HomeMy Public PortalAbout10508 FREER ST_Plumbing__ �.
78A887--CE0817 5/63 �
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING .
JOHN A. LAMBIE. COUNTY ENGINEER ADDRES
WILLIAM A. JENSEN, SUPT OF BUILDING LOCALI
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE OWNER 1
WATER CLOSET $1.25 MAIL
BATH TUB 1.25 ADDRESS
CITY TEL. NO.
SHOWER 1.25
LAVATORY 1.25 CONTRACTO -
SINK 1.25 ADDRESS .
DISHWASHER 1.25 CITY TEL. NO. 3
LAUNDRY TUB 1.25 CONTRACTOR'S �l �` STATE ❑
REGISTRATION NO. COUNTY ❑
CLOTHES WASHER 1.25
DIS RI T NO. GROUP ZONE PROC.FSSED BY
WATER HEATER 1.50 1 J
GAS SYSTEM OUTLETS 1.50 INDUSTRIAL a
WASTE APPROVAL 0
OUTLETS OVER 5 PER SYSTEM .90 INSPECTION RECORD V
0
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APPROVALS DATE INSPECTOR'S S,GNATURE
s UNDER SLAB WORK n f'
PERMIT $ 2 00 s
r' ROUGH PLUMBING l /
TOTAL FEE, lip
GAS PIPING
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT I
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER'HEATER y� f
PLUMBING.
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED 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
F RESIDE IN, THE ABOVE DESCRIBED RE ENTIAL PROPERTY UTILITY CO. NOTIFIED V `
SIGNATURE
OF PERMITTE FINAL ,,IAAg t /8,P
LIDATIONP' ROBERT W WOOD
cK M O CASH SUPERVISING MECHANICAL ENG'R
0 6 5 7 SEP 2 5 5 D