HomeMy Public PortalAbout5130 DOREEN AVE_Plumbing__ (3)7BA66> 10-62
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F 7644 CITY OF TIIMPI.F, CITY
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
S 513BUILDINGANDSAFETYDIVISIONADDR°eN 0 DoreenJOHNA. LAMBIE. COUNTY ENGINEER
WILLIAM A. JENSEN, SUPT OF BUILDING
LOCALIIY
FOR APPLICANT 70 FILL IN CROSS sr. Wm. Pate
NUMBER FIXTURE OR ITEM EACH FEE SameOWNERJ
WATER CLOSET 1.25
MAIL
BATH TUB 1,25 ADDRESS
SHOWER 1.25
CITY STEL. NO.
LAVATORY 1,25
CONTRACTOR General Installation Co.
SINK 1,25 ADDRESS 6558 West B1vd.
DISHWASHER 1.25 CITY Los Angeles TEL. NO. ' PL 3-2541
LAUNDRY TUB 1,25
CONTRACTOR'S C-36' 151839 787 COUNTTYREGISTRATIONNO.
CLOTHES WASHER 1.25 DISTRICT NO. GROUP 20N E'P' P _BED BY
WATER HEATER 1.50
GAS SYSTEM OUTLETS L50 INDUSTRIAL y
WASTE APPROVAL
OUTLETS OVER 5 PER SYSTEM .
000
INSPECTION*RECORD
1qef*tpnp1 K
O0UWO.1/1Z
APPROVALS DATE .. INSPECTORC SIGNATURE
PERMIT 2 00
UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE 3 0 GAS PIPING
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING 'HOT WATER HEATER
PLUMBING,
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND(OR I PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TESTCALIFORNIAORTHAT1AMTHELEGALOWNEROF,AND INTEND TO
RESIOE IN,THE ABOVE DESCRIBED RESIDE TIA PROP Rir. UTILITY CO. NOTIFIED
SIGNATURE
OF PERMITTEE 7'
FINAL
VALIDATION ROBERT A,AVOOD
cK.M,0. CASH SUPERVISING MECHANICAL ENG'R
LF'tl,o 6 4 3 7 m JLIN 19 D 5 0- v
7clGy C