HomeMy Public PortalAbout9439 LEMON AVE_Plumbing__ 78A887•CE#817 9/63
APPLICATION OR PLUMBING PERMIT
COUNTY OF LOS ANGELES
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DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAM IE. COUNTY ENGINEER
WILLIAM A JENSEN, SUPT OF BUILDING I
LOCALITY �-
FOR APPLICANT TO FILL IN NEA TT.
CROSS S /
NUMBER FIXTURE OR ITEM EACH FEE
OWNER / /J/O
WATER CLOSET $1.25 j
MAIL
BATH TUB 1.25 ADDRESS 43 ST /f'/O,v
S CITY
TEL. NO.
SHOWER 1.25 .S
LAVATORY 1.25 0S,
CONTRACTOR Alert P g_
SINK 1.25 ADDRESS 13933 So. Crenshaw Blvd
DISHWASHER 1.25 CITY Hawthorne TEL. NO. OS 9.3 6 91
LAUNDRY TUB 1.25 REGIS AAT ON NO. 193,617 C-36 STATE COUNTY STATE �
CLOTHES WASHER 1.25 I DISTRICT NO GROUP ZONE PR CES BY
WATER HEATER 1.50
1
GAS SYSTEM OUTLETS 1.50 Q INDUSTRIAL a
WASTE APPROVAL O
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD n V
w
y r a
APPROVALS DATE, INSPECTOR'S SIGNATURE,
PERMIT $ 2 00 UNDER SLAB WORK 1447164)
ROUGH PLUMBING
TOTAL FE / GAS PIPING s
1 HEREBY ACKNOWLCDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT .A
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER (t�P
PLUMBING - LI' li
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AN PLUMBING FIXTURES
LICENSED AS.REQUIREO BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT I AM THV LEGAL OWNER OF,AND INTEND TO Y J
RESIDE IN,THE ABOVE DESCRIBED RESIDENTIAL PROPERTY UTILITY CO NOTIFIED �0 4 Alow Af
SIGNATURE •�/
OF PERMITTEE ✓ 7f �1 I „p-
FINAL `/
LIDATION ROBERT A WOOD v
CK M O CASH SUPERVISING MECHANICAL ENG'R
6 4 0 OCT 7 5 0 1 1.2 5