HomeMy Public PortalAbout6234 BURTON AVE_Plumbing__ 7BA667-CE08I7 10-62
APPLICATION FOR PLUMBING PERMIT .
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER z
BUILDING AND SAFETY DIVISION BUILDIS 3
JOHN A. LAMSIE. COUNTY ENGINEER
17(
WILLIAM A. JENSEN. SUPT OF BUILDING
LOCALITY
FOR APPLICANT TO FILL IN NEAREST "
CROSS
sT.
NUMBER FIXTURE OR ITEM EACH FEE
OWNER
WATER CLOSET 51.25 MAIL
BATH TUB 7,25 ADDRESS
CITY TEL. NO.
SHOWER 1.25
G i LAVATORY 1.25 CONTRACTOR ,
SINK 1.25 ADDRESS
DISHWASHER 1.25 CITY 'TEL. NO.". 7` ,LS
LAUNDRY TUB1.25 CONTRACTOR'S STATE
REGISTRATION NO. COUNTY
CLOTHES WASHER 1.25 DISTRICT NO. G OUP 2 PROCESSED BY
WATER HEATER 1.50
50 INDUSTRIAL P
CAS SYSTEM OUTLETS 1. WASTE APPROVAL Q
OUTLETS OVER 5 PER SYSTEM .00 _ INSPECTION RECORD
O
Z
APPROVALS DATE INSPECTORS SIGN TURE
PERMIT S 2 00 UNDER SLAB WORK 6�f�
ROUGH PLUMBING Q
TOTAL FEE Q GAS PIPING
I O STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT _
AN
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER /
PLUMBING. •
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED ANDIOR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST nn.
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF,AND INTEND TO
RESIDE IN,THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO. NOTIFIED V
SIGNATURE
OF PERMITTEE / ■
FINAL IU
. L-
/,-_'�ALIDATION ROBERT A. WOOD
cK.
M.O. CASH SUPERVISING MECHANICAL ENG'R
LAAO 4 5 9 2 E HAY 13 5 .A 15 .00-