HomeMy Public PortalAbout8610 ROCCUS LN_Plumbing__ 78A887=Cry#B 1.7 5/63
APPLICATION FOR PLUMBING PERMIT
>.01 COUNTY :OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BIIII.DINGp�
BUILDING AND SAFETY DIVISION ADDRESS d_�o�Q
r JOHN A.LAMBIE, COUNTY ENGINEER
WILLIAM A.JENSEN,SUP'T OF BUILDING LOCALITY 6?
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FOR APPLICANT TO FILL IN 4NEAREST
CROSS ST."p!
NUMBER FIXTURE OR ITEM EACH FEE OWNS n_
WATER CLOSET $1.25
MAIL
BATH TUB 1.25 ADDRESS
f SHOWER 1.25 CITY TEL.NO.
LAVATORY 1.25CONTRACTO
610.
SINS 1.25 1
ADDRESS. J
DISHWASHER 1.25 C1ZX�f 7' i TE lNO..! -
LAUNDRY TUB 1,25 CONTRACTOR'S STATE ❑
REGISTRATION NO. COUNTY ❑
CLOTHES WASHER 1.25 DISTRICT NG. GROUP ZONE. PROCESSED BY
WATER HEATER 1.50 Q �! ._T �I' ��,`r }
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GAS SYSTEM OUTLETS- 1.50 cS�J WASINDTE RIAAPPROVAL O
OUTLETS OVER 5 PER SYSTEM .90 INSPECTION RECORD
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APFR'. DATE INSPECTOR'S S GNATURE
PERMIT $ 2 00 UNDERW4B WORK k ✓� yL,
ROUGHPLUMBING
TOTAL FEE cS GAS PIPING
I 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 IIEGULATING HOT WATER HEATER .r fq•.
PLUMBING.
I HEREBY CERTIFY THAT 1 AM PROPERLY.REGISTERED AND/OR PLUMBING FIXTURES _
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATEOF GAS TEST
CALIFORNIA OR THAT AM THE LEGAL OWNER O AND INTEND TO
RESIDE IN,THE ABOV D SCRIBED RESIDENTt L P PERTr. , UTILITY CO.NOTIFIED G ��
SIGNATURE
OF PERMITTEE
FINAL
P1I.IDATION ROBERT A.WOOD
M.O. CASH SUPERVISING MECHANICAL ENG'R
N i1L0 3 0 1 9w- AUG 2 4. 5 A 1625—