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HomeMy Public PortalAbout4823 GLICKMAN AVE_Plumbing__ 78A867-CE#817 10-62 APPLICATION FOR 'PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING r pj JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS '7 0 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 2 S ADDRESS - I SHOWER 1.25 L CITY TEL. NO. LAVATORY 1.25 <-40CONTRACTOR t SINK 1.25 2 ADDRESS 3/t'.S' ►; DISHWASHER 1.25 CITY atz"".; TEL. NO. P_d 7:1"7f1 CONTRACTOR'S < STATE REGISTRATION NO.C-� JYZ LAUNDRY TUB 1.25 J � T CLOTHES WASHER 1.25 2S_ DISTRICT NO. GROUP ZONE PROCESSED BY WATER HEATER 1.50S� J 1 G11LPVI-L) 1.50 INDUSTRIAL GAS SYSTEM OUTLETS �U WASTE APPROVAL a OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD U ix 0 H V W d- a Vf �4 0 C. APPROVALS DATE INSPECTOR'S SIGNATURE PERMIT $ 2 00 UNDER SLAB WORK JROUGH PLUMBING TOTAL FEE © (< GAS PIPING 1 HEREBY ACKNOWLEDGE THAT IHAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER PLUMBING. 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF " CALIFORNIA OR THAT I AM THE LEGAL OWNER OF,AND INTEND TO GAS TEST .',I,,,;,...•�r =.g.- RESIDE IN,THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO. NOTIFIED SIGNATURE Y ,� OF PERMITTEE FINAL TION ROBERT A. WOOD l/ CK. M.0. - K. M.0. CASH SUPERVISING MECHANICAL ENG'R