HomeMy Public PortalAbout10037 BOGUE ST_Plumbing_1/19/1966 76A 667-C ENS 17 4-64 '
APPLICATION FOR PLUMBIN PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER _
BUILDING AND SAFETY DIVISION BUILDING
ADDRESS
JOHN A. LAMBIE, COUNTY ENGINEER
WILLIAM A. JENSEN, SUPT OF BUILDING
LOCALITY
FOR APPLICANT TO FILL IN CROSS ST. L►O JU (S 1�
NUMBER FIXTURE OR ITEM - EACH FEE OWNER �!
WATER CLOSET $1.25 MAIL
BATH TUB 1.25 ADDRESS L I
SHOWER 1.25
CITY-'_j jl e CITLJ TEL. NO.RT
LAVATORY 1.25 CONTRACTOR ( �1 T
SINK 1.25 ADDRESS
DISHWASHER 1.25 CITY C j-j' TEL. NO.
LAUNDRY TUB 1.25 REGISTRATION NO.`L 9$ COUNTY p
CLOTHES WASHER 1.25 DISTRICT NO. GROUP I Z,2NE PROCEe@jCD BY
WATER HEATER 1.50 SO -�
GAS SYSTEM OUTLETS 1.50 INDUSR AL a
WASTE APPROVAL O
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD V
O
t-
V
w
a
U)
Z
APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK
3 ROUGH PLUMBING
TOTAL FEE GAS PIPING �)
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY 9 .
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER i J4
LRESIDr
CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
S REQUIRED BY LOS ANGELES COUNTY AND STATE OFGAS TEST
OR THAT i AM THE LEGAL OWNER OF,AND INTEND TO HE ABOVE DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO NOTIFIED /
E /ITTEE 7 I
FINAL pL� (l/
LIDATION ROBERT A. WOOD
CK. M O. CASH SUPERVISING MECHANICAL ENG'R
L?1ih8 9 2 3� JAN 19 5 D 3.50~