HomeMy Public PortalAbout6236 HART AVE_Plumbing__ 76AGG7,-CEJd817 5/63 ,
�':.. APPLICATION F®R . PLUM1 BI G PERM '
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ' ADDREss a
JOHN*A. LAMBIE. COUNTY ENGINEER
WILLIAM A. JENSEN, SUPT OF BUILDING - '
LOCALITY. C �"
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE
•OWNER �
WATER'CLOSET $1.25 5 MAIL
/ BATH TUB 1.25 / 'Z ADDRESS s Ar
SHOWER 1.25 CITY TEL. NO. r
LAVATORY 1.25 CONTRACTOR
SINK 1.25 ADDRESS
DISHWASHER 1.25 CITY TEL. NO.
LAUNDRY TUB 1.25 CONTRACTOR'S STATE El
REGISTRATION NO. COUNTY ❑
CLOTHES WASHER 1.25 - DISTRICT NO. GROUP Z E PROC BY
WATER HEATER 1:50 S
n �
1.50 INDUSTRIAL .GAS SYSTEM OUTLETS ( d
WASTE APPROVAL
l-, -O
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD V
4/d1l �i' � rJc��zXi 5 T. O
1. e- n
31 Xto "
APP S. DATE INSPECTOR'S S12APRE
PERMIT $ 2 00�ROU
. UNDER WORK I
GH PLUMBING `
TOTAL FEE GAS PIPING A l 7 Ak jjJQ-
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS LICA ON GAS VENT
AND STATE THAT THE .ABOVE IS CORRECT AND AGREE TO CO PLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER , A��'� J
PLUMBING. "
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING-FIXTURES A
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF,AND INTEND TO ) r
RESIDE IN,THE ABOVE DESCRIBED RESIDE NTJAL PR PERTr UTILITY LITY CO. NOTIFIE / /1 _O I )
SIGNATURE A/7 ~
OF PERMITTEE
FINAL
NALIDATIOROBERT A. WOOD
CK. M.0. CASH SUPERVISING MECHANICAL ENG'R
9 + 77 M11 5 D 8.75�