HomeMy Public PortalAbout10135 LA ROSA DR_Plumbing__ 7OA667-CE08I7 10-62
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
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JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS
WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST. __U
NUMBER FIXTURE OR ITEM EACH FEE
OWNER
WATER CLOSET S1.25 �U MAIL
I' HATH TUB 1,25 r ADDRESS
i SHOWER 1.25 �S-. CITY TEL. NO.
LAVATORY� 1.25 Z �D CONTRACTOR T
SINE 1.25 2 S- ADDRESS r /
DISHWASHER 1.25 CITY 1 TEL. O. L 0 7 j-79Z
LAUNDRY TUB 1.25 CONACTOR'SEGIIS RATION NO. C-3 b 133 STATE9?/0 COUNTY
CLOTHES WASHER 1.25 S DISTRICT NO. GROUP ZONE P CESSED BY
WATER HEATER 1.50 (}- r
CAS SYSTEM-OUTLETS- 1.50 INDUSTRIAL y
WASTE APPROVAL
OUTLETS OVER 5 PER SYSTEM .00 INSPECTION RECORD U
0
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✓5 a
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Z
G U APPROVALS q DATE/.j INSFECTOR�S,S_IGNATURE
UNDER SLAB WORK
PERMIT S 2 00
nil ROUGH PLUMBING f
TOTAL FEE `"U GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GASVENT I P
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY qH
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING.
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES �T .PQ �'C�✓%''Y` A /!J
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST J �3�,y7y
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF,AND INT TO / (
RESIDE IN, THE ABOVE OESCRIBEO RESIDENT L P UTILITY CO. NOTIFIED rf :j6J4
SIGNATURE �Nl / 1 1
OF PERMITTEE
FINAL
ALIDATION ROBERT A. WOOD
C M.0. CASK SUPERVISING MECHANICAL ENG'R
LAAO 1. 2 7 9C FEB 2 5 5 D 1 5.0 0- v
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