HomeMy Public PortalAbout9424 LEMON AVE_Plumbing__ 76A667'-CFrt819 5/63
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APPLICATION FOR PLUMBING PERM j
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING r
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS L G(�YL.�
WILLIAM A. JENSEN, SUPT OF BUILDING
LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE
OWNER
21 WATER CLOSET $1.25 MAIL
t BATH TUB 1.25 ADDRESS
SHOWER 1.25 137 CITY TEL. NO.
LAVATORY 1.25 Z SO CONTRACTOR
' SINS 1.25 I25-1—ADDRESS S T
DISHWASHER 1.25 +REGIkTRCJ
Y 19 ` G TEL. O. QI 7 j 7 Z
LAUNDRY TUB CTOR'S STATE
1.25 ION NO. f 3 !�U COUNTY Ile
CLOTHES WASHER 1.25 L
2 5 DISTRICT NO.� GROUP ZONE PROCES BY
WATER HEATER 1.50 �)Y J��7 ' �t
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GAS SYSTEM OUTLETS 1.50 a INDUSTRIAL
CI
APPROVAL O
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD V
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H
V
W
CLy
Z
U APPR A DATE INSPECTOR'S SIGNATURE
PERMIT § Z 00 UNDER AB WORK
ROUGH PLUMBING _ - - -
TOTAL FEE 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 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 1 AM THE LEGAL OWNER OF,AND INTEND TO
RESIDE IN, THE ABOVE DESCRIBED RESIDE IAL PROPERTY. UTILITY CO. NOTIFIED '
SIGNATURE
OF PERMITTEE
FINAL
LIDATION ROBERT A. WOOD
CK. M.O. CASH SUPERVISING MECHANICAL ENG'R
2 4 1 3%'-o NOV 5 D 1 5.00-
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76A667-C%V817 5/63
APPLICATION FOR PLUMBING ERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER a
BUILDING AND SAFETY DMSION A
UILDDRESS
�'+
JOHN A. L MBIE, COUNTY ENGINEER
WILLIAM A JENSEN, SUPT OF BUILDING
FOR APPLICANT TO FILL IN .
NUMBER FIXTURE OR ITEM EACH FEE
OWNER
WATER CLOSET $1.25 MAIL
BATH TUB 1.25 ADDRESS
SHOWER 1.25 CITY TEL. NO.
LAVATORY 1.25 CONTRACTOR
SINK 1.25 ADDRESS e
DISHWASHER 1.25 CITY sO se/rEL. NO.�
LAUNDRY TUB 1.25 CONTRACTOR'S STATE
REGISTRATION NO. COUNTY
CLOTHES WASHER I•Z5 DISTRI N GROUP ONE P ESSED BY
WATER R. 1.50
a
GAS SYSTEM OUTLETS 1.50 INDUSTRIAL O
WASTE APPROVAL
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD
O
fU-
�II
a
N
Z
Q
APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK
ROUGH PLUMBING_,-
TOTAL FEE PIPING
IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION -f '^" "/
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT J
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING.
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT 1 THE LEGAL OWNER OF,AND INTEND TO
RESIDE IN,THE ABOVE S RIBED ESIDENTIAL P Y. UTILITY CO. NOTIFIED
SIGNATURE
OF PERMITTEE
FINAL
V'PLLIDATION ROBERT A. WOOD
CK M O CASH SUPERVISING MECHANICAL ENG'R
L;;��4 9 4 1 JAN G 8 5 D 3.5 ()-