HomeMy Public PortalAbout5101 SANTA ANITA AVE_Plumbing__ 76A667-C�0617 6-65 / /� `'
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APPLICATION FOR LUMBING PER IT
COUNTY OF LOSoANGELES Q
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS lip
COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY �
FOR APPLICANT TO FILL IN NEAREST ST. (/
NUMBER FIYTURE OR ITEM EACH FEE
OWNER
WATER CLOSET $1.25 MAIL
BATH TUB 1.25 ADDRESS
SHOWER 1.25 CITY TEL.x0.
LAVATORY 1.25 CONTRACTOR /
SINS 1.25 ADDRESS
DISHWASHER 1.25 CITY TEL. NO.STATE LIC
LAUNDRY TUB 1.25 LICENSE NO. M 6 CLASS �-
CLOTHES WASHER 1.25 DISTRI NO. GROUP ZONE EBBED BY
WATER HEATER 1.50 O
s-- la?.l
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GAS SYSTEM OUTLETS 1.50WASTE APPROVAL 0
OUTLETS OVERS PER SYSTEM .30 42NSPECTIO CORD V
O
F-
ME U
W
a
Z
APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE GAS PIPING
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS-VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY _
LPRESIDE
ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
BING.
EREBY CERTIFY THAT AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
SED AS REQUIRED BY LOS ANGELES 'COUNTY AND STATE OF GAS TEST
ORNIA OR THAT 1 AM THE LEG OWNER OF,AND INTEND TO
1N.THE ABOVE IBED R ENTIALPRO�RTY. UTILITY CO.NOTIFIED
ATURE
PERMITTEE L
PI NAL
LIDATION
CK. M.0. CASH
.8 0 6 MDEC 15 5 0 8.0 Of IT