HomeMy Public PortalAbout5606 PAL MAL AVE_Plumbing__ 36 A EaT'; CE 817 7-69
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• � � APPLICATION FOR PLUMBING PER IT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION M:CALMY—re
JOHN A LAMBIE COUNTY ENGINEERCOLEMAN W JENKINS SUPT of BUILDING FOR APPLICANT TO FILL IN PR NT OR TYPENUMBER FIXTURE OR ITEM EACH FEH WATER CLOSET 1 5 BATH TUB 1 QDS ti+T
SHOWER 1 CITT TEL BO 3di
LAVATORY 15 / COIRRACTOB T
SINK 1 ADDRESS a
DISHWASHER 1 CRE u TEL RO
Ig
CLOTHES WASHER 1 0 J STATE LIC
LICENSE NO Q CLASS ��
SWIMMING POOL RECEPTOR 1 0 D.STRI NQ GRO XON¢ BY
LAWN SPRINKLER SYSTEM Z 0 O(/
WATER HEATER 1 0 ASM"PPRAP OVAL
GAS SYSTEM OUTLETS I 0 IIBPECTION RECORD
OUTLETS OVER
5 PER SYSTEM 0 Z
O
d
Plan check fee 2546 of above See reverse
PLU&IBING PERMIT ISSUING FEE E 00
TOTAL FEE
APPROVALS AT '1 ECTOR I IATURE
Plan check applicant UNDER SLAB WORK
Neale ROUGH PLUMBING
Address GAS PIPING
GAS VENT
City Tel No HOT WATER HEATER
1 EIR
HAY ACKNOWLZOOE THAT 1 READ D THIS ICATION
AND STAT[ THAT THE ABOVE IS mRRECr AHD AGRa TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDIMANcis AND STATE LAWS SEGUvmMD GAS TEST '{.
PLUMEINO
I t� FY
HEY CESTITHAT 1 AM PROPERLY REGISTERED AND/OR UTILITY CO NOTIFIED
LICMMO AS
11EOUIRED BY LOE ANOELEE COUNTY AND RATE OF
CALIFORNIA OR THAT 1 AN THE LEGAL OWNER OF AND INTEND TO
RESIDE IN THE ABOVE RIUD LAE L F RT FINAL
BIGNATUR¢ YAO JACK R. ALLEN, BUPERV191 HANiCAI ENG R
OF PERM IOvv�
PER6RT VALH)ATION C D CASH
PLAN CHECK VALIDATION CK M D CASH
4iLo 1 6 3 NOV 4 5 0 1 525- Q
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APPLICATION FOR PLI MBIN PERMIT
COUNTY OF LOS ANGEL¢
DEPA�RTINMENT}�OpF CpODUN�TTYDEN IIQEER �aDOLNa
$ORN (i C'LAFiHll? oGFE ENT SON
WILLIAM A JENSEN BDP T OF BUILDING LOCALITY
GI
FOR APPLICANT TO FILL IN CES 9T
NUMBER FIXTURE OR ITEM EACH FEE OWI�E
WATER CLOSET U is
DOTH TUE 125
DAD EE88
SHOWER 176 CITY TEL NO -3
LAVATORY 116 CONTRACTOR /�
SINE I[7 ADDRESS AQ_yy"QJ
DISHWASHER 125 CITY TEL NO
LAUNDRY TOR 1 is CONTRACTORS
NO COUP B
SEE
CLOTHES WASHER Im DISTRICT NO OO N[ P OC SD Y
■
WATER HEATER 160
OAS SYSTE6(-t_OUTLETS
ISD WASTE�K OVAL 0
OUTLETS OVEE 6 PER SYSTEM 30 DfSp CTION ffiCORD V
O
d
w
Z
APPROVALS DATE IN/KCTOR!SIGNATURE
PERMIT S J200 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL PEEGAS PIPING
IHEREBY ACENOWLXOGE THAT I HAVE RI[AD THIS AV-A$VENT
ANO STAT[ THAT THE ABOVE lE C0106CT AND AGREE TWITH ALL COUNTY ORDINANCES AND STATE LAWS MHOT WATER HEATERPLUMBING
1NERVYC RYIFYTUTIAMPROMRLY R[OIETEMPLUMBING FIXTURES
OCR= AB REOUIREO BY LOE ANGELES COUNTY ANDGA$•f•EBT
CALIFORNIA OR THAT 1 AM TME LEGAL OWNER OF AND REAM IN THE AwV[DESCRIe /R[nOENTUI PROMRTYUTILITY CO NOTIFIED
SIGNATURE
OF PERMITTE FINAL
VALIDATIOjt— YUPERRT A WOOD
cR M o l c�EH�UPERDI$ING MECHANICAL ENG R
L A[,0 2 5 2 9!0 JUN 11 5 D 6.0 0- Q
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