HomeMy Public PortalAbout5915 1/4 PRIMROSE AVE_Plumbing__ ,.76A667-CE#817.2-62 TEM L E CET El
APPLICATION FOR .PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING .�
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS El
WILLIAM A.JENSEN, SUP'T OF BUILDING i
LOCALITY
i
FOR APPLICANT TO FILL INNEAREST
`CROSS ST. f
NUMBER FIXTURE OR ITEM EACH FEE i
OWNER � s
WATER CLOSET $1.25 MAIL /9 .
/
BATH TUB 1.25 ADDRES F
SHOWER 1.25 CITY TEL. NO. &l 4,f
LAVATORY 1.25 CONTRACTOR
SINS 1.25 ADDRESS ,C
DISHWASHER 1.25 CITY TEL. NO O�j lV
LAUNDRY TUB 1.25 REGISTRAT N N0. COUNTY ❑
CLOTHES'WASHER 1.25 DISTRICT NO. GROUP ZOTME P CESSED BY
WATER HEATER 1.50
GAS SYSTEM OUTLETS_ 1.50 WDUSTRIP ASTE AL
OUTLETS OVER 5 PER SYSTEM .30
INSPECTION RECORD
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APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT 5 2 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE kS� GAS PIPING
I 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
PLUMBING. HOT WATER HEATER
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED ANO/OR PLUMBING FIXTURES
LICENSED AS REQUIRED LOS GELE9 COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT 1 TH E6AL OWNER OF `ID INTEND TO
RESIDE IN,THE ABOVE D CRI D RESIDE ALP ERT UTILITY CO.NOTIFIED
SIGNATURE
OF PERM ITT E FINALf' 06 4,71
K
VALIDATION ROBERT A.WOOD
CK. M.O. CASH SUPERVISING MECHANICAL ENG'R
LI C0 4 2 5 5'0 JAN 7 5 D 3.5 ON