HomeMy Public PortalAbout10793 LYNROSE ST_Plumbing__ APPLICATION FOR PLUM ING PERMIT" � =-
COUNTY OF LOS AN ELES
DEPARTMENT OF COUNTY ENGINEER
8 o RlIGAANDE.AFETY DIVISION AURA
WILLIAM A.JENSEN.SUP'T of BUILDING
LOCALITY
FOR APPLICANT TO PILI. IIsi NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM OWNER
WATER CLOSET
RATE TUR AADDDRM cJ ;p e `
SHOWER CITY �� 0.�e P,r TEL.NO.
LAVATORY CONTRACTOR
sm ADDRESS L$.-
CITY
DISHWASHER CITY -v TEL. NO.,VW/CSG 7+
CONTRACTOR'S STATE ❑
LAUNDRY TUR REGISTRATION NO. /17.2 O.2 2- COUNTY .
CLOTHES WASHER DIST
CQ y . ROUPn ZONE P, ED BY.
WATER HEATER !/COQ
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
DiSPECTION RECOED
O'
V
Iq •,-
O -
F
R ZRE $
APPROVALS DATE _ 1//N SECTOR'S�4 GNATURE
til 4PERMIT $ 2 00 UNDER SLAB WORK/-S0,9.04" /Gl
TOTALFEE ROUGH PLUMBING
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 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING;FIXTURES
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 PROPERTY. UTILITY.CO.NOTIFIED
SIGNATURE e/e= ( /• i _
OF PERMITTER—
FINAL
D. ALMATION ROBERT AfWOOD.
X.pk CAn SUPERVISING MECHANICAL ENG'R
UCa 9 3 7 0 JUV 2 9 5 D 3.0 0 h
P '
7BA667 CM17-11-57
APPLICATION FOR PLUMBING PERMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DMSION BUILDING
TrOHN A.LAMBIE, County Engineer ADDRESS tj
CASSATT D. GRIFFIN,Supt of Building LOCALITY
FOR APPLICANT TO FILL IN NEAREST
NUMBER 'FIXTURE OR ITEM CROSS ST.
WATER CLOSET OWNER
WLIL
BATH TUB ADDRESS /0 a
J SHOWER CITY C 2 TEL. NO.
1i LAVATORY CONTRACTOR
Sig ADDRESS
DISHWASHER CITY ejm;m TEL.NO.
LAUNDRY TUB CONTRACTOR'S STATE ❑
REGISTRATION NO. COUNTY ❑
CLOTHES WASHER DISTRICT NO. GR UP ZONE RE INSPECTION
WATER HEATER
J GAS SYSTEM INDUS
WASTE APPROVAL
INSPECTION RECORD
- -
APPROVALS
0
$OR 00 FEK QREE $ITEM I TO 00 DATE' INSPECTOR'S SIGNATURE ,
/ UNDER SLAB WORK _y-.� ,7
PERMIT $ 00 ROUGH PLUMBING
TOTAL FEE A O GAS PIPING
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT 9
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER, C
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. PLUMBING FIXTURES
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 I AM THE LEGAL OWNER OF THE ABOVE i UTILITY CO.NOTIFIED
DESCRIBED RESIDENTIAL OPERTY.
SIGNATURE
OF FERMI TTE FINAL
Eiiiiiii
ROBERTA.WOOD.
ATION SUPERVISING MECHANICAL ENG'•R
CK. M.0. CAM
LA05076 APR14 5 A 12,00