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HomeMy Public PortalAbout5353 LOMA AVE_Plumbing__ 7 6BS-17 3•55 APPLICATION FO -PLUMBING PERMIT DIVISION OF BUILDING AND SAFETY Department of County Engineer v County of Los Angeles BUILDING �23 WM.J. FOX, COUNTY ENGINEER ADDRESS JJJ J - CASSATT D. GRIFFIN, SUPT of BUILDING //JJ � !�D/J LOCALITY , /&,t�dL''.e&_ .Cel FOR APPLICANT TO FILL IN CROSST ST OWNER !/1,/ �• {/(�'�{./J/ / DISTRICT N GROUP Z� READY FOR INSPECTION MAIL DRESS � i17 K e �fG�Y� � _z: ADDRESS n/.y'J�(�,��' �/^�• r/ RIAL CITY 4�st"t-oe'jo, `�VIA/TEL NO ee -4, /Q WASTE TAPPROVAL PLUMBER .0 �r ,tr�•a ! INSPECTION RECORD ADDRESS //5353 �? l'pll J �..Q.- " CITY �,yLfjy L,j/�,�,A_ 6,t, TEL 'NO.a; 4 077 LICENSE NO " v NUMBER TYPE OF FIXTURE OR ITEM FEE WATER CLOSET (TOILET) $ BATH TUB SHOWER LAVATORY (WASH BASIN) KITCHEN SINK DISHWASHER - LAUNDRY TUB OR TRAY CLOTHES WASHER TOTAL NO'- (s 080 APPROVALS DATE INSPECTORS SIGNATURE GAS SYSTEM OUTLETS ala 1 00 UNDER SLAB WORK - WATER HEATER Q 1 00 ROUGH PLUMBING PERMIT 1 00 _ GAS PIPING" TOTAL FEE DO GAS VENT I•MEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER AN STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES PLUMBING I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST fel--•-�-.•�---.- LICENSED AS REQUIRED BY"LOS ANGELES COUNTY AND STATE OF - CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE UTILITY CO.NOTIFIED DESCRIBED RESIDENTIAL /PROPERTY. SIGNATURE •y]/ >V4.� ��. OF PERMITTEE /V FINAL 1 S� WILLIAM J. FOX,COUNTY ENGINEER U VALIDATION R.A.WOOD,CHIEF PLBG. INSPECTOR- 1EO 5 8 3 3LLR' JIJL 2'0 3 2.0 0 DB6•1712.94• APPLICATION FOR OLUMBING PERMIT DIVISION OF BUILDING AND SAFETY c� Department of County Engineer County of Los Angeles WM. J. FOX. COUNTY ENGINEER BUILDING ADDRESS 7 CASSATT D. GRIFFIN, SUP'T,OF BUILDING LOCALITY OR APPLICANT TO FILL IN NEAREST CROSS ST r OWNER DISTRICT NO. GROUP NE READY FOR INSPECTION MAIL r f f- ADDRE55 L Oc>o INDUSTRIAL I- , CITY EL NO - © WASTE APPROVAL PLUMBER INSPECTION RECORD ADDRESS 1 � �t ,�,�✓ CITY TEL NO ven-t /v0T LICENSE NO e, _ NUMBER TYPE OF FIXTURE OR ITEM FEE WATER CLOSET (TOILET) 'S BATH TUB SHOWER LAVATORY (WASH BASIN) _ KITCHEN SINK '�p xr, d DISHWASHER ��10 tj c GPAti LAUNDRY TUB OR TRAY CLOTHES WASHER �'• c-fen �tw�G�• 'r.i TOTAL NO. @ O BO APPROVALS DATE INSPECTOR'S SIGNATURE GAS SYSTEM OUTLETS @ 100 UNDER SLAB WORK WATER HEATER @ 1 00 e2AQ ROUGH PLUMBING PgRMIT s I 1 60 GAS PIPING ~ TOTAL FEE 4 9L GAS VENT I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION HOT WATER HEATER - AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES PLUMBING. I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED, AND/OR GAS TEST %A V LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OFUTILITY CO NOTIFIED " k 4 CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. SIGNATURE OF y OF PERMITTEE h+ -� FINAL u IiLIL WILLIAM J. FOX. COUNTY ENGINEER VALIDATION &2 5 9 '7 IS RPR 14 , 3 $.60 B7 � r'vr DEPUTY