HomeMy Public PortalAbout5139 DOREEN AVE_Plumbing__v
7BA887-CE9819 10-82
APPLICATIO FOR PLU BING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS
WILLIAM A. JENSEN. SUPT OF BUILDING
LOCALITY
FOR APPLICANT TO FILL IN NEAREST
E 2CROSSST. Fa
NUMBER FIXTURE OR ITEM EACH FEE
OWNER
Z„ .WATER CLOSET S1.25 0 MAIL
BATH TUB 1,25 , Z S ADDRESS
SHOWER 1.25 S
CITY TEL. NO.
2. LAVATORY 1,25 .j
CONTRACTOR
SINK 1.25 t Z s' ADDRESS 3 SS
DISHWASHER 1.25 CITY
ACTOR'S +
TEL. NNO. Ed 73.792-'
LAUNDRY TUB 1.25
STATE
REGISTRATION N . 4-3 E / 3 3 /Ad COUNTY "
CLOTHES WASHER 1.25 DISTRICT NO. GROTUP ZONE PROCESSED BY
WATER HEATER 1.50 1 A'I GOLOV KQ
GAS SYSTEM OUTLETS
1.50 p INDUSTRIAL y
WASTE APPROVAL 0
OUTLETS OVER 5 PER SYSTEM .30
I INSPECTION RECORD A m j
U
w AAl 1".1u
A A n z
1300OU APPROVALS
LLJ
1DpA.
T,E INSPECTOR'5'S/1GNATURE
PERMIT 5 2 00
UNDER SLAB WORK orflgl j
ROUGH PLUMBING 7
TOTAL FEE DU GAS PIPING 6' "Ae
1 HEREBY ACKNOWLEDGE THAT 1HAVE READ THIS APPLICATION
GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
yA(
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
HOT WATER HEATER w H J r j, ,YPLUMBING.
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED ANDIOR PLUMBING FIXTURES ` 1F-'aJ
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF IMSCALIFORNIAORTHAT1AMTHELEGALOWNEROF,AND IN GAS TEST I S14 •y'c',b7 .fjl7 AA
RESIDE IN.THE ABOVE DEIBED RE510 TI L PR n / O '- t'UTILITY CO.NOTIFIED p f(f f, p;ry .,)':-f,f
SIGNATURE
y V.f'
n F A
OF PERMITTEE
FINAL
t
ALIDATION ROBERT A.WOOD
cK.M.0. CASH SUPERVISING-MECHANICAL ENG'R
u;