HomeMy Public PortalAbout9439 LONGDEN AVE_Plumbing__ 76A667•;Cf 8172-62 I \
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES "
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS
WILLIAM A.JENSEN,SUPT OF BUILDING
LOCALITY
FOR APPLICANT TO FILL IN NEARESTOT G
NUMBER FIXTUREOR ITEM EACH FEE
OWNER jf
WATER CLOSET 51.25 O MAIL
/ BATH TUB 1.25 ADDRESS
I SHOWER 1.25 CITY TEL. NO.
LAVATORY 1.25
CONTRACTOR I
!'. SINK 1.25 ADDRESS -
DISHWASHER 1.25 CITY TEL. NO. C tl
LAUNDRY TUB . 1.25 CONTRACTOR'S STATE
REGISTRATION NO. COUNTY ❑
CLOTHES WASHER 1.25 - DISTRICT NO. GROUP ONEPROCESSED BY
WATER HEATER 1.50
' 1.50 INDUSTRIAL .
�+ GAS SYSTEM. OUTLETS WASTE APPROVAL
OUTLETS OVER 5 PER SYSTEM .30
INSPECTION RECORD. 99
)-
Lu
06
- 1r
('D APPROVALS DATE INSPECTOR'S S1GNATUT2E
'PERMIT S 2 00 UNDER SLAB WORK ';Si
ROUGH PLUMBING / j
T '00 .
TOAL FEE GAS PIPING
I 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
PLUMBING. HOT WATER HEATER
1 H
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 LEG OWNER OF,AND INTEND TO
RESIDE IN,THE ABOVE DE CRIBED R DENTIAL PROPERTY. UTILITY CO.NOTIFIED
SIGNATURE 1 V
OF PERMITTEE
FINAL
VROBERT.A.
WOOD
M.O. CASH SUPERVISING MECHANICAL ENG'R
6 9 7 2 NOS!14 5 D 1 5.G .N
1