HomeMy Public PortalAbout4827 HALLOWELL AVE_Plumbing__ \ 176 A 667•-CE#817 5/63 _ : '•
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City ofk4sVle- City H5120' -
a APPLICAT,�OI�I FO_R PLUMBING ,PERM IT ,
-' COUNTY OF -LOS �►NGELES � - - - •
DEPARTMENT OF COUNTYMNGINEER -
BUILDING• AN� SAFE ' DMSIO�h BUILDING `
JOHN A. LAM IE, CoU T•v ENGfNeER ADDRESS,
_ WILLIAM A. JENSEN, SUPT OF BUILDING -4--f
LOCALITY qp
u FOR APPLICANT TO-FILL IN NEAREST
CROSS.,ST.' T A n se
NUMBER ' FIXTURE OR ITEM.;. , EACH FEE - " •'' '"'.
s, OWNER
'WATER CLOSET. �L: 9�� � :
• < , - ., -MAIL '•'� �'�^� -
HATH TUB s 'j.25
• ADDRESS
SHOWER 1.25 CITY TEL. NO. a
-CONTRACTOR.
LAVATORY E1;25
1.25 ADDRESS .6553 V
DISHWASHER' -�P.' F 1:25 CITY Y TEL.
li- ''CONTRACTOR'S '• } '
LAUNDRY TUB § 1.25 �' REGISTRATION NO. ,9 COUNTY%
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CLOTHES WASHER ,' 1.25 '• '; '• DISTRICT NO. GROUP _ ZN -PROCESSED BY
'WATER HEATER 1.50 r'• _ „� r- j "ti,� Jr:�i.
1.50 "i INDUSTRIAL J ' a
GAS SYSTEM •OUTLETS WASTE APPROVAL 1 OV
OUTLETS'OVER'S PER SYSTEM - 30 INSPECTION"RECORD = .
1 -1
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W
•d<�.`•' APPROVALS - _ DATE `INSPECTOR'S SIGNATURE
UNDER SLAB WORK'S a' -
PERMIT S 2; 00 e
- - •• - �j - ROUGH PLUMBING
TTI TOTAL FEE, GAS PIPING
L 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
PLUMBING / HOT WATER HEATER
,� I EREBY •CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING F_IX_TURES , ,
'LICENHSED AS REQUIRED BY LOS'ANGELES COUNTY AND STATE OF GAS TEST '
CALIFORNIA OR THAT I AM'THE LEGAL.OWNER ,
WNER OF,'AND INTEND TO "
RESIDE IN,THE ABOVE DESCRIBED RESID IAL ROPE Y. :,,f
UTILITY CO'
SIGNATURE
OF PERMITTEE '�'�••-
FINAL'
��QVALIDATION- ROBERT A. WOOD
cK,'Jr MUD .`CASH. SUPERVISING MECHANICAL EN&R' - -
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76A607-CES17 10-60
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING /J
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS pC
WILLIAM A. JENSEN, SUPT OF BUILDING
LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM OWNER O T�
WATER CLOSET MAIL
BATH TUB ADDRESS
CITY TEL. NO.
/ SHOWER
CONTRACTOR
LAVATORY
SINS ADDRESS
DISHWASHER
CITY- TEL. NO. ` 'J
CONTRACTOR' STATE
LAUNDRY TUB REGISTRATION NO, r COUNTY ❑
CLOTHES WASHER DISTRICT NO. GROUP 7E PR CESS Y
WATER HEATER
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL >-
INSPECTION RECORD a-
0 0
U
0
uj
ri
N
Z
$1.00 PER ITEM
�® OR FIXTURE $ //1 �J/1 APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2100 UNDER SLAB WORK
TOTAL FEE ROUGH PLUMBING
GAS PIPING
1HEREBY ACKNOWLEDGE THAT i 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
PLUMBING. HOT WATER HEATER
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES -
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE GAS TEST
DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO. NOTIFIED
I
SIGNATURE
OF PERMITTEE
FINAL
VCK. ALIDATION ROBERT A. WOOD
M.0. CASH SUPERVISING MECHANICAL ENG'R
, , 3 7 0 it 12.0