HomeMy Public PortalAbout10607 FREER ST_Plumbing__ 76A667-CERB17 4-64
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APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION f,NEAREST
ILDING
JOHN A. LAMBIE. COUNTY ENGINEER DRESS b
WILLIAM A. JENSEN, SUPT OF BUILDING CALITY
d c
FOR APPLICANT TO FILL IN OSS ST.
NUMBER FIXTURE OR ITEM EACH EE 4
OWNER
WATER CLOSET $1.25 .0-15'o MAIL
I BATH TUB 1,25 ADDRESS
' CITY TEL. NO.
SHOWER 1.25
CONTRACTOR
LAVATORY 1.25 (� 'L"`
a
f SINK 1.25 ADDRESS 65 �(� CL,-e
DISHWASHER 1.25 CITY TEL. NO. ,3-p0�
e-0 hi trLz
ONCTOR'S STATE
LAUNDRY TUB 1.25 REGIS RAT ON NO. COUNTY ❑
CLOTHES WASHER 1.25 a. DISTRICT NO. GROUP Z NE PR CE S BY
' WATER HEATER 1.50 j D ✓ r
GAS SYSTEM OUTLETS 1.50 j O INDUSTRIAL a
WASTE APPROVAL O
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD V
� a
PLEre" Z )c r -m e 5 0 fL
APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK Z-?_.&A- A,,
] ^Y ROUGH PLUMBING
k 2•L¢ �-
TOTAL FEE O G GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION, GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES ��
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST �Z
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF,AND INTEND TO
RESIDE IN,THE ABOV ESC ED RESIDENTIA ROPERTY. UTILITY CO. NOTIFIED
SIGNATURE
OF PERMITTEE o�&j
FINAL A
ALIDATI0 ROBERT A. WOOD
CK M o CASH SUPERVISING MECHANICAL ENG'R
L'.gL;o0
630 5 NOV 0 5 D 1 5.00