HomeMy Public PortalAbout4851 GLICKMAN AVE_Plumbing__ 76A667-CE817 12/59
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY 7-)IVISION 7CROSS
JOHN A. LAMBIE, COUNTY hNGINEER S'�
WILLIAM A. JENSEN, SUPT OF BUILDING / ?
FOR APPLICANT TO FILL IN
. C
NUMBER FIXTURE OR ITEM
OWNER
WATER CLOSET MAIL
BATH TUB ADDRESS
CITY TEL. NO.
SHOWER
LAVATORY CONTRACTOR O ��-
SINK ADDRESS -Y
DISHWASHER CITY c 4( U TEL. NO
CONTRACTOR'S STATE
LAUNDRY TUB REGISTRATION NO. S' COUNTY ❑
CLOTHES WASHER DISTRICT O. GROUP ZONE PR CESSED BY
WATER HEATER V
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD y
w
/•0 7 i{� o ,rte O
f/ U
b1 h^dy p
7 0 $1.00 PER ITEM
OR FIXTURE APPROVALS DATE INSPEC'TOR'S SIGNATURE
PERMIT $ 2100 UNDER SLAB WORK
TOTAL FEE ROUGH PLUMBING
GAS PIPING
I
LDESCRIBED
BY ACKNOWLEDGE THAT t HAVE READ THIS A LIGATION i
TE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT
L COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
G.
EBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
D AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
NIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE
ED RESIDENTI� PROPERTY. 7 UTILITY CO.NOTIFIED
URE .ARMITTE "� u'
FINAL
®f, i / ALIDATION ROBERT A. WOOD.
Y.O. CASH SUPERVISING MECHANICAL ENG'R
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