HomeMy Public PortalAbout10228 LIVE OAK AVE_Plumbing__ 76Aa67-CF,0817 9/63 /
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DMSION BUILDING /D 02 01 ' ,
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS
WILLIAM A JENSEN, SUP T OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN CROSSSST.
NUMBER FIXTURE OR ITEM EACH FEE '
OWNER
—3 WATER CLOSET $1.25 'MAIL
BATH TUB 1.25 T ADDRESS
SHOWER 1.25 CITY EL. NO.
LAVATORY 1.25 CONTRACTOR
3INS 1.25 ADDRESS 21(4-
6s-
DISHWASHER
(4-6s-DISHWASHER 1.2S CITY Sp hiTEL. NO. q{ C.?-VU
LAUNDRY TUB 1.25 CONTRACTOR'S STATE
REGISTRATION NO. COUNTY
/ CLOTHES WASHER 1.25 DISTRICT NO. GROUP �,XNE =CES. SED BY
WATER HEATER 1.50 � t «1(�
GAS SYSTEM 4— OUTLETS '-so WASE AIPPROVAL 0~
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD V
CAU. rov I NNPE crion) TseFort b�,�S s rri u 6 13ow is Z
APPROVAL D E INS P IGNATURE
PERMIT i 2 00 UNDER SLAB W RK
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 HEATE
PLUMBING
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND�OR PLUMBING FIXTURE `
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 ABO DESC ED RESIDENTIAL ROPERTY UTILITY CO NOTIFIED
SIGNATURE A 11
OF PERMITTEE
FINAL
00ALIDATION ROBERT A WOOD U
M O CASH ' SUPERVISING MECHANICAL ENG'R
ACO63631.0 MR 9 5 0 18.75-" �l