HomeMy Public PortalAbout5339 SANTA ANITA AVE_Plumbing__ 76A667 7AN9817 5/63
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS.:ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUDDING AND SAFETY DMSION IUDS`
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JO. N A.LAMBIE, COUNTY ENGINEER
WILLIAM A.JENSEN, SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST. 62
NUMBER FIXTURE OR ITEM EACH FEE
OWNER
WATER CLOSET :1.25
MAIL`
BATH TUR 1.25 ADDRESS .
SHOWER 1.25 CITY TEL. SO.
LAVATORY 1.25 :J1 CONTRACYOR '
SINS 1.25 v ADDS
DISHWASHER 1.25 C..... TEL.NO
LAUNDRY TUB 1.25 CONTRACTOR'S A � �/ STATE
P
REGISTRATION NO. eG (O COUNTY p
CLOTHES WASHER 1,25 DI�ICT UP' ON.E PR CESS Y
WATER HEATER '• .1.50
a
GAS SYSTEM OUTLETS 1'� WASTE APPROVAL O•
OUTLETS OSI�BiS PER SYSTEM .30
INSPECTION RECORD V
Z
APPROVALS DATE INSPECTOR
;S SIGN TORE
PERMIT $ 2 00 UNDER SLAB WORK y
ROUGH PLUMBING
TOTAL FEE GAS PIPING
1 HEREBY ACKNOWLEDGE THAT 1
HAVE READ THIS APPLICATION GAS VENT
AMC STATE THAT THE ABOVE IB CORRECT AND (,,GREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE L'-AW8 I*GULATING
PLUMBING. FIOT WATER HEATER _
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF y
CALIFORNIA OR THAT'I AM THE LEGAL OWNER OF,AND INTEND TO GAS TESTtCAdAi7<I,
RESIDE IN,THE ABOVE DESCRIBED RESIDENTIAL PROPERTY.. UTILITY CO.NOTIFIED � �r
SIGNATURE
OF PERMITTEE �/(! FINAL (�✓
ATION ROBERT A.WOOD
e CK. M.0: CASH SUPERVISING MECHANICAL ENG'R
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