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HomeMy Public PortalAbout5426 WELLAND AVE_Plumbing__ 78A667-CE#81'7 10-82 • 1 APPLICATION FOR ''PLUMBING PERMIT COUNTY.OF LOS ANGELES DEPARTMENT OF COUNTY.ENGINEER 'BUILDING-AND SAFETY DIVISION BUILDING (Gj JOHN A.LAMBIE, COUNTY ENGINEER ADDRESS `V / 4 lQ Cl WILLIAM A.JENSEN, SUPT OF BUILDING - = LOCALITY CG FOR APPLICANT TO-FILL'IN NEAREST CROSS ST. ' NUMBER FIXTURE OR ITEM EACH FEE OWNER / WATER CLOSET. 51.25 *© MAIL BATH TUB' 1.25 ;� ADDRESS SHOWER 1.25 CITY = TEL. NO. CONTRACTOR LAVATORY 1.25 Q (. •SINK 1.25 ADDRESS ' f Q - DISHWASHER ". 1.25 CITY'Icni & � TEL.NO.6 r LAUNDRY TUB 1.25 CONTRACTOR'S / STATE REGISTRATION NO✓ �//CQ•' COUNTY. ❑ CLOTHES WASHER 1.25 DISTRICT W3. GROUPZ NE P Y WATER HEATER 1.50 'r GAS SYSTEM OUTLETS 1.50 WASTEAPAPPROVAL - d OUTLETS OVER 5 PER SYSTEM .90 _ NSPECTION RECORD Ln Al. r-`t c'� 7 'g '�• J W 3 :� ?: �✓; - • - - • � _ . ter• E ` � - � �' APPROVALS- DATEI INSPECTOR'S SIGNATURE UNDER SLAB WORK PERMIT $ 2 00 1ROUGH PLUMBING TOTAL FEE Do GAS PIPING . 6�e�r 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT A AND STATE THAT THE,ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. HOT WATER HEATER' A �/�` — ..r;,.✓?.�,w� p4 ' - I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED ANDIOR PLUM9ING FIXTURES ��•,y.� ,`3 ` ,� �, LICENSED AS REQUIRED BY•LOS ANGELES COUNTY AND STATE OF ! I CALIFORNIA-OR THAT 1 AM THE LEGAL OWNER OF AND,INTEND TO GAS TEST �y�ryej•„ „f ,e ,jr _ RESIDE IN,THE ABOVE•DE RIBED RESIDENTIAL PR ERT Y.- UTILITY CO.NOTIFIED SIGNATURE A I/ OF PERMITTEE FINAL ! ' c_- .;_/J tLIDATION ROBERT A.WOOD • - CK. 'M.O.• . ,CASH SUPERVISING-MECHANICAL ENG'R L:i-jo