HomeMy Public PortalAbout9426 LEMON AVE_Plumbing__ 76A667+CE#817 9/63
APPLICATION FOR PLUMBING PERMIT u
COUNTY OF LOS ANGELES u
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION FNEAREST
JOHN A. LAMBIE, COUNTY ENGINEER
WILLIAM A JENSEN, SUPT OF BUILDING
FOR APPLICANT TO FILL IN . I
NUMBER FIXTURE OR ITEM EACH FEE OWNER
WATER CLOSET 31.250 MAIL
BATH TUB 1.25 J7ADDRESS
SHOWER 1.25 CITY TEL. NO.
LAVATORY 1.25 V CONTRACTOR G O
SINE 1.25 ADDRESS j-
DISHWASHER 1.25" CITY / TEL. NO
LAUNDRY TUB 1.25 CONTRACTOR'S STA j�
REGISTRATION NO. Cl(O COUNTY ❑
CLOTHES WASHER '1.25 DISTRI T NO. GROUP ZONE P ESSED BY
WATER HEATER 1.50
GAS SYSTEM OUTLETS 1.50 Q INDUSTRIAL_ D_
WASTE APPROVAL O
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD V
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APPROVALS PATE INSPECTOR S SIGNAT
PERMIT- $ 2 00 UNDER SLAB WORK A
ROUGH PLUMBING
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TOTAL FEE �� Q GAS PIPING
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1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY / y
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. HOT WATER HEATER ��D
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I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES � 1 I
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 N.THE ABOVE ESC R IBE0 RESIDENTIAL PROPE RT UTILITY CO NOTIFIED o�
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SIGNATURE 1
OF PERM ITTE ��
FINAL
00ALIDATION ROBERT A�WOOD
M o CASH SUPERVISING MECHANICAL ENG'R
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