HomeMy Public PortalAbout10642 LIVE OAK AVE_Plumbing__ r 76A667 -CE#017 2-62
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APPLICATION FOR PLUMBING PERMIT
COUNTY ,OF LOS ANGELES
DEPARTMENT. OF COUNTY'ENGINEER,
BUILDING AND SAFETY. DIVISION
BUILDING /^
JOHN A LAMBIE, COUNTY ENGINEER ADDRESS ' e{p
WILLIAM A.JENSEN, SUPT OF BUILDING- LOCALITY '
FOR APPLICANT-TO FILL IN NEAREST
CROSS ST. . V
NUMBER FIXTURE OR ITEM - EACH _ FEE '
OWNER - 0
WATER CLOSET $1.25 �5r MAIL
BATH TUB 1.25 hADDRESS
CITY - TEL. NO.
SHOWER 1.25
LAVATORY1.25 2 CONTRACTOR ME IR gro Ca'
SINK 1,25 27 ADDRESS
DISHWASHER 1.25 CITY TEL. NO.
ijAUNDRY TUB 1.25 ' CONTRACTOR'S �- STATE X
REGISTRATION NO. J COUNTY
CLOTHES WASHER 1.25• DISTRICT NO GRO,UP , NE ESSED BY
WATER HEATER 1.50 �r L
50 INDUSTRIAL
GAS SYSTEM OUTLETS 1. WASTE APPROVAI
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORDji
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V
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- AP_P 2�OV_Fj L•$ DAT INSPEC);OR S S46NA1VRE
PERMIT $ 2 CC UNDER WORK
J ROUGH PLUMBING
TOTAL FEE a GAS PIPING '
I HEREBY ACKNOWLEDGE THAT I' HAVE READ TH15 APPLICATION GAS VENT
AND STATE THAT THE ABOVE.15 CORRECT AND AGREE TO COMPLY '
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 -
CALIFORNIA'OR THAT I AM THE LEGAL OWNER'OF,AND INTEND TO
RESIDE IN, TME ABOVE DESCRIBED RES NTIAL PROPERTY UTILITY CO NOTIFIED
SIGNATUREi rl .✓ ,r
OF PERMITTEE
FINAL
CALIDATION ROBERT A. WOOD
M OCASH SUPERVISING MECHANICAL ENG'R
t1M1i;0 6 5 71 NOV_ 7 5 .D 1 1.25-7, P