HomeMy Public PortalAbout5917 1/2 PRIMROSE AVE_Plumbing__ 76A667-CE#617 4-64 /•
APPLICATION FOR PLUM ING PER
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY'ENGINEER BUILDING
BUILDING AND
SAFETY DIVISION
ADDRESS �f '
Er
NEER
WILLIAM A.JENSEN,SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE OWNER P
WATER CLOSET 51.25 MAIL
AIM— JA j
BATH TUB 1.25 ADD
SHOWER 1.25 CITY TEL. NO. Zls�
LAVATORY 1.25 CONTRACTOR +
SINK 1.25
ADDRESS
DISHWASHER 1.25 CITY TEL.No;rx ®3 15
LAUNDRY TUB 1.25 REGISTSA ON NO. O STATE
COUNTY
CLOTHES WASHER 1.25 DISTRICT N E PR C Y
WATER HEATER 1.50 / ✓I
1.50 INDUSTRIAL SYSTEM OUTLETS WASTAROVAL 0
OUTLETS OVER 5 PER SYSTEM .90 INSPECTION RECORD .V
Iv G
W
C.
U)
Z
APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT 5 2 00 UNDER SLAB WORK
ROUGH PLUMBING i•' �`
TOTAL FEE GAS PIPINGy `
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATIONE V/', f
AND STATE THAT THABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT _84.
WITH ALL COUNTY' ORDINANCES,AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING. •{'
IHEREBY CERTIFY THAT I' .AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
ea.
LICENSED .AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST •.a9r
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF,AND INTEND TO
RESIDE IN,THE ABOVE DES RIH RESIDENTIAL PROP UTILITY CO.NOTIFIED
SIGNATURE
OF PERMITTEE
FINAL f,CiP/f�l I 5 ' .':
VALIDATION—) ROBERT A.WOOD
` CK. m.o. CASH SUPERVISING MECHANICAL ENG'R
LliGo 7 1 3 9 E DEC 2 9 5 D .3.5 0 N b