HomeMy Public PortalAbout9663 LONGDEN AVE_Plumbing__ 78A887-CE#Bl7 12.84
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
ADDRESS /
JOHN A. LAMBIE. COUNTY ENGINEER
COLEMAN W. JENKINS,SUPT OF BUILDING, LOCALITY TG
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM EACHt/FEE
OWNER
WATER CLOSET $1.25
HATH TUB 1.25 S ADRESS L'
SHOWER 1.25 CITY &I , TEL. NO.
CONTRACTOR '-1 •�
LAVATORY 1.25 d
SINK 1.25 J ADDRESS _jElol r
DISHWASHER 1.25 J CITY _ / TEL NO�� �����
LAUNDRY TUB 1.25 CONTRACTOR'S / STATE
REGISTRATION NO. / S� COUNTY
CLOTHES WASHER 1.25 DISTRICT NO. GROUPONE PSSEC BY
WATER HEATER 1.50
GAS SYSTEM_ OUTLETS 1.50 INDUSTRIALWASTE APPROVAL d
OUTLETS OVER 5 PER SYSTEM .90 INSPECTION RECORD v
o
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A( p'1 1` 21-Z
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f ApPPROVALS DATE INSP .r§* " G(ri;1 j
PERMIT $ 2 00 UNDER SLAB WORK ✓�
/41 y "vr✓�
ROUGH PLUMBING �� p
TOTAL FEE GAS PIPING IY
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND
STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT
WITH ALLCOUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER 1 ^�i;l•� r>nru'CJ
PLUMBING.
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES '�jt ,71 �✓V✓ '✓
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE 'GAS TEST
CALIFORNIA OR THAT 1 AM THE LEGAL OW �FF�D INTEN O _
RESIDE IN,THE ABOVE DESCRIB• ESID AL ROPERTY UTILITY CO.NOTIFIED I t y
SIGNATURE
OF PERMITTEEf�
FINAL /:3r7/ !S� ` •.�s" t'i
LIDATION ROBERT A:'WOOD
CK.
M.0. CASH SUPERVISING MECHANICAL ENG'R
Ll'11,0 5 3.6 6' SEP 8 5 D 1 6.2-5^'