HomeMy Public PortalAbout9460 LEMON AVE_Plumbing__ 76A667-CE817 12/59 _
APPLICATION FOR PLUM NG PERMI
COUNTY OF LOS ANGkM
DEPARTMENT OF COUNTY ENGINEER BmLn>NG _
BUILDIIJG AND SAFETYIVISION ADDRESS
JOHN LAMBI COUNTY ENGINEER
WILLIAM A. JENSEN, SUP'T OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM OWNER
WATES CLOSES �L
ADDRESS
Iz BATH TUB
CITY TEL O.
SHOWER
LAVATORY CONTRACTOR i
SINS ADDRESS LI/
DISHWASHER �/
C
LAUNDRY TUB REGISTRATION NO. J f-.S STATE
OUNTY ❑
CLOTHES WASHER D I SEal_CT NO
Q GROUP NE PROCESSED BY
WATER HEATER
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD w
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$1.00 PER ITEM I /)
OR FIXTURE $ / APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK
TOTAL FEE - L� I ? ROUGH PLUMBING
-- 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
PLUMBING HOT WATER HEATER
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 AM THE LEGAL NER OF THE ABOVE
DESCRIBED RESIDENTIA ROPE Y. - UTILITY CO.NOTIFIED
SIGNATURE
OF PERMITTEE
FINAL
i
Or DATION ROBERT A. WOOD,
C6.
.0. CASH SUPERVISING MECHANICAL ENG'R
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,76A667-CE817 12/59 Cl T uC ��,�
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AN .SAFETY RIVISION BUILDING
JOHN A. LAMPI OUNTY NGINEER ADDRESS vzp
WILLIAM A JENSEN. SUPT OF BUILDING
4 LOCALITY —
FOR APPLICANT TO FILL IN NEAREST If
CROSS ST.
NUMBER FIXTURE OR ITEM OWNER L
WATER CLOSET MAIL
ADDRESS
BATH TUB
CITY TEL. NO.
SHOWER
l LAVATORY CONTRACTOR Alert Plb r„ & Ht g.
slurs ADDRESS 13933 S. Crenshaw Bl
DISHWASHER CITY Hawthorne TEL. NO. OS-. 9-3691
CONSTATE
LAUNDRY TUB REGISTRATION AT ONNO. 193617 C-3 6 COUNTY ❑
CLOTHES WASHER DISTRICTNO. GROUP ZONE _ PROCESSED By
/ WATER HEATER
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD y
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U
—r"q o
U
W
a
z
$IAO PER ITEM
OR FIXTURE $ 7 (/�V)
APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK ��J:(S/ I"WlJ IV
TOTAL FEE ROUGH PLUMBING TU z -G
GAS PIPING
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS PPLICAT10N
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING.
1 HERELICENSE DBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
CALIFORNIA SOR THAT REQUIREDBY I AMLOS ANGELES COU Ty THE LEGAL TE OF
OW ER OF THE
AND AABOYE GAS TEST
DESCRIBED RESIDENTIAL PERUTILITY CO.NOTIFIED v
SIGNATURE f n f
OF PERMITTE FINAL J
OF AMATION ROBERT A. WOOD.
Cs. M.O. CASH SUPERVISING MECHANICAL ENG'R
r•i,2 7 0 9 1a 17 5 a 9.00r
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