HomeMy Public PortalAbout4859 GLICKMAN AVE_Plumbing__ 76A667 -CE#817 12-64
l�
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING Al
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS
COLEMAN W. JENKINS, SUPT DF BUILDING
LOCALITY
FOR APPLICANT TO FILL IN NEAREST it
CROSS ST. C lJ Zt/S Ct
NUMBER FIXTURE OR ITEM EACH FEE
_ OWNER
-2- WATER CLOSET $1.25 2 S O MAIL
BATH TUB 1.25 ADDRESS
SHOWER 1.25 Z�- CITY TEL. NO.
LAVATORY 1.25 U` CONTRACTORW�
SINK 1.25 2 S ADDRESS 7
DISHWASHER 1.25 CITY CoUlh TEL. NO. 63 '111
CONTCTOR'SLAUNDRY TUB 1.25 EG STRA ION NO. ;Z 3 f STATE�j S COUNTY
/• CLOTHES WASHER 1.25 f A s. DISTRICT NO. GROUP ZONE P ESSED�BY�
WATER HEATER 1.50
GAS SYSTEM OUTLETS 1.50 '2 INDUSTRIAL
WASTE APPROVAL d
OUTLETS OVER 5 PER SYSTEM .30 '3 0 .2 INSPECTION RECORD V
FI t-54 J, C 4
LLI
IL
r'
ITO
APPROVALS DAT INSPECTOR'S SIGNATURE
PERMIT $ 2UNDER SLAB WORK SROUGH PLUMBINGTOTAL FEE GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLIGAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO WITHALL COUNTY ORDINANCES AND STATE LAWS REGUHOT WATER HEATERPLUMBING.
1HEREBY CERTIFY THAT I AM PROPERLY REGISTERED PLUMBING FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STll i7�
GAS TESTCALIFORNIA OR THAT I AM THE LEGAL OWNER OF,AND INTRESIDE IN, THE ABOVE DESCRIBED RESIDENTIAL P oPERTY. UTILITY CO. NOTIFIED
SIGNATURE
OF PERMITTEE FINAL
VALIDATION ROBERT A. WOOD
L
M.O. CASH SUPERVISING MECHANICAL ENG'R
L,0 A 5 ` 5 I 7
1 5 D 1 5.0 0