HomeMy Public PortalAbout5230 HALLOWELL AVE_Plumbing__ 76A667-CE81�k59JJ l
APPUCATION FOR P_L UMI�ING PERMIT �
COUNTY OF LOS ANGELES `
DEPARTMENT OF COUNTY ENGINEER '
BUILDING AND-SAFETY DIVISION BUILDING
JOHN A. LAMBIE, Count Engineer ADDRESS 4
CASSATT D. GRIFFIN, Sup f of Building' LOCALITY' ,
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM 4'
OWNER
WATER CLOSET MAIL
BATH TUB ADDRESS
SHOWER CITY TEL. NO.
3 LAVATORY. CONTRACT R
SINS ADDRESS
DISHWASHER CITY TEL NO.
CONTRACTOR'S STATE ❑
LAUNDRY TUB REGISTRATION NO. COUNTY
CLOTIiES WASHER DISTRICT NQ. qRR ZONE P OCESSED BY
WATER HEATER {1
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
7
/OSI..on .,ice V Y
O r1 1�1
$I.00 PER ITEM
/a OR FACTURE - $ /V APPROVALS DATE INSPECTORS SIG ATURE
PERMIT $ 2100 UNDER SLAB WORK ,,,/•
TOTAL FEE ROUGH PLUMBING, VD
GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE*ABOVE IS CORRECT AND AGREE TO COMPLY[GAS
GAS VENT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATINGHOT WATER HEATER
PLUMBING. _
[ HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/ORPLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF TEST
CALIFORNIA OR THAT I AM THE LEGAL OWNER" OF THE ABOVE
"DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED
SIGNATURE ��• �((.L ',
OF PERMITI'EF"
FINAL
Or VA m 0. O�ROBERT A. WOOD,
>a.
• cx. .o. (CASH )SUPERVISING MECHANICAL ENG'R
ACO 3 0 3 7 ,iut� 3 0 5 A 1 2.0 0ko