HomeMy Public PortalAbout4831 HALLOWELL AVE_Plumbing__ 76A607-OE617 10-60
APPLICATION FOR PLUMBIN PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS
WILLIAM A. JENSEN, SUPT OF BUILDING LOCALI *r
FOR APPLICANT TO FILL IN NEAREST
EARECROSS ST .
NUMBER - FIXTURE OR ITEM OWNER J
WATER CLOSET SIL
ADDRESS
BATH TUB
CITY TEL. NO.
SHOWER.—
CONTRACTOR on "e
LAVATORY
ADDRESS.
SINS
DISHWASHER
CITY TEL. NO.
CONTRACTOR'S TE
LAUNDRY TUB REGISTRATION NO. Ap COUNTY
CLOTHES WASHER DIET ICT NO. GROUP ONE P CESS BY
WATER HEATER
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL }
e 1 /fe INSPECTION RECORD, a a
0 $1.Go/ PER ITEM h/'i t orj— /�2 r.,r r-'r ab^•f f:l�` J k r•-9-,d= %.OR FI)MURE Qd 4
v APPROVALS ATE CTO '8 SIGNATLRE
PERMIT $ .2 00 UNDER SLAB WORK
TOTAL FEE
ROUGH PLUMBING V
� QQ •
GAS PIPING
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION )
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT b
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING, HOT WATER HEATER
PLUMBING.
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES A
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT i AM THE LEGAL OWNER OF THE ABOVE GAS TEST i �� �.
DESCRIBED RESIDENTIAL PROPERTYY. - UTILITY CO. NOTIFIED
SIGNATURE Q• •� •
OF PERMITTE CCC FINAL imo -
ALIDATION ROBERT•A. WOOD
CK.
M.0. CASH SUPERVISING MECHANICAL ENG'R
''� :0 3 7 1 .,Ali 1 ,2 .0.C` -