HomeMy Public PortalAbout10240 NADINE ST_Plumbing__ TSASBT CE#817 4 64
.y APPLICATION FOR PLUMB NG PERMI
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGIIVF.ERT-
WATER
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BUII.DII�iG
AN� SAFETY DMSION
'WRA LAM IE COUNTY ENGINEER
WILLIAM A JENSEN SUP T OF BUILDING LITY
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FOR APPLICANT TO FILL IN NEARCROSEST
NUMBER FIXTURE OR ITEM EACH FEEER CLOSET 8145
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BATH TUB 145 ADDRESS Same
CITY TEL No
SHOWER 145
LAVATORY its CONTRACTOR
SINS 145 ADDRESS 5871 F-I'r8I3t'OrA8
DffiHWASHER 145 CITY SO. Cm TEL NO SR 32230
NTRALAUNDRY TOB I u REGATIOONSNO COUNTY ® /
CLOTHES WARNER in DISTRICT Nayl OUP ZONE PR$99111"p BY
WATER HEATER 150 t,5" 0 CL
SO DU
GAS SYSTEM OUTLETS 1 WS %OVAL
OUTLETS OVER 5 PER SYSTEM 40 INSPECTION RECORD V
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APPROVALS DATE INSPECTOR 8 SIGNATURE
PERMIT S 2 00 UNDER SLAB WORK
4 ROUGH PLUMBING
TOTAL FEE GAS PIPING
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE 18 CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING 1
1 HEREBY CERTIFY THAT 1 AM PROPERLY REG18T AND/OR PLUMBING FIXTURES
LICENSED AS
REQUIRED BY S ANGELES COUNTY STATE OF GAS TEST
CALIFORNIA OR THAT A E LEGAL O O AN INTEND TO
RESIDE IN THE ABOV DEC RESIDE I P PE Y UTILITY CO NOTIFIED
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SIGNATURE
OF PERMITT
ATION ROBERT A WO D
(CKr- O CASH SUPERVISING MECHANICAL ENG R
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APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGIIVEER
BU QaG AN��SAFETY DIVISION BU 10240 Nadine
JOHN A LAM
1 COUNTY ENGINEER
Y Artlein
WILLIAM A JENSEN SUP T OF BUILDING LOCALITY
FOR APPLICANT TO FML IN NE�T
NUMBER FIXTURE OR ITEM EACH FEE OWNER
WATER CLOSET, 81a NAM
RATS TOB 125 ADDRESS 10240 iadine
saowER 1 ss CITY NO
LAVATORY 125 CONTRACTORWDRONTCS
sum 1 ss ADDRESS ioo6—R Ta-Hang pi
L
DISHWAMB 1 Z5 CITY Covi nja TEL NO
LAUNDRY TOB 125 RSOGIS�TRAC IT ON NO 203283 COUNTY
CLOTHES WASHER 125 DISTRI NO 6 OUP ZONE PRO 88ED BY
WATER HEATER 150 �J u �` }
GAS SYSTEM OUTLETS
150
WASTE OVAL O
STRIAL
OUTLETS OVER S PER SYSTEM 90 INSPECTION RECORD V
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0
U
W
d
7 c.r — -rp_.4i° o« i
APPROVALS DATE INSPECTOR S SIGNATURE
PERMIT i 2100 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE I 3J2 GAS PIPING
1 HEREBY ACKNOWLLOGE THAT 1 HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE 18 CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOB ANGBLES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT 1 AM THE LBGAL OWNER OF AND INTEND TO
REBID6 IN TH OV6 DESCRIBED RESIDENTIAL PROPlRTY UTILITY CO NOTIFIED
SIGNAT
OF PE
FINAL
ALIDATION ROBERT A D
CK M O CASH SUPERVISING MECHANICAL ENG R
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