HomeMy Public PortalAbout9914 LA ROSA DR_Plumbing__ ]BARB>-CE#BIT 5/63
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS /
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
OWNER
WATER CLOSET $1.25 MAIL
BATH TUB 1,25 ADDRESS
CtTY SEL. NO.
SHOWER 1.25
t LAVATORY 1,25 coNrRAcioBg I ng PLUMBING INC.
SINK 1,25 ADDRESS 2407 N. Lee Ave.
DISHWASHER 1.25 CITY CTOR'S /�El Monte, fttli�o.`!� Q
LAUNDRY TUB 1.25 CONREGISTRATION NOC316 �la_3y COUNTSTATY 0
CLOTHES WASHER 1.25 DISTRICT NO. GROUP ZONE PROCESSED BY
WATER HEATER 1.50 f ,O y = �' I
7
lrA
GAS BYSTEM '.OUTLETS
WASTE APPROVAL 1.50 INDUSTRIAL O
OUTLETS OVER 5 PEB.SYSTEM .30 U
. � INSPECTION RECORD
9/z9/Lt I.f � r iyN: _ o
APPROVALS HATE INSPECTORS5`IG'NA/TURIS
PERMIT S 2 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE O� 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 I AM PROPERLY REGISTERED ANDIOR PLUMBING FIXTURES
LICENOSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFRNIA OR THAT 1 AM THE LEGAL OWNER OF,AND INTEND TO \
RESIDE IN,THE ABOV SCRIBE ESIDENTIAL PROPERTY. UTILITY CO. NOTIFIED
SIGNATURE
OF PERMITT G
FINAL TILS"64- (, a
VALIDATION ROBERT A. WOOD
M.o. CASH SUPERVISING MECHANICAL ENG'R
4 2 1 2:D SEP25 5 D 1 5.00-
.