HomeMy Public PortalAbout9458 LEMON AVE_Plumbing__ 76A6671 EB17 6-60
APPLICATION FOR PLUMBING ERMIT, �
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DMSION BUILDING
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS
WILLIAM A. JENSEN. SUPT OF BUILDING v
LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM OWNER
WATER CLOSET MAIL
BATH TUB ADDRESS
CITY TEL NO.
SHOWER
CONTRACTOR
LAVATORY
SING ADDRESS
DISHWASHER CITY TEL NO._,&-,:F
?7 S�
CONTRACTOR'S a TA ❑
LAUNDRY TUB REGISTRATION NO. •S+S .3 3 COUNTY
CLOTHES WASHER DISTRICT NO GROUP ZONE) MOC EDBY
WATER HEATER /
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD H
0
94
O
In
a I .l1 ya
® $1.00 PER ITEM /
OR FIXTURE $ APPROVALS DATE INSPECTOR'SSIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK
TOTAL FEE ROUGH PLUMBING
GAS PIPING
1 HEREBY ACKNOWLEDGE THAT 1 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
L
CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
S REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
OR THAT t AM THE LEGAL OWNER OF THE A OYE
RESIDENTIAROPERTY. UTILITY CO NOTIFIED
E ✓J ITT
FINAL --1
AUPERRT A. WOOD,
G
X.p' ; UPERY131NG MECHANICAL ENG'R
�p,' 4 5 6 0 1'AR ? 5 D 3 .00