HomeMy Public PortalAbout5828 A & B RENO AVE_Plumbing__ 78A887-CE4817 10-82
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER /
BUILDING AND SAFETY DIVISION FNEAMT
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JOHN A. LAMBIE. COUNTY ENGINEER
WILLIAM A.JENSEN, SUP'T OF BUILDING
FOR APPLICANT TO FILL IN
CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE
�. WATER CLOSET $1.25 S+,� OWNER
MAIL
BATH TUB 1.25 ADDRESS
SHOWER 1.25 CITY TEL. NO.
LAVATORY 1.25 S 3 CONTRACTOR _1
tel/ SINS 1.25 S"o ADDRESS
DISHWASHER 1.25 CITY TEL. NO. L (/ 7(/�
LAUNDRY TUB 1.25 CON TION / / / , f f y COUNTY
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REGISTRATION NO. (�'(�
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CLOTHES WASHER 1.25 Yo DISTRICT NO. GROUP ZONE PROCESSED BY
WATER HEATER 1.50 �� '5' o
GAS SYSTEM-IL OUTLETS
1.50 INDUSTRIAL '
OUTLETS OVER 5 PER SYSTEM 30 WASTE APPROVAL
I INSPECTION RECORD u
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{ APPROVALS PATE; INSPECTOR'S SIGN,_ U
PERMIT $ 2 00 UNDER SLAB WORK Ufa /jaq
TQ s� ROUGH PLUMBING
TOTAL FEE ' „� ''�� "'f'.•?
GAS PIPING fell,
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IB CORRECT AND AGREE TO COMPLY
WITX ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER , .,
PLUMBING. 't uA
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT 1 THE LEGAL OWNER OF,AND INTEND TO
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RESIDE IN,THE ABOV E RIBE[�ESIIALPROPERTv. UTILITY CO.NOTIFIEDSIGNATURE , �'
OF PERMITTEE r
FINAL
LIDATION ROBERT A.WOOD
CK. M.O. CASH SUPERVISING MECHANICAL ENG'R
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