HomeMy Public PortalAbout6002 AVON AVE_Plumbing_8/31/1965_water fixtures 70A667 -09717 12-64
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS
COLEMAN W. JENKINS, SUPT OF BUILDING LOCALITYOSS
FOR APPLICANT TO FILL IN NEAREST
ST. ,$'e
NUMBER FIXTURE OR ITEM EACH FEE
OWNER d
WATER CLOSET $1.25 MAIL
BATH TUB 1.25ADDRESS
SHOWER 1.25 / CITY TEL. NO.
LAVATORY 1.25 CONTRACTOR
SINK 1.25 - ADDRESS .
I DISHWASHER 1.25 CITY TEL. NO.
CONTRACTOR'S STATE
LAUNDRY TUB 1.25 REGISTRATION NO. 3 COUNTY
CLOTHES WASHER 1.25 DISTRICTNO. GROUP ZONE ESSED BY
WATER HEATER 1.50 �—
GAS SYSTEM OUTLETS 1.50 INDUSTRIAL
WASTE APPROVAL
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD
O
6'
@iI
IL
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APPROVALS DATE INSPE TOR'S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK
+� ROUGH PLUMBING ✓G'! .�.�
TOTAL FEE !TO t3o GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT '
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
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 S _
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF,AND INTEND TO
RESIDE IN,THE ABOVE DESCRIBED RESIDENTIAPPERTY. UTILITY CO. NOTIFIED
SIGNATURE
OF PERM ITT FINAL
VALIDATION ROBERT A. WOOD
K. M.O. CASH SUPERVISING MECHANICAL ENG'R
:..t ivt. !'
5 A. ("'.30"
n 1 L1 1 7 J