HomeMy Public PortalAbout6251 AVON AVE_Plumbing__ t
76A667 CE {'817 2 62
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A LAMBIE COUNTY ENGINEER ADDRESS
WILLIAM A JENSEN SUP T OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST
NUMBER FIXTURE OR ITEM EACH FEE
OWNER
/ WATER CLOSET $1251-7
Z MAIL c-�
BATH TUB 1 25 ADDRESS U'. IYJ F
` SHOWER 1 CITY TEL NO
LAVATORY 125 CONTRACTOR Qs
SINK 125 ADDRESS 3410 e?J 0/_.
DISHWASHER 125 CITY MoCTOR Sp +� TEL NO
LAUNDRY TUB 1 25 REGISTRATION NO p of 6 COUNTY STATE Cl
CLOTHES WASHER 125 DISTRICT O GRO ZONE PROCES ED Y
WATER HEATER 1 50
GAS SYSTEM OUTLETS 150 INDUSTRIAL
WASTE APPROVAL
OUTLETS OVER 5 PER SYSTEM 30 r� '• INSPECTION COAD
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APPROVALS DATE IN PECTOR S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK a
ROUGH PLUMBING
TOTAL FEE GAS PIPING / v.Azy
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLIC TION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY hoc
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 1 AM THE LEGAL OWNER OF AND INTEND TO
RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL PROPERTY UTILITY CO NOTIFIED
SIGNATURE
OF PERMITT
FINAL
LIDATION ROBERT A WOOD
cK M o CASH SUPERVISING MECHANICAL ENG R
r LPL0 7 8 7 4' DEC 5 5 A 8 75-