HomeMy Public PortalAbout4912 HALLOWELL AVE_Plumbing__ 76A667-CE#817 5/63
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JO N A. LAM IE, COUNTY ENGINEER ADDRESS
WILLIAM A. JENSEN, SUPT OF BUILDING
LOCALITY
FOR APPLICANT TO FILL IN NEAREST e
CROSS SL
VY
NUMBER FIXTURE OR ITEM EACH FEE -
OWNER
WATER CLOSET 31.25
MAIL • -�+s .'1
BATH TUB 1.25 ADDRESS
CITY TLC NO.
SHOWER 1.25
LAVATORY 1.25 CONTRACTOR
SINE 1.25 ADDRESS
DISHWASHER 1.25 CITY — w -- - - TEL. NO. -
LAUNDRY TUB 1.25 CONTRACSAR`9 —_—" STATE [1
REGISTRATION NO. COUNTY [
CLOTHES WASHER 1.25 DISTRICT NO. GROUP ZONE PROCESSED BY
WATER HEATER 1.50
GAS SYSTEM OUTLETS 1.50 INDUSTRIAL O
WASTE APPROVAL V
--iOUTLETS OVER S PER SYSTEM 30 INSPECTION R;CORD
Lu
J
U_
• Q
cx
O
Q.
- w
jj
F
APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP ON GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING.
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF,AND INTEND TO
RESIDE IN, THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO. NOTIFIED
SIGNATURE -
OF PERMITTEE
FINAL
VALIDATION ROBERT A. WOOD
CK. M.O. CASH SUPERVISING MECHANICAL ENG'R