HomeMy Public PortalAbout4847 GLICKMAN AVE_Plumbing__ 76A667-CE817 12/59
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY IVISION 7NEAREST
�JOHN A. LAMBIE, COUNTY hNGINEER WILLIAM A. JENSEN. SUPT OF BUILDING
FOR APPLICANT TO FILL IN /��= r'
NUMBER FIXTURE OR ITEM
WATER CLOSET BATH TUB TEL. NO.
SHOWER
J LAVATORY CONTRACTOR
SINK ADDRESS
DISHWASHER I CITY C/,,c,7 TEL.
CONTRACTOR'S STATE
LAUNDRY TUB REGISTRATION NO. S+ COUNTY ❑
CLOTHES WASHER DISTRICT NO GROUP I ZONE PRjtCESSED BY
WATER HEATER &-:—,I p I --f— 4 I
I GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
/ a
O
U
N
tea. z
y f� $1.00 PER ITEM $ I /
/ OR FIXTURE APPROVALS DATE PE TOR'S SIGNATURE
PERMIT $ 2100 UNDER SLAB WORK
TOTAL FEE ROUGH PLUMBING 73
GAS PIPING
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS A PLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. HOT WATER HEATER
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDE NTI PROPERTY. UTILITY CO.NOTIFIED
SIGNATURE Zg
OF PERMITTE FINAL
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VALIDATION ROBERT A. WOOD.
N.O. CASH SUPERVISING MECHANICAL ENG'R