HomeMy Public PortalAbout5441 WELLAND AVE_Plumbing__ 76AG67-CE.#'817 9-61-
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION RUD:DnaG
JOHN A.LAMBIE. COUNTY ENGINEER ADDIS
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WILLIAM A. JENSEN, SUPT OF BUILDING
LOCALITY
FOR APPLICANT TO I= IN CROSS�T,P.
NUMBER FIXTURE OR ITEM OWNES J
WATER CLOSET ban
RATE TUR ADDRESS 7�
SHOWER ! CITY ��O ,TEL.NO.
CONTRACTOR
LAVATORY
ADDRESS
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DISHWASHBR CITY TEL NO.
STATE
CONTRACTOLAUNDRY TOS RR ORN�NO. COUNNTY
CLOTHES WASHER DISg&CT NO I GROUP ZO E PRO SS Y
WATER HEAT88 LJ l D _
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GAS SYSTEDL< INDUSTRIAL V
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UMMCSON RECORD ad
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APPROVALS DATE INSPECTOR'S SIGNATURE"
PERMIT $ 2 00 UNDER SLAB WORK I !
TOTAL FEEno I ROUGH PLUMBING
,r M.
GAS PIPING
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION `
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT
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ALL L`OUHTY ORDINANCES AND STATIC LAWS REGULATIN® HOT WATER HEATER
MBING.HERESY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURESNSED AS REQUIRED BY LOS,ANGELES COUNTY AND STATIC OFGAS TEST
FORNIAOR THAT 1 AM THE LEGAL OWNER OF THE ABOVECRIBED RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIEDNATUREF PERMITTE !i/Af�
FINAL C
/ VALIDATION ROBERT A. WOOD V
M.O. CASH SUPERVISING MECHANICAL ENG'R
j L001.0 3. 5,Ft aL. 2. 5 0 3.;50^'
76A607-=1710.60
APPLICATION FOR PLUMBING 'PERMIT ' �
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY-ENGIIVELR
BUDDING AND SM I lgff BUILDING
d N A.LAMBIE. COUNTY I�sIOiNEER ADDRESS
��✓^��WILLIAM A. JENSEN..SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN CROSS ST.
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NUMBER FIXTURE OR ITEM OWNER
WATER CLOSET AaaREBB
SAM TUB CITY TEL NO.
SHOWER - .
coNmIlAhlert Plumbing & Heating
LAVATORY ADDF= 13933 So. Crenshaw
� 81Hs
DISHWASHER ' •
cmHawthorne TEL.No.OS 9 3691
LADNDRY TUB SE�iIs� nox No. 1 6 C•• Covl T�f
CLOTHES WASHER DISST�R'ICT so. . all NE. PR SED BY
WATER HEATER
SYSTEM GAS SYSTS
WASTE APPROVAL >
gd n1SPEc�Orrr ascoRaJ,!✓ /� .+9 / °'
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S $1.00'PER rm
OR Fnam �� APPROVALS /,OAT IHWE R'SSIGN T RE
PER"MIT $ $ OQ UNDER SLAB WORK ,'�J Id X
TOTAL. FEE ROUGH PLUMBING 1
dLl f
GAS PIPING +
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION '' /1
AND STATE THAT THE ABOVE 19 CORRECT AND AGREE TO COMPLY GAS VENT �e --
WITH ALL COUNTY.ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER .j
�= PLUMBING. +e� //
b' 1 HERESY CERTIFY THAT I AM PROPERLY REGISTERED ANDI.OR PLUMBING FIXTURES ,•N!A �I �'"'7^�':"'•� a""i" f
LICENSED AB REQUIRED BY LOS ANGELES.'COUNTY AND STATE OF GAS TEST O ! .'P„ yvfy.
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE d� t
DESCRIBED RESIDENTIAL PR TY. UTILITY CO.NOTIFIED �'1 i
. h
;r SIGNATURE
OF PERM FINAL A;
i
ALIDATION, ROBERT A.WOOD
cK. M.o. CASH • SUPERVISING MECHANICAL ENG'R
$ 7 78 Z! FEB -2 6 5 a 9-.00