HomeMy Public PortalAbout4924 HALLOWELL AVE_Plumbing__ 76A667-CE4817 6-65
1 F R P UM INC ERMIT
APPLICATION N O O L
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION F
JOHN A. LAMBIE, COUNTY ENGINEER _
COLEMAN W JENKINS. SUPT OF BUILDING
FOR APPLICANT TO FILL IN
NUMBER FIXTURE OR ITEM EACH FEE
OWNER
WATER CLOSET $1.25 MAIL
BATH TUB 1.25 ADDRESS
SHOWER 1125 /J. CITY TEL. NO.
LAVATORY 1.25
CONTRACTOR
SINN 1.25 ADDRESS ?y�• p
DISHWASHER 1.2S CITY +7 TEL. NO. ;,Lg� -p l77
SATELIC
LAUNDRY TUB 1.25 LICENSE NO �(rI CLASS
CLOTHES WASHER 1.25DISTRICT NO. GROUP ZONE PRO SSED BY
WATER HEATER 1.50 IZT &
GAS SYSTEM OUTLETS 1.50 INDUSTRWASTE IPPROVAL
OUTLETS OVER S PER SYSTEM .30 INSPECTION RECORD U
0
V
W
' a
N
Z
APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT S 2 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE GAS PIPING
1 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 HOT WATER HEATER
PLUMBING.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF,AND INTEND TO
RESIDE IN, THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO. NOTIFIED
SIGNATURE
OF PERMITTEE
FINAL
VALIDATION
• CK M O. CASH
Lt1,o 0 7 6 9- MAR 2 5 5 D 5.7 5"