HomeMy Public PortalAbout9124 PRIMROSE AVE_Plumbing__ 76A667-CE#817 5-&1-
APPLICATION
.61•APPLICATION FOR PLUMBING. PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUII.DING AND SAFETY DMSION BMLD1NG
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS Ira" rpa'.31
-7 WILLIAM A. JENSEN, SUPT OF BUILDING
LOCALITY J
FOR APPLICANT TO FILL IN NEAMERT
CROSS ST.
NUMBER FIXTURE OR ITEM 0vn= f3ztPJ
WATER.CLOSET MAm.
ADDRESS
BATH TDB
CITY TEL NO.
SHOWER
J
LAVATORY
coNTRAcroaAlert Plumbing & Heating
snm ADDU 13933 So, Crenshaw
DISHWARRER Crrx Hawthorne Tn.No. OS 9 3691
LAUXURY TDB sco Ismuok No. 193617 0-36 comm
MOTHER Wim$ DISTRICT NO. I GROUP ZONE PROCESSED BY
WATER BEATER
J GAS SYSTEM JIMUSTSIAL V
WASTE I P Oym.
DMNC ION RECORD f C
�""'�r=•.� 'tet•:� fI>!
i/�• Z
B 81A0 PER ITEM
OR FIXTURE $ APPROVALS DATE INSPEc..OR'S SIONAT.URd
PERMIT $ 2100 UNDER SLAB WORK �YY.���`il7'�K 1%%'+ s►�;��W
TOTAL FEE - ROUGH PLUMBING �Y 7lJl !{ I% y?'•.1./_c �+�'
GAS PIPING t� "
I HEREBY ACKNOWLEDGE THAT'I HAVE READ THIS APPLICATION -
AND STATE THAT THE ABOVE 18 .CORRECT AND AGREE TO COMPLY: GAS VENT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING. f
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIX'l;UJ3F.S
LICENSED A8 REQUIRED BY LOB•ANGELES COUNTY AND STATE.OF i
CALIFORNIA OR THAT 1 AM THE E LEGAL OWNER OF THE ABOVE GAS TEST _
DESCRIBED RESIDENTIAL PRO TY. UTILITY CO.NOTIFIED
SIGNATURE 77
OF PERMITTE FINAL
ALMATION ROBERT A.'WOOD'
C M..O. CASH SUPERVISING MECHANICAL ENG'R
X0 6 0.5 6 GODEC 13 5 D 9.0 0 A
76A667-CE917 12/59
TEMPLE
CITY
IT Y
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDINGL fTD SAFETY MSION BUILDING �J
JOH1V.A. MBI COUNTY NGINEER ADDRESS L
WILLIAM A.JENSEN,SUP T of Bu1LDING
LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE'OR ITEM OWNER✓ ��
WATER CLOSET G
MAIL
ADDRESS I Q
BATH TUB .�
SHOWER CITY TEL NO.
'
LAVATORY CONTBACTO
SmADDRESS
DISHWASHER CITY TEL. NO.
CONTRACTOR'S STATE ❑
LAUNDRY TUB REGISTRATION NO. COUNTY ❑
CLOTHES WASHER DIST CT NO GROUP ZONE P OC ED BY
WATER HEATER
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
J INSPECTION RECORD
O
i v
1 / F
' �?Q 1iOR 713=111% •v v `✓ v
0 $1.00 PER ITEM
APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK
TOTAL FEE ROUGH PLUMBING
GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATETHAT THE ABOVE '19 CORRECT AND AGREE TO COMPLY GAS VENT n `` !
WITH ALL.COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. HOT WATER HEATER' [< ��� l A,1'
y
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED. AND/OR PLUMBING FIXTURE81LICENSED AS BY
OF
CALIFORNIA ORE THAT DI ML TE THE LEGAL OWNER OF THE ANGELES COUNTY ANDOS AABOVE GAS TEST a l,Ifjk ..'G trl""il hV,;:r\ :l,i 14
DESCRIBED RESIDENTIAL PROPERTY. \
UTILITY CO.N6TIFIED
SIGNATURE PERMIYI'E��J��'`r��-� �'�^'�� FINAL
Ra VALIDATION ROBERT A.WOOD,
CE, M.0. CASH SUPERVISING MECHANICAL ENG'R
Ltu�8445 FEB 5 D 3.00