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HomeMy Public PortalAbout5317 PAL MAL AVE_Plumbing__ TSA SST -0ERB1] 4-64 APPLICATION II F�"OR PLUG PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER IU Lie 7n BUILDING AND SAFETY DMSION JOHN A. LAM IE. COUNTY ENGINEEROf WILLIAM A. JENSEN. SUPT OF BUILDING LOCALITY FOR APPLICANT TO FELL IN NEARSCROSS an ti NUMBER FIXTURE OR ITEM EACH FEE OWNER WATER CLOSET 8625 ` �/ ,/J BATH TOS 1.25 A0DDRESS,7 -J /z Az SHOWER 1.25CITY C I TEL. LAVATORY 1.25 CONTRACTOR SINE 1.25 ADDS/''/S3 CZ DISHWASHER 1.25 CITY /`� TEL. HO. LAUNDRY TUB 1.75 CONTRREGISTRATION �/�7 �O 77 Coves REGISTRATION NO.; -/'J CLOTHES WASHER 1.25 af DISTRICT NO. GROUP ZONE Pq CEBSED BY WATER HEATER 1.50 �� -r^ lot 111 0INDUSTRUILL } OAS SYSTEM OUTLETS I'M WASTE APPROVALO OUTLETS OVER 5 PER SYSTEM .00 INSPECTION RECORD --- - 0-7/r.t' 0'(;toou o oe B' uut'rs - 'muSr fie" 7-0 e;,6 _z O i(1 �JCnN IF APPROVALS APPROVALS DAT lkSPECT.R'fi SIGNATILPE PERMIT S 2 00 UNDER SLAB WORK .? ROUGH PLUMBING TOTAL FEE GAS PIPING I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS A LIGATION GAS VENT ♦NO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATS Jl 1 PLUMBING. I HEREBY CERNFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURE LICENSED AS REQUIRED BY LOS ANGELES COUNTY ANO STATE OF GAS TEST CALIFORNIA OR THAT I AM THE LEGAL OWNER OF.AND INTEND TO RESIDE IN. THE ASOV DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED 51GNATURE OF PERMITTE FINAL LIDATION ROBERT P. WOOD CK. m.0. CASH SUPERVISING MECHANICAL ENG'R iAL02043Q ruY26 5 D 10.00- V 76A60 CES17 59 APPLICATION FOR PLUMBING PERMIT 1 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER FNEAREST LDING BUILDING AND SAFETY DIVISION RESS q, JOHN A. LAMBIE, COUNTY ENGINEER CASSATT D. GRIFFIN, SUPT OF BDILDING ALITY Telt `'' FOR APPLICANT TO FILL IN SS ST. NUMBER FIXTURE OR ITEM NER a) h JC WATER CLOSET LBATH TUB RESS SHOWER CITY TEL.NO. LAVATORY CONTRACTOR T� lvm&R! SINK ADDRESS y O S fid DISHWASHER CITY Iwo Lo/a_ TEL.NO. AG�4-k,%11� LAUNDRY TUB CONTRACTOR'S STATE REGISTRATION NO. O COUNTY El CLOTHES WASHER DIST GROI LONE READY F00.INSPECTION WATER HEATER Z � GAS SYSTEM INDUSTRIAL WASTE APPROVAL INSPECTION RECORD APPROVALS $1.00 PER ITEM - DATE INSPECTOR'S SIGNATURE OR FIXTURE $ l d UNDER SLAB WORK ROUGH PLUMBING O '4 PERMIT s 1 00 -- GAS PIPING TOTAL FEE Z) GAS VENT 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION HOT WATER HEATER iy AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES ' C_ PLUMBING. [' I HEREDY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST LICENSED AS REOWRED BY LOS ANGELES COUNTY AND STATE OF UTILITY CO. NOTIFIED CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROP TY. SIGNATURE FINAL v-A� OF PERM IT, ROBERT A. WOOD. ©s VALIDATION SUPERVISING MECHANICAL ENG'R CK. M.0. CASH ACD? 7 0 7"' APR 8 3 A ]. 2.0 0