HomeMy Public PortalAbout10304 LIVE OAK AVE_Plumbing__ 76A667-C£817 6-60 �APPLICATION FOR FOR PLUMBING PERMIT, �
COUNTY OF LOS ANGELES -
DEPARTMENT OF COUNTY ENGINEER
BUILDING
AAMB E COUNT VI
DI
JOHNENGINEER ADDRESS
WILLIAM A. JENSEN. SUPT OF BUILDING
LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM OWNER
i
WATER CLOSET MAIL
ADDRESS
BATH TUB '
- CITY TEL NO.
SHOWER
LAVATORY CONTRACTOR
ADD
SING � D �d.
DISHWASHER CUT TEI- No. 3 -/
C NTRAC O ATE
LAUNDRY TUB REGISTRATION NO. 0=0-
CLOTHES WASHER DISTRICT NO. GROUP 7N l PR CESSED BY
WATER HEATER
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
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p
a V
P.
a.Si4 �
$1.00 PER ITEM
OR FIXTURE $ I V v APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK
TOTAL FEE R ROUGH PLUMBING. yGGI .P
GAS PIPING a
1 HEREBY ACKNOWLEDGE THAT 1 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 \ 9�
PLUMBING. !^i -
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES �'1 �/1�( f1 I t �N�
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST ( YIII l � ""NINA
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE f
DESCRIBED RESIDENT A PROPE�,;l �� UTILITY CO NOTIFIED I I I ,
SIGNATURE //LyJ�
OF PERMITTE FINAL
OF ALIDATION ROBERT A. WOOD, Vim~
M.0. CASH SUPERVISING MECHANICAL ENG'R
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