HomeMy Public PortalAbout6237 AVON AVE_Plumbing__ 76A667-CE0817 9/63
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION f
UILDING
JOHN A. LAMBIE. COUNTY ENGINEER DDRESS oC
WILLIAM A. JENSEN, SUPT OF BUILDING OCALITYFOR APPLICANT TO FILL IN EARESTROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE
OWNER
WATER CLOSET $1.25
MAIL �2
'
BATH TUB 1.25 ADDRESS O�7
SHOWER 1.25 CITY TEL. NO.
LAVATORY 1,25 CONTRACTOR
SINK 1.25 ADDRESS
DISHWASHER 1.25 CITY / TEL. NO� 74,CONTRACTOR'SCj�6
REGISTRATION NO. ! �S /`S COUNTY 0
STATE
LAUNDRY TUB 1.25 d
-, CLOTHES WASHER 1.25 DISTRICT NO. GROUP ZONE,J RC SED BY
WATER HEATER 1.50
GAS SYSTEM OUTLETS 1''o INDUSTRIAL O
WASTE APPROVA�.
OUTLETS OVER 5 PER SYSTEM .30 / - INSPECTION RECORD 6f u
of
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1r�rf
LIN a
Z
QAPP DATE INSPECTOR'S SIGNATURE
PERMIT $ 2 00 UNDER WORK i
- ROUGA PLUMBIN
TOTAL FEE GAS PIPING
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY )) n
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING. �CI' .• ��.°"lII/�I✓`�/fl/"�^'-�
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST J
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF,AND INTEND TO
RESIDE IN,THE ABOVE D RIBED RESIDENTIAL PRO TY. UTILITY CO. NOTIFIED
SIGNATURE F DJ f
OF PERMITTEE
FINAL
LIDATION ROBERT A. WOOD
CK. M.0. CASH SUPERVISING MECHANICAL ENG'R
LAC0.2 0 7 0JUL 31 5 A 12.50-