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HomeMy Public PortalAbout9530 LEMON AVE_Plumbing__ r 76A667-CE817-8-57 ,3 D APPLICATION FO'R PLUMBING PERMIT 1 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER FNEAREST BUILDING AND SAFETY DIVISION i JOHN A LAMBIE, COUNTY ENGINEER CASSATT D GRIFFIN, SUP T OF BUILDING f, FOR APPLICANT TO FILL IN NUMBER FIXTURE OR ITEM OWNER -� � �"•,�• �/' WATER CLOSET MAIL 7 BATH TUB ADDRESS 1 6�• n IJEC SHOWER CITY ,—� �' TEL.NO. '76 LAVATORY CONTRACTOR SINK ADDRESSDISHWASHER CITY ` TEL.NO.LAUNDRY TUB CONTRAC R'S 'y a-REGISTRATION NO. �J CLOTHES WASHERDISTRI>NO GRCL� ZONE REA WATER HEATER GAS SYSTEM INDUSTRIAL -�— WASTE APPROVAL INSPECTION RECORD r APPROVALS p@ $1.00 PER ITEM DATE INSPECTOR S SIGNATURE 1/ OR FIXTURE $ ( UNDER SLAB WORK ROUGH PLUMBING PERMIT S 00 GAS PIPING TOTAL FEE GAS VENT ' I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES PLUMBING I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR GAS TEST LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT 1 AM THE�LEGAL OWNER OF THE ABOVE UTILITY CO NOTIFIED DESCRIBED RESIDENTIAL PROPERTY OF PERMITTEE �Y �-71.�`��� r - -^nom FINAL SIGNATURE / © VALIDATION ROBERT A WOOD, SUPERVISING MECHANICAL ENG'R CK M 0 CASH LgCo 5 6 6 6 u OCT 10 5 A 3.0 0 m 76A667-CE817-8-57 J v APPLICATION FOR PLUMBING PERMVIT� 1 COUNTY OF LOS ANGELES /-In o DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS JOHN A LAMBIE, COUNTY ENGINEER CASSATT D GRIFFIN, SUP T OF BUILDING LOCALITY •�- y. Calif FOR APPLICANT TO FILL IN NEAREST NEAREST CROSS ST. / / �!�� NUMBER FIXTURE OR ITEM 11,0,0 OWNER Erma Prosser 1 WATER CLOSET MAIL 1 BATH TUB 1,000 ADDRESS 9532 Lomon Avenue SHOWER CITY Temple City TEL.NO. 1 LAVATORY 1,500 CONTRACTOBRobbins & Wann Plbg & Ht SINK 1100 ADDRESS 8725 Norwalk Blvd. , DISHWASHER CITVLOs Nietos TEL.NO.0$ 2-12$ LAUNDRY TUB CONTRACTOR'SMUM REGISTRATION NO.156272 C-36 # CLOTHES WASHER . " DISTRICT GROUP I ZONE I READY FOR INSPECTION 1 WATER HEATER 1000 -7- /P/ 1 GAS SYSTEM 10 Q INDUSTRIAL WASTE APPROVAL INSPECTION RECORD �V ��� �' )t? Ali)-CAIAPF APPROVALS a� t7p $1.00 PER ITEM _ DATE INSPECTOR'S SIGNATURE I OR FIXTURE $ 7000 UNDER SLAB WORK ROUGH PLUMBING t PERMIT S -1100 GAS PIPING �. TOTAL FEE ✓ � GAS VENT + I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER -Md Ar ' AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES I I� PLUMBING I HEREBY CERTIFY THA 1 AM PROPERLY REGISTERED AND/OR GAS TEST v 1i.I/ LICENSED AS REQUIRED Y LOS ANGELES COUNTY AND STATE OF -' CALIFORNIA OR TH T I M THE LEG OW R OF THE ABOVE UTILITY CO NOTIFIED J DESCRIBED REST A PERTY SIGNATURE ' OF PER MITT FINAL /? ©s ROBERT A WOOD, VALIDATION SUPERVISING MECHANICAL ENG R CK M 0 CASH Q3,5 4 4,—U% AUG 5 c5 A', 8.0 O