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HomeMy Public PortalAbout10121 LANDSEER ST_Plumbing__ t L 76A607-CE817 10-60 APPLICATION FOR PLUMBING PERMIT � COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DMSION BUILDING "• JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS 10121 Landseer WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY Temple C±j7_ FOR APPLICANT TO FILL IN NEAREST CROSS TT. NUMBER FIXTURE OR ITEM OWNER J -B Weber Constructio_n'_ Co 2 WATER CLOSET MAIL 1- .BATH TUB ADDRESS - CITY TFJ. NO. 1 SHOWER a: 1 e I 2 LAVATORY CONTRACTOR Y IIYri lllg CO. . . ADDRESS L12 v 'Fleetwood P1 . 1 SINK DISHWASHER . crrY a ora TEL NO. Ed: 5- 3 CO CTOR'S ATE LAUNDRY TUB REGISTRATION NO. COUNTY CLOTHES WASHES DI�S.TRRIC�Ty GROUP ZO P SED BY 1 WATER HEATER !/I GAS SYSTEM INDUSTRIAL WASTE APPROVAL• �. L INSPECTION RECORD a /Il—ko-�o/ Se/ cr�,,Lc, (� Ov O . a . Z . 10 Csl $1.00 PER ITEM OR FIXTURE APPROVALS DATE / INSPECTOR'S SIGNATURE PERMIT $ 2 00 UNDER SLAB WORK ROUGH PLUMBING 'G TOTAL FEE 00 Jd 'GAS PIPING � I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT A // WITH ALL COUNTY ORDINANCES AND STATE LAWS- REGULATING HOT WATER HEATER PLUMBING. ' i HEREBY CERTIFY THAT I AM PROPERLY -REGISTERED AND/OR PLUMBING FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST J�/O/�%�-• � .=s}���a„�,`, CALIFORNIA OR THAT 1 AM THE LEGAL OWNER SOF THE ABOVE DESCRIBED RESIDENTIA PROP TY. UTILITY CO. NOTIFIED /� SIGNATURE - W ' OF PERMITT ALIDATION ROBERT A. WOOD CASH SUPERVISING MECHANICAL ENG'R � o 6 OCT1 1 5 D