HomeMy Public PortalAbout10605 FREER ST_Plumbing__ c ,
76AG67-CE#817 4-64
1
APPLICATION FOR PLUMBI G PERMIT=
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING / '
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS (7
WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE OWNER
WATER CLOSET
$1.25 �.��-" MAIL
BATH TUB 1.25 %,Ir ADDRESS
SHOWER 1.25 : r CITY TEL. NO.
Y� c
LAVATORY 1.25 CONTRACTOR
SINK 1.256 ADDRESS r
DISHWASHER 1.25 CITY
TECONTRACtOR'SL. NO.�,3-007
STATE
LAUNDRY TUB 1.25 REGISTRATION NO. 17 d 41 COUNTY ❑
CLOTHES WASHER 1.25 D ICT NO GROUP I J49VF7 ROC E BY
WATER HEATER 1.50 j -5'a O
GAS SYSTEM OUTLETS 1.50 5D INDUSTRIAL a
WASTE APPROVAL 0
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD u
O
.1 ^' A. a
n
z
N v rye
r/(2 !� —
APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT 2 00 UNDER SLAB WORK -I-64-
ROUGH PLUMBING
TOTAL FEE s Q'0 GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
AND STATE TH
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING.
I HEREBY CERTIFY THAT 1 AM PROPERLY 'REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST L
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF,AND INTEND TO
RESIDE IN, THE ABOVE D CRIB ESIDENTIAL PROP TY. UTILITY CO NOTIFIED
SIGNATURE
OF PERMITTEE
FINAL b7 l"
VALIDATION ROBERT A. WOOD
M O. CASH SUPERVISING MECHANICAL ENG'R
6 3 0 4 NOV 3 0 . 5 D 1 5,00-