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HomeMy Public PortalAbout5447 WELLAND AVE_Plumbing__ 76AG67-CE#817 10-62 -r M p L F (SIT/ APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION fBUILDI,NG JOHN A. LAMBIE, COUNTY ENGINEER ESS WILLIAM A. JENSEN, SUPT OF BUILDING LITY FOR APPLICANT TO FILL IN EST S ST. NUMBER FIXTURE OR ITEM EACH FEE WATER CLOSET $1.25 `� $I MA t?BATH TUB 1.25 ESSSHOWER 1.25 TEL. NO. LAVATORY 1.25 CONTRACTO SINK 1.25 ADDRESS DISHWASHER 1.25 CITY TEL. NO� LAUNDRY TUB 1.25 CONTRACTOR'S STATE El REGISTRATION NO. f COUNTY ❑ CLOTHES WASHER 1.25 DISTRICT pNO. GROUP ZONE PRO SSED BY WATER HEATER 1.50 J , I(/ © _ GAS SYSTEM OUTLETS I.50 INDUSTRIAL d WASTE APPROVAL OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD u OC e.� O ! V W a Vf � Z APPROVAL DATE INSPECTOR'S SIGNATURE PERMIT $ 2 00 UNDER SLAB WORK ROUGH PLUMBING"r, Z t _ TOTAL FEE 0-0 GAS PIPING I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER PLUMBING. 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES Ali +': t LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST / CALIFORNIA OR THAT I AM THE LEGAL OWNER OF,AND INTEND TO RESIDE IN,THE ABOVE DESCRIBED RESI TIAL PROPERTY. UTILITY CO. NOTIFIED SIGNATURE 4 OF PERMITTEE FINAL �� st ;' J ALIDATION ROBERT A. WOOD M.O. CASH SUPERVISING MECHANICAL ENG'R ,V