25 DISTRICT,NO. GROUP ZONE PR BY
WATER HEATER 1.50 CA St
r
GAS SYSTEM OUTLETS
1.50 INDUSTRIAL
WASTE APPROVAL
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD
C9
6�
6ae
IL
to
APPROVALS DATE INS ECTOR'S SIGN TU RE
PERMIT $ Z 00 UNDER SLAB WORK �� 3
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.
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES Id let
' LICENSED AS -REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT I AM THE LEGAL NER OF,AND INTEND TO '
RESIDE IN, THE DESCR D RE51 EN IAL PROPERTY. UTILITY CO. NOTIFIED
SIGNATURE
OF PERMIT
FINAL
VALIDATION ROBERT A. WOOD
CK. M.O. CASH SUPERVISING MECHANICAL ENG�'R
3 2 l3 8 i '.JG 1 5J D 5./75~