HomeMy Public PortalAbout10252 NADINE ST_Plumbing__ 76A667 CE#617 6 65
APPLICATION FOR PLUMBING PERMI
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEERBUILN Bmwlmcw* ` n Fl /�/ _
OHNDANLAM EG AND SCOUN7 AFETY ENGINOEER rN
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COLEMAN W JENKINS SUP T OF BUILDING ITY r+ /J C C
FOR APPLICANT TO FML IN ST �/NUMBER FIXTURE OR ITEM EACH FEENER . t
WATER CLOSET 81 25
BATH TUB 125 ANDAD�LAEBS 10�' 5' r Ill L�
SHOWER 125 CM? C t 1 TEL NO
LAVATORY 125 CONTRACTOR
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SINS 125 ADDRESS*17 J.. A 416/'-A 11 l?)G L-
DUMWASHER 125 CmI;"rr148 i 61- TEL xoA-r7 .1�j�pSTATE LIC
3
LAUNDRY TOB 125 LICENSE NO 41 T � CLASS4r'5 3
CLOTHES WASHER 125 DISTRICT NO,5,pa 1CIROU ZONE PR SSED B
WATER HEATER 1 SG
GAS SYSTEM OUTLETS �
1 RAST INDUSTRIAL30 OVAL 0
OUTLETS OVER S PER SYSTEM 20 IIISPECTION RECORD V
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APPROVALS DATE INSPECTOR S SIGNATURE
PERMIT S 2 00 UNDER SLAB WORK
D ROUGH PLUMBING
TOTAL FEE GAS PIPING 3
1 HEREBY ACKNOWLEDGE THAT I 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
LR-ESIDE
CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
S REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST 3
OR THAT 1 AM THE LEGAL OWNER OF AND INTEND TO
HE ABOVE SCRIBED RESIDENTIAL PROPERTY UTILITYCO NOTIFIED
EITTEE q
FINAL 7
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O CASH
LALO0 2 5 8- SAAR 7 5 D 350-