HomeMy Public PortalAbout6042 PRIMROSE AVE_Plumbing_1/17/1962_WATER HEATER 76A667-CE817 12/59 TEMPPllPLE CHT }�
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPAALRMENT�OF�SCOUNTY ENGINEER
BJOHNIAGLAMBDIE. I BUILDING
COUNTY ATYhNGINEEEIISIORi ADDRESS
WILLIAM A.JENSEN,SUPT OF BUILDING s
LOCALITY r
FOR APPLICANT TO FIM IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM
OWNER
WATER CLOSET MAIL
BATH TUB ADDRESS
CITY TEL.NO.o
SHOWER
LAVATORY I CONTRA R 9
SINS ADD
DISHWASHER CITY TEL. N ",PcP
CONTRA 8'S STATE
LAUNDRY TUB REGIS ION NO.. COUNTY ❑
CLOTHES WASHER DISTRICT NO. 7aNs FOR BY
WATER HEATER D
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
a
O
v
w
O
F
V
W
_ _ a
/ ! $1.00 PER ITEM I !
OR FD:TURE $ / &V APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK
TOTAL FEE ROUGH
ROUGH PLUMBING
GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ! /
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER.HEATER
PLUMBING.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES I
LICENSED AS REQUIRED BY..LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAI I M T LEGAL OWNER OF THE ABOVE
DESCRIBED RE8IDENTI ROP Ty. UTILITY CO.NOTIFIED
SIGNATURE
OF PERMITTE
FINAL
I!v VA M.0. �OB> RT A.1FV00b.
CK. M.0. Cass PERVISING MECHANICAL ENG'R
LAC67 19 0 tS JAN 17 5 D 3.0 0