HomeMy Public PortalAbout4834 GLICKMAN AVE_Plumbing__ 76A667 -CE4817 5/63 `1'.�
APPLICATION F R PLUM ING, PERMIT
COUNTY OF LOS ANGELES 7
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS ,
WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY .i
FOR APPLICANT TO FILL IN NEAREST
ROSS TT . f 2 '
NUMBER FIXTURE OR ITEM EACH FEE
OWNER
WATER CLOSET $1.25 MAIL
BATH TUB 1.25 ADDRESS
SHOWER 1.25 CITY TEL. NO.
LAVATORY 1,25 CONTRALTO
SINE 1.25 ADDRESS �,''�►
DISHWASHER 1.25 CITY e� � TEL. NO, /r� D�
LAUNDRY TUB 1.25 CONTRACTOR'S \ STATE
REGISTRATION NO. COUNTY ❑
CLOTHES WASHER 1.25 DISTRICT NO. GROUP ZONE P�SSED
WATER HEATER 1.50 CL
CL
GAS SYSTEM 1.50 INDUSTRIAL OUTLETS WASTE APPROVAL 0
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD
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Lu
CL
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11
APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL 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
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF,AND INTEND TO GAS TEST
RESIDE IN,THE ABOVE DESCRIBED RES N IAL PROPERTY. UTILITY CO.NOTIFIED
SIGNATURE
OF PERMITTE
FINAL
'IVALIDATION ROBERT A. WOOD
CK. M.O. CASH SUPERVISING MECHANICAL ENG'R
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0 7 8 4 SEP 2 7 5 C 3.5 0-
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APPLICATION FOR PLUMBING PE MIT,
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS
WILLIAM A. JENSEN, SUPT OF BUILDING -�
LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE OWNER
WATER CLOSET $1.252_3
MAIL v
BATH TUB 1.25 ADDRESS
SHOWER 1.25 CITY TEL. NO.
LAVATORY 1.25 i L)y CONTRACTOR
/ SINK 1.25 1 ADDRESS 2-
DISHWASHER
DISHWASHER 1.25 CITY -/r TEL. NO.CONTRACTOR'S
LAUNDRY TUB 1.25 REGISTRATION NO. �C"�' L �' COUNTY STATE
E❑
CLOTHES WASHER 1.25 DISTRICT NO. GROUP ZONE PRQCESSED BY
WATER HEATER 1.50 7' �� r
1.50 t INDUSTRIAL WASTE
GAS SYSTEM OUTLETS APPROVAL
0
OUTLETS OVER 5 PER SYSTEM 30 INSPECTION RECORD V
OC
0
H
u
v � d
z
(, APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2 OQ UNDER SLAB WORK
ROUGH PLUMBIN .o
TOTAL FEE f GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE 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.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GA$TEST
CALIFORNIA OR THAT ����M THE LEGAL OWNER OF,AND INTEND TO
RESIDE IN,THE ABOVE DESCRIBED RESIDEty7'IAL PROPERTY. UTILITY CO. NOTIFIED -17-
SIGNATURE
17
�/ /)
SIGNATURE
OF PERMITTEE •vV
FINAL /
VALIDATION ROBERT A. WOOD
CK. M.O. CASH SUPERVISING MECHANICAL ENG'R
UiL09 MAY25 5 0 11.25-