HomeMy Public PortalAbout4945 PERSIMMON AVE_Plumbing__ 78A887-CE#817 12-84 �
, ilq APPLICATION FOR PLUMBING PERMI
U COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING 11-,9
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JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS 1 7`
COLEMAN W. JENKINS, SUPT OF BUILDING,_ LOCALITY c
FOR APPLICANT TO FILL IN NEAREST
NUMBER FIXTURE OR ITEM EACH FEE CROSOWNER
WATER CLOSET. $1.25 olMAIL
r BATH TUB 1.25 / ADDRESS
f SHOWER 1.25 CITY TEL. NO.
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LAVATORY 1.25 •S Q CONTRACTOR A l @.2• Plumbing & Heat!
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13933
SINK 1.25
ADDRESS 5 0. Crenshaw v
DISHWASHER 1.25 CITY NO.
CONTRACTOR'S ,t STATE ❑
LAUNDRY TUB 1.25
REGISTRATION NO. /��'9�✓ COUNTY ❑
CLOTHES WASHER 1.25 '2 DISTRICT NOTP ZONE MRS BY
WATER HEATER 1.50 e ~�
GAS SYSTEM OUTLETS 1.50 g INDUSTRIAL
WASTE APPROVAL C
OUTLETS OVER 5 PER SYSTEM .30 C
INSPECTION RECORD
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APPROVALS DATE INSP TON'S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK •'�'�. drdp�
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`', ROUGH PLUMBING ��°y
TOTAL FEE �V 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 HEATER —6
1HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS NG LES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT I AM THE G OWNER OF AND INTEND TO _
RESIDE IN,THE ABOVE DESCRIB R NT L P ERTY. UTILITY CO.NOTIFIED
SIGNATURE
OF PERMITTEE
FINAL
r� LIDATION ROBERT A.WOOD
CK.
M.0. CASH SUPERVISING MECHANICAL ENG'R
LAI;o 1 3 4 5 APR 18 5 D 1 5.a ONce