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HomeMy Public PortalAbout10120 LA ROSA DR_Plumbing__ 76AN,7-CE81712/59 TEMPLE CI't'lF APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY IVISION BUILDING //)) L .JOHN A. LAMBIE, COUNTY NG(NEER ADDRESS C// 0 WILLIAM A. JENSEN. SUPT OF BUILDING ' LOCALITY �,.yl FOR APPLICANT TO FILL IN CROSS NEAREST AST. `/' ��I1 E NUMBER FIXTURE OR ITEM OWNER O Gl ✓'� �[� ('p J WATER CLOSET MAIL BATH TUB ADDRESS � { c( "I [1��'G�[aC lc d;✓'�//I1 a SHOWER CITY - /ry J 4% !G TEL. NO. CF/ 4� LAVATORY CONTRACTOR - - _ Sm - ADDRESS —��� DISHWASHER CITY �I�S TEL. NO. - I CONTRACTOR'S STATE ❑ LAUNDRY TUB REGISTRATION NO. COUNTY ❑ CLOTHES WASHER DISTRICT NO. GROUP ZONE PROCE RD Y WATER HEATER © � 7 GAS S TEM INDUSTRIAL WASTE APPROVAL INSPECTION RECORD s, a O U IF 9 en 0F U w a N Z I0 $1.00 PER ITEM (/V OR FIXTURE / APPROVALS DATE INSPECTOR S SIGNATURE PERMIT $ Z 00 UNDER SLAB WORK TOTAL FEE0-0�J � ROUGH PLUMBING "l GAS PIPING 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. HOT WATER HEATER 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST CALIFORNIA OR THAT,I AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENT[- L P OPERTY. _ UTILITY CO.NOTIFIED A SIGNATURE . ��_� I J OF PERMITTE FINAL ®n / /'VALIDATION ROBERT A. WOOD, M.o. usN SUPERVISING MECHANICAL ENG'R 7BA667-CES17 3-59 4--i y of F G i 7-�' APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION ADDRESS O L) S IOHN A. LAMBIE, County. eor CASBATT D. GRIFFIN. Sup t of Building LOCALITY yR(,er1 C/ry FOR APPLICANT TO FILL IN NEAREST CROSS ST. IgAl NUMBER FIXTURE OR ITEM OWNERd WATER CLOSET 'MAIL BATH TUB ADDRESS CITY TEL NO. SHOWER CONTRACTOR LAVATORY JSTATE SINK ADDRESSDISHWASHER CITY(BL TEL NO.CONTRACTOR'S LAUNDRY TUB REGISTRATION NO. L C CLOTHES WASHER DISTRICTNO GROUP /ZONE P SS BY WATER HEATER '-5 ' 0 GAS SYSTEM INDUSTRIAL WASTE APPROVAL INSPECTION RECORD Y Ao s* 4SS.Qvee Ilz O $1.00 PER ITEM OR FIXTURE $ '7QQ Ap OVA DATE, INS ECTOR'S SIGNATURE PERMIT $ $ 00 UNDER ORK-r� TOTAL FEEOQ ROUGH PLUMBING 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 PLUMBING. HOT WATER HEATER / 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES S�'+,>.= LICENSED AS REOUIREO BY 5 ANGELES CODN Y AND STATE OF GAS TEST �/1^ CALIFORNIA OR THAT 1 THE LEGAL OWN OF THE ABOVE F�YYI� DESCRIBED RESIDENT L ( ERTY. UTILITY CO. NOTIFIED SIGNATURE / OF PERMITT FINAL ®r VALIDATION ROBERT A. WOOD, cs. B.O. con SUPERVISING MECHANICAL ENG'R -4 7O7