HomeMy Public PortalAbout6230 BURTON AVE_Plumbing__ 76AR67-CE#817 10-62
APPLICATION FOR PLUMBING PERMIT .
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS �? ,
JOHN A. LAMBIE. COUNTY ENGINEER _
WILLIAM A. JENSEN. SDP'T OF BUILDING t
LOCALITY J�
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE
OWNER
Z WATER CLOSET $1.25 MAIL
e1— BATH TUB 1.25 ADDRESS
SHOWER / I.25 CITY TEL. NO.
:Z. LAVATORY / 1,25 CONTRACTOR
/
SINK J 1.25
ADDRESS
DISHWASHER / 1.25 CITY - TEL. NO. Z.S
CONTRACTOR'S p/ STATE -�
LAUNDRY TUB 1.25 REGISTRATION NO. () COUNTY
CLOTHES WASHER 1.25 DISTRICT NO. GROUP ZONE 'P SSED BY
WATER HEATER //,, 1.50 1/
GAS SYSTEM T OUTLETS 1.50 INDUSTRIAL y
WASTE APPROVAL .. 0
OUTLETS OVER 5 PER SYSTEM .00 INSPECTION RECORD , U
OC
/ u
/ W
d
VI
/� APPROVALS DATE } INSPECTORr S SIG �TUHE
PERMIT S 2 00 UNDER SLAB WORK /.��
ROUGH PLUMBING y - .�S �� �(/
TOTAL FEE (p .CS GAS PIPING //
1 HEREBY ACKNOWLEDGE THAT 1 HAVE REAO THIS APPLICATION
AND STATE THAT THE ABOVE IB CORRECT ANO AGREE TO COMPLY GAS VENT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER - A
PLUMBING
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGIBTERED 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 APOVE DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO. NOTIFIED
SIGNATURE - DI . Ay A v
OF PERMITTEE V
FINAL
DR
LIATION ROBERT A. WOOD
CK. M.O. CASH SUPERVISING MECHANICAL ENG'R
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