HomeMy Public PortalAbout10513 KEY WEST ST_Plumbing__ 7GA687-CE#817 10-62
APPLICATION FOR PLUMBING PER IT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER �^
BUILDING AND SAFETY DIVISION ADDRESS/Da
JOHN A LAMBIE, COUNTY ENGINEER
WILLIAM A JENSEN, SUP T OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST
NUMBER FIXTURE OR ITEM EACH FEE
p� 00
WATER CLOSET $125 OWNERMAIL
�C..7
/ BATH TUB 1 25 ADDRE S /
SHOWER 125 CI TEL. NO
LAVATORY 125 CONTRACTOR
SINS 125 ADDRESS
DISHWASHER 125 CITY TEL NO.
LAUNDRY TUB 1 25 CONTRACTOR'S STATE ❑
REGISTRATION NO COUNTY ❑
/ CLOTHES WASHER 125 plgTRl� Nq� G P ZONE E D BY
WATER HEATER 1 50 (JJ/�
-GAS SYSTEM OUTLETS "zit
1 50 INDUSTRIAL
WASTE APPROVAL
OUTLETS OVER 5 PER SYSTEM 30 O
.INSPECTION RECORD V
R -. 19
V
W
d
H
APPROVALS DATE INSPECTOR S SIGNATURE
PERMIT $ 2 CO UNDER SLAB WORK 3
ROUGH PLUMBING
TOTAL FEE GAS PIPING 6
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
PLUMBING HOT WATER HEATER r
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES /�
LICENSED AS REQUIRED BY LOS A ES COUNT A STATE OF GAS TEST
CALIFORNIA OR THAT I AM THE L A OWNER A INTEND TO
RESIDE IN, THE ABOVE DESCRIBED E ENTIAL P P UTILITY CO NOTIFIED rAAJ _
SIGNATURE 0
OF PERMITTEE
FINAL -'l-64-
VALIDATIOJ)T--, ROBERT A WOOD
CK M o �CAS�SUPERVISING MECHANICAL ENG R
LAr"o6 3 5 1 JU« 17 5 D 1 5,(j 0
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