HomeMy Public PortalAbout8619 ROCCUS LN_Plumbing__ 76A867-C 9917 5/68
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APPLICATION FOR PLUMBING .PERMIT IIL111
COUNTY OF LOS.ANGELES
DEPARTMENT OF COUNTY ENGINEER
• BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS
WILLIAM A.'JENSEN, SUPT OF BUILDING .LOCALITY
FOR APPLICANT TO FML IN NEAREST -22
CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE
OWNER
WATER CLOSET $1.25 k7la,.."
MAIL
/ BATH TUR 1.25 ADDRESS
SHOWER 1.25 CITY TEL. NO.
S �-�/
e / LAVATORY 1,25 O 1:�CONTRACTOR
SINS 1.25 ` . 5' ADDSE88�8�n
DISHWASHER 1.25 CITY U. NO..
LAUNDRY TUB 1.25 CONTRACTOR'S STATE ❑
REGISTRATION NO. COUNTY ❑
CLOTHES WASHER 1.25 DISTRICT NO. GROUP ZONE) PRROOC+ESSED BY
` WATER HEATER 1.50 rSLY -
GAS SYSTEM OUTLETS 1.50 SQ lNDU$18L a
WASTE APPROVAL 0
OUTLETS OVER 5 PER SYSTEM .90 INSPECTION RECORD U
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APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT 5 2 00 UNDER:SLAB WORK ✓
TOTAL FEE ROUGH PLUMBING ��• !
_ GAS PIPING
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT:
WITH ALL COUNTY ORDINANCES AND STATE .LAWS REGULATING
PLUMBING. HOT WATER HEATER
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES 1 _
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF .GAS TEST
CALIFORNIA OR THAT AM THE LEGAL OWNE)C-)"D INTEND TORESIDE IN,THE ABOV� ESCRIBED RESIDENTIALRTY. UTILITY CO.NOTIFIED
SIGNATURE
OF PERMITTEE e _ FINAL 1 r
lJ VALIDATION ROBERT A.W�ECH
(`CK. M.O. CASH SUPERVISING. ECHANICAL ENG'R
lkC03022% AUG24 5 A 16.25- 4