HomeMy Public PortalAbout9717 LIVE OAK AVE_Plumbing__ 76A667-CE4817 4-64
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APPLI
ATION FOR
ING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE, COUNTY ENGINEER
WILLIAM A JENSEN, SUPT OF BUILDING LOCALITY �'�ij� �¢� Q. 7-
FOR APPLICANT TO FILL IN NE
CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE
OWNER �.A/✓a C�. !//.O,S��fJ
Z, WATER CLOSET $1.25 j- Sv MAIL
BATH TUB 1.25 ADDRESS
SHOWER 125 ! ��• CITY TEL. NO.
Z LAVATORY 1.25 S ,J'() CONTRACTOR �ygt' ,0 '1'j( ¢x/
I SINK 1.25J-.A ADDRESS
DISHWASHER 1.25 CITY /i-- TEL. N069 �
112$ CONTRACTOR'S STATE
LAUNDRY TUB
REGISTRATION NO. C-31, .2.7-' -Vo4-VDCOUNTY
CLOTHES WASHER 1.25 1.1� DICT GR Z NE NQo/FvMD EL
WATER HEATER 1.50 f (CfPJ�//1040
GAS SYSTEM OUTLETS 1'50 .ro INDUSTRIAL a
WASTE APPROVAL _ O
OUTLETS OVER 5 PER SYSTEM .00 B INSPECTION"-RECORD n ¢J V
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A PPPROV'A LS DATE INSPECTOR S SIGNAtURE�
PERMIT 5 2 00 UNDER:SLNS WORK f/W416
ROUGH PLUMBING
TOTAL FEE OO GAS PIPING f"
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 HOT WATER HEATER
PLUMBING -�
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES ..�Q
LICENSED AS REQUIRED BY4�.-�R
ELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT I AM G OWNER OF,AND INTEND TO
RESIDE IN,TME ABOV;;DE�SC IDENTI P TY UTILITY CO NOTIFIED
SIGNATURE + 1'
OF PERMITTEE
FINAL
/VALIDATION ROBERT A WOOD
cK M o CASH SUPERVISING MECHANICAL ENG'R
LiCo 9 5 7 0 1 (BAR 15 5 D 1 5.0 Grz