HomeMy Public PortalAbout6013 AVON AVE_Plumbing_8/31/1965_water fixtures, outlets, gas system 76A867 CEQ817 12-64
.� APPLICATION FOR PLUMBING PERMIT II'ulll
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A LAMBIE COUNTY ENGINEER ADDRESS Q/� Q N "vr'
COLEMAN W JENKINS, SUPT OF BUILDING LOCALITY �
FOR APPLICANT TO FILL IN NEAREST
CROSS ST le
NUMBER FIXTURE OR ITEM EACH FEE
OWNER
WATER CLOSET "25 Q MAIL
J BATH TUB 1 25 ADDRESS / --
SHOWER 125 CITY TEL NO Ar—s
LAVATORY 125 CONTRACTOR
SINK 125 Z ADDRESS
J DISHWASHER 1 25 CITY TEL NO`C:
LAUNDRY fUB 1 25 CONTRACTOR S STATE
REGISTRATION NO 3 �' COUNTY ❑
CLOTHES WASHER 125
DISTRIC NO GROUP ZONE P SSED BY
WATER HEATER 1 50 d
GAS SYSTEM OUTLETS 1 SO �Q INDUSTRIAL
WASTE APPROVAL C
OUTLETS OVER 5 PER SYSTEM 30 INSPECTION RECORD
V
LLl
or IL
N
Z
APPROVALS DATE INSPECTOR S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE 16 GAS PIPING �f j
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY II
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
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 DESCRIBE IDENTIAL PROPERTY UTILITY CO NOTIFIED
SIGNATURE ��
OF PERM ITTE
DATION ROBERT A WOOD
CK M O CASH SUPERVISING MECHANICAL ENG R
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