HomeMy Public PortalAbout5632 GLICKMAN AVE_Plumbing__ 76A607-CE817-10-60 Job 6
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-APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINM
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS 5632 r?. Glicla an Ave.
WILLIAM A. JENSEN, SUPT OF BUILDING
LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM
OWNER lioel Baldwin
2 WATER CLOSET MAIL
1 BATH TUB ADDRESS5632 fJ. n
SHOWER
l Cn'Y:'e TEL. NO.
LAVATORY CONTRACTOR Belvedere
SINK ADDRESS 11900 E. Garv,,.y Ave.
1
DISHWASHER CITY El :'_onte Tom. NO. CU 31691
CONTRALAUNDRY TUB REGISTRATION NO. 179568 STATE
COUNTY ❑
CLOTHES WASHER DIBTf � GROU' ZONE 7-4 z PR CESSED BY
WATER HEATER
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
x INSPECTION RECORD a
/ u
0
CL
h
$1.00 PER ITEM I ` +.,.0.i rd ✓f�` ,A --� _
1 OR FIXTURE $ ll rJ rJ AppkO ALS DATE INSPECTOR'S SIGNATURE
•'
PERMIT $ 1 2100 UNDER ORK �?- k«6!;•', ,R. ,G� _
ROUGH PLUMBING
TOTAL FEE
0
GAS PIPING
I HEREBY ACKNOWLEDGE THAT 1 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.
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED A3 REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST /
CALIFORNIA OR T 1 AM THE LEGAL NER OF THE ABOVE
DESCRIBED RESID�NjjAL PROPERTY. UTILITY CO. NOTIFIED
SIGNATURE
OF PERMITTEI r/.i� ��♦? �114-+�'./!�l/,�_
FINAL
ALIDATION ROBERT A. WOOD
CK. M.0. CASH SUPERVISING MECHANICAL ENG'R
3 8 w ({LIG 7 J U 1 J