HomeMy Public PortalAbout10507 LYNROSE ST_Plumbing__ (2) Yry
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.76A667 - CE877 5/70 � 4 ,
APPLICATION FOR PLUMBING: PERMIT..,
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
ADDRESS 1050Eo arose Std
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS SUP T OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN (PR NT OR TYPE) NEAREST
CROSS ST.. Faa Ma 1
NUMBER FIXTURE OR ITEM EACH FEE
WATER CLOSET 1 50 OWNER Errett F. )Stuart
MAIL
BATH TUB 1.50 ADDRESS Above
SHOWER 1.50 CITY Above TEL. NO. 447-4579 1
LAVATORY 150 CONTRACTOR Pacific T=tallersy Ince
SINK - 1 50 ADDRESS —10ME Grand Ave
DISHWASHER 1.50 CITY Temple citT TEL. ND. 442Q7070
CLOTHES WASHER 1 50 STATE LIC
LICENSE NO 7 'CLASS
SWIMMING POOL RECEPTOR 1.50 - DISTRICT O. GR P' ,ZO PR SS BY
LAWN SPRINKLER SYSTEM 2.00
WATER HEATER , 1 50 WAST AIPPROVAL a
GAS SYSTEM OUTLETS 1.50 INSPECTION RECORD 8
OUTLETS OVER
5 PER SYSTEM 30
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Plan check fee•25% of above. See reverse.
PLUMBING PERMIT ISSUING FEE 9 2 00
TOTAL FEE
APPROVALS DATE INSPECTOR S SIGNATURE -
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
GAS VENT
City Tel. No HOT WATER HEATER _
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST
PLUMBING
'1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO NOTIFIED
LICEN SEDAS REQUIRED BY LOS ANGELES COUNTY AND STATE OF /
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF.AND INTEND TO /y
RESIDE IN,THE ABOVE DESCRIBED ESIDENTIAL P DPERTY FINAL ZrO
SIGNATURE JACK R. ALLEN, SUPERVISING MECHANICAL ENG'R
OF PERMITTEE
PERMIT VALIDATION M o CASH
PLAN CHECK VALIDATION CK M 0 CASH -
76A667- CE#817 5-61' /
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BIDING ANDE SAFETY DINON BUILDING .3-()5n 7 Lynr c)�eLANTY NEER ADDRESS
WILLIAM A. JENSEN, SUPT OF BUILDING .y
IT,
LOCALITY
FOR APPLICANT TO FILL IN NEARSCROSS sr . Pal
NUMBER FIXTURE OR ITEM OWNER •n_,nk F2' Lan''. Dc •
WATER CLOSET MAL
i BATH TUB ADDRESS
CITY TEL NO.
]_ SHOWER
^ CONTRACTOR :;7 2T'J"'. i i+L^.7=1`l`'
LAVATORY
ADDRESS c ^a .
SINK -3alu-°.Tir- �QTc.
DISHWASHER
CITY E - _:'C TEL. NO. "1-37644
CONTRACTOR'S STATE
LAUNDRY TUB REGISTRATION NO. 1/0 71,N COUNTY
CLOTHES WASHER DISTRICT NO. GROUP ZONE QCEBBED BY
WATER HEATER `j ) O
1 GAS SYSTEM INDUSTRIAL
WASTE APPROVAL L.7
INSPECTION RECORD 0
O
I.-
0
@ $1.00 PER ITEM �
OR FIXTURE $ li•�I1 APPROVALS DATE INSPECTOR'S SIGNATURE
-H PERMIT $ 21 00 UNDER SLAB WORK
TOTAL FEE 1,r' ROUGH PLUMBING
1 GAS PIPING x
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
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. ,
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES 1
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL pd20PER UTILITY CO. NOTIFIED
�.i
SIGNATURE
OF PERMITT
EE
FINAL
VALIDATION ROBERT A. WOOD
CK.
M.0. CASH SUPERVISING MECHANICAL ENG'R
� 74 � 31650 1 .C; }
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