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HomeMy Public PortalAbout6247 ROSEMEAD BLVD_Plumbing__ 16A667-M17-8-57 APPLICATION FOR- PLUMBING PERMIT 1 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY.ENGINEER BUILDING AND SAFETY DIVISION BUILDING a �' JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS G CASSATT D. GRIFFIN, SUPT of BUILDING LOCALITY / FOR APPLICANT TO FILL IN NEAREST G`7�J' CROSS ST. NUMBER FIXTURE OR ITEM WATER CLOSET OWNER t BATH TUB ADDRESS�//+ ; /I . SHOWER CITY TEL.NO. fJ�/ LAVATORY CONTR TOR opfl? 'L� SINS ADDRESS ° t DISHWASHER CITY TEL.NO. LAUNDRY TUB CONTE AC OR'S 47.Zs1---� STATE Ll REGISTR TION O. COUNTY ❑ CLOTHES WASHER DISTRICT NO. GROUP ZONE. READY FOR INSPECTION WATER HEATER GAS SYSTEM INDUSTRIAL WASTE APPROVAL INSPECTION RECORD APPROVALS $1.00 PER ITEM DATE INSPECTOR'S SIGNATURE OR FIXTURE $ j .s UNDER SLAB WORK PERMIT S 1100 ROUGH PLUMBING GAS PIPING TOTAL FEE GAS VENT• F I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES PLUMBING. 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR GAS TEST LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I THE LEGAL OWNER OF THE AB VE UTILITY CO. NOTIFIED DESCRIBED RESIDENTIAL ROP RTY. � s � SIGNATURE OF'PERMITTE FINAL ROBERT A. WOOD. , VALIDATION SUPERVISING MECHANICAL ENG'R CK. M.0. SN .1 5 7 5S '-JUN 5 3 A 2.0 D ig 76A667A ICE 8/7 APPLICATION FOR PLUMBING PERMIT BUILDING AND SAFETY DIVISION OR APPLICANT TO FILL IN iPRINT OR TYPE) BUILDING F7BATH FIXTURE OR ITEM ® FEE ADDRESS 9-47 N. ROSEWht R CLOSET ✓ LOCALITY r NEAREST TUB =' CROSS ST. a SHOWER OWNER r LAVATORY MAILADDRESS SINK N. .a n c CITY �t . �T TEL.NO. 28w5vv : IF DISHWASHER CONTRACTOR u CLOTHES WASHER i ADDRESS SWIMMING POOL RECEPTOR • CITY TEL.NO. LAWN SPRINKLER SYSTEM STAT LIC. ` WATER HEATER LICENSE NO. CLASS GAS SYSTEM OUTLETS DISTRICT NO. GROUP ZONE PROCESSED BY OUTLETS OVER ° d. 5 PER SYSTEM INDUSTRIAL 607 WASTE APPROVAL W INSPECTION RECORD J L6 OL �C 0 Plan check fee W PLUMBING PERMIT ISSUING FEE$ a- TOTAL FEE ,5 Plan check applicant APPROVALS DATE INSPECTOR'S SIGNATURE Name UNDER SLAB WORK Address ROUGH PLUMBING City Tel. No. GAS PIPING I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE GAS VENT THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. HOT WATER HEATER I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS PLUMBING FIXTURES REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE GAS TEST LEGAL OWNER OF,AND INTEND TO RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED SIGNATURE ` OF PERM ITTEE ' r FINAL PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH „�► ` ,fid",� a" .� ©s O.�