HomeMy Public PortalAbout5932 ROSEMEAD BLVD_Plumbing__ 76A667-EE81712/59 MAPLE CITY
• %- s'APPLICATI-Or4 FOR PLUMBING PERMIT
COUNTY .OF LOS ANGELES
DEPART OF COUNTY.ENGINEER F
G
B o-HN-d -n��l coErTirYr Nl ON S
WILLIAM A.JENSEN,SUPT OF BUILDING Y r
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FOR APPLICANT TO ML IN
T.
NUMBER FIXTURE OR ITEM
WATER CLOSET
-:RATS TUR SSOwER A, G ` TEL.NO. ` $'b 3 b
CONTRACTOR
LAVATORY -.
SINK ADDRESS
DISIMASHER CITY NO.
CONTRACTOR'S STATE El
LAUNDRY TUE REGMMTIONCN COUNTY.❑
CLO7:SFA WASHER DISTRICT NO. GROUP I ZONE I P SED BY
WATER HEATER ool
I GAS SYSTEM INDUSTRIAL
WASTE APPROVAL '
I SPBCTION RECORD
. �,0_dY23,�'.�e C �r.�=t ..��EPZ��.•� �- ,s'y t•7aI3�.�.� R
0 $1.00.PER Iv a
TEM y
OR FIXTURE $ I APPROVALS IPATEj INSPECTO$'S SIGNhTvAE
PERMIT $ 2 00 UNDER SLAB WORK
TROUGH:.PLUMBING
OTAL FEE
GAS PIPING
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS .APPLICATION GAS VENT
-AND STATE THAT THE ABOVE IS CORRECT.AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. H07 WATER HEATER • .
I HEREBY. CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES a !+-
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST d
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENT, PROPERTY: UTILITY CO...NOTIFIED'
SIGNATURE r
OF PERM!TTEw tz FINAL
�■ RLIDATION ROBERT A.WOOD.
CH. M.0. CASH SUPERVISING MECHANICAL ENG'R
N
LACO 3 7 0 r2u\02 JUL 15 5 0 5.75-
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76A667-CE*817 4-64 / .P
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lei APPLICATION FO PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING A1�E,SAFETY DMSION BUILDING�*-p� d v
JOHN A. LAM I. . COUNTY ENGINEER ADDRESS 7
WILLIAM A.JENSEN,SUP'T-OF BUILDING LOCALITY 1
FOR APPLICANT TO FML IN NEAREST-
CROSS ST. Ale h
NUMBER FIXTURE OR ITEM EACH FEE OWNER
WATER CLOSET 11.25 MAIL
EATH TUE 1.25
ADDRESS,6"/. , _ V d.•
!
SHOWER 1.25' CITY TEL.NO.
T •S d d 4
it
LAVATORY 1.25 CONTRACT R
SINS 1.25 ADDRESS
DISHWASHER 1.25 CITY TEL. NO.
LAUNDRY,TUE 1,� CONTRACTOR'S STATE .B
REGISTRATION NO. COUNTY
CLOTHES WASHER 1•25. DISTRICT NO.. GROUP E OC SSED BY
WATER HEATER 1.50
GAS SYSTEM OUTLETS 1.50 INDUSTRIAL o}.
WASTE APPROVAL
OUTLETS OVER 5 PER SYSTEM .20 j . . . IMSPECTIONt RECORD V
.A 1 W
Z
APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2 . 00 UNDER SLAB WORK
ROUGH PLUMBING / y
TOTAL FEE GAS PIPING
I HEREBY ACKNOWLEDGE THAT. I HAVE READ THIS A. KATION - - /
AND STATE THAT THE ABOVE 18 CORRECT AND AGREE TO COMPLY GAS VENT �•�� ,,�
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER - 1
PLUMBING.
1 HERESY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST f'1 Q�f�
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF,AND.INTEND TO ✓ - 1 '114117M.
RESIDE IN.THE ABOVE DESCRIBED RESIDENTIAL PROPERTY.
U,Ti L.ITY CO.NOTIFIED
SIGNATURE ., f/ �1
OF PERMITTEEAWL' ► C��
FINAL
VALIDAT ROBERT A.WOOD - r
CK'. M..O. CASH SUPERVISING MECHANICAL ENG'R
LAAO 4 0 11,,4 JUL 2 7 5 D 3.5 0-