HomeMy Public PortalAbout5022 WILLMONTE AVE_Plumbing__ 76A887-CENS17 10-62
APPLICATION FOR ".PLUMBING PERMIT
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COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION FADDE
JOHN A. LAMBIE. COUNTY ENGINEER WILLIAM A.JENSEN, SUPT OF BUILDING FOR APPLICANT TO FILL IN .
NUMBER FIXTURE OR ITEM EACH FEE
OWNER
WATER CLOSET 51.25 MAIL ,
BATH TUB 1.25 ADDRESS
SHOWER 1.25 CITY. TEL. NO.01;S 1.
CONTRACTOR
LAVATORY 1.25
SINS 1.25 ADDRESS /
DISHWASHER 1.25 CITY wh
TEL. NOo
CONTRACTOR'S STATE
LAUNDRY TUB 1.25
REGISTRATION NO. Q COUNTY
CLOTHES WASHER 1.25 DISTRICT NO. GROUP_j ZONE P SED BY
WATER HEATER 1.50 :5,-o S-
GAS SYSTEM �r OUTLETS 1.50 INDUSTRIAL
WASTE APPROVAL 0
OUTLETS OVER 5 PER SYSTEM .90 INSPECTION RECORD
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---� APPROVALS 6ATd INSPECT,ORJS SIGNATgl E'f
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PERMIT 5 2 00 UNDERWORK ft,WORK ` :r•t':�•,jA.•.
P
ROUGH PLUMBING
TOTAL FEE GAS PIPING
1 HERESY ACKNOWLEDGE THAT I NAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY -.
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. HOT WATER HEATER �l•+J f ��
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1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LO ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT 1 AM T LEGAL OWNER OF,AND INTEND TO 1 r /Nd.��• fI'
RESIDE IN,THE ABOVE DE D RESIDENT L PROPE Y. " rI
r. UTILITY CO.NOTIFIED p✓6•a�"� �j „�.,�,�l�rL•,
SIGNATUREr .l
OF PERM ITTEE ��
FINAL ,/,),rf,f�
VALIDATION
ROBERT A.WOOD
M.0. CASH SUPERVISING MECHANICAL ENG'R
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5 43 3 �'Zy 31 5 D 1 5 0, 0