HomeMy Public PortalAbout5726 NOEL DR_Plumbing__ XIMV
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APPLICATION
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PERMIT
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WILLIAM A JENSEN SUP T OF BUILDING /�
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FOR APPLICANT TO FILL IN
NUMBER FIXTURE OR ITEM
OWNER
WATER CLOSET
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RHOWER TEL �'
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CLOT WABIIIER DISTRICT O GROUP MONB P CESSED BY
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GAS BYSTBIS RfDOBTFmm
WASTE APPROVAL
ON RECORD
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APPROVALS DATE INSPECTOR 8 SIGNATURE
PERMIT $ 1100 UNDER SLAB WORK
TOTAL FEE ROUGH PLUMBING
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
PLUMBING HOT WATER NEATER
1 HEREBY CERTIFY THAT i AN PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY L08 ANGE COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT 1 THE OWNER OF THE ABOVE
DESCRIBED RESIDENTIA PBR UTILITY CO NOTIFIED
SIGNATURE
OF PERMITTER
FINAL
®� �YALIDATION ROBERT A WOOD
+ CK R 0 CM SUPERVISING MECHANICAL ENG R
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APPLICATION FOR PLUM NG PER 1
COUNTY OF LOS ANGELES
DEPARTNIE NT OF COUNTY ENGINEER
BUILDING AM SAFETY�DNWON 0�G r
CASSATr D GRIIrFII1 t $ >11O lU LOCALSY
FOR APPLICANT TO FILL IN CR p
NUMBER FIXTURE OR ITEM ! r .A
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WATER CLOSET _
RATS TUR ADDRESS
CITY TEL NO
BHOWER
LAVATORY CONTRACTOR
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r'�--• DISHwABRER C17Y TEL N10
LAQNDBY 7Q8 CONTRACTOR S / STATE
RRGISTRATION NO (� COUNTY
CLOTHES WASHER DIST ICT GROUP NE R Foa ECTIO
WATER IIEATER /Q
GAS SYSTEM WASTE BiAL
wASTB APPROVAL
IDiSPECTIO RRCORD
Aff
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--WA SIVIVl-dam
APPROVALS anA
w $1 00 PER n7m DATE INSPECTOR S SIGNATURE
OR FD1RR8 If
UNDER SLAB WORK
PERMIT : 00 ROUGH PLUMBING ro
TOTAL FEE GAS PIPING
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING of
PLUMBING PLUMBING FIXTURES
I HEREBY CERTIFY THAT 1 AM PROPER REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES OUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGA OWNER OF THE ABOVE UTILITY CO NOTIFIED
DESCRIBED RESIDENTIAL OPE
SIGNATURE
OF PERMITTE FINAL
ROBERTA WOOD
®� VALIDATION SUPERVISING MECHANICAL ENG R
CK R O CASH
Lkl.0 1 4' FEB 7 5 0 4600