HomeMy Public PortalAbout4843 GLICKMAN AVE_Plumbing__ 76A667•CE0617 4-64
APPLICATION FOR PLUMBING PERMIT
CC UNTY OF LOS ANGELES
DEPAM.'MENT OF COUNTY ENGINEER
BUILDING' AND SAFETY DIVISION FNEAREST
DING
JOHN A. LAMBIE. COUNTY ENGINEER RESS /G
WILLIAM A. JENSEN, SUPT OF BUILDING ALITY �"�'�
FOR APPLICANT TO FILL IN T. k, d/
NUMBER FIXTURE OR ITEM EACH FEE ��
OWNER
WATER CLOSET $1.25
BATH TUB 1.25 AD,,.D,RESSSS ,J' ✓:� r/ctli + vv���
SHOWER 1.25 Cl'</ GY` �J76�� G TEL.
LAVATORY 1.25 CONTRACTOR
SINK 1.25 ADDRESS l Gtr JL� �d- v G
DISHWASHER 1.25 CITYy�.� 1�>7FL TEL. NO.
LAUNDRY TUB 1.25 REGISTRATION NO. / �y� STATE
COUNTY ❑
CLOTHES WASHER 1.25 DISTRICT NO. GROUP ZONE CESSED BY
WATER HEATER 1.50
1.50 INDUSTRIAL
GAS SYSTEM OUTLETS a
WASTE APPROVAL O
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD V
O
U
Lu
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P1
APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE 3'11D 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.
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF Ip
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF.AND INTEND TO GAS TEST ,°,a g�. ,�qB/,_i zt.
RESIDE IN,THE ABOVE DESCRI 4I
O RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED
SIGNATURE
OF PERM �j
ITT //�rw FINAL yS I„(�,���,��f�„ =Pa
V LIDATION ROBERT A'&VObD fy�
CK. M.O. CASH SUPERVISING MECHANICAL tNG'R
- LOGO 2 0 2 7 MAY 2 6 5 D 3,50f- C,