HomeMy Public PortalAbout9382 LOWER AZUSA RD_Plumbing__ 1 L �y r
78A887-CF-081-7-4-164 // A n,
APPLICATION FO PLUMEMG PERMIT /yj�
COUNTY OF LOS ANGELES,
DEBAANANT ENGINEER
BUILDING SAFETY BUILDING
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS
WILLIAM A.JENSEN,SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST ST.
NUMBER FIXTURE OR ITEM EACH FEE
OWNER r
WATER CLOSET $1.25 MAIL
BATH TUB 1.25 ADDRESS-
SHOWER 1,25 CITY L. NO. G/L
LAVATORY 1.25
CONTRACTOR
SINS 1.25 ADDRESS
DISHWASHER 1.25 CITY TEL.
LAUNDRY TUB 1.25CO CTOR'S STATE ❑
REGISTRATION NO. COUNTY CO3
CLOTHES WASHER 1.25 D_ISTR N GRoyR ZONE PROCESSED BY
WATER HEATER 1.50jw.`/Y
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141
GAS SYSTEM OUTLETS. 1'50 a INDUSTRIAL D-
WASTE APPROVAL O
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD U
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APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT S 2 00 UNDER SLAB WORK /1
ROUGH PLUMBING f 1
TOTAL FEE 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
PLUMBING.
1 HEREBY CERTIFY THAT `I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES. COUNTY AND STATE OF GAS TEST s e
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF AND INTEND TO - _
RESIDE IN,THE ABOVE DESCRIBED ESIDENT L PROPERTY. UTILITY CO.NOTIFIED
' v. .
SIGNATURE
OF PERMITTEE FINAL 9
�LIDATION ROBERT A. WOOD
M.0. CASH SUPERVISING MECHANICAL ENG'R
.rloo e o APR16 5 D 3.5 0-