HomeMy Public PortalAbout5342 MCCULLOCH AVE_Plumbing__ 76A667-CE#817 5.&1-
APPLICATION FOR PLUMB'ING PER . IT
COUWY OF LOS ANGELES
DEPARTMENT OF COUN!'Y ENGINEEII
BUII.DING AND SAFETY DIVLSION B
UILDING 63#2
CCL
JOHN A. LAMBIE. COUNTY ENGINEER WILLIAM A. JENSEN, SUPT OF BUILDINGFOR APPLICANT TO FILL IN CROSS ST j—
NUMBER FIXTURE OR ITEM OWNER /
WATER CLOSET SIL
BATH TUB ADDRESS
CITY TEL.NO.
SHOWER .
CONTRACTOR
LAVATORY
SIN- ADDRESS #114.7 Al. wepcod/
DISHWASHER CITY l 14A.1c TEL.NO:,aoo71dFG
TATER
LAUNDRY TOB RCFO�. O1Q NO. /Z7 Q aC 4o COUNTY
CLOTHES WASIM D�ICT N GR ZO E BtY
WATER HEATEII < 2
LNDIISTBLAL 0
GAS SYSTEM WASTE APPROVAL V
lXSPECF,ION BSCOBD m
A`>" "Cr
4, QkK
y -
S 11.00.PER ITEM.
OR.FIXTURE $ I 11, 76 AppROVALS # PATE,y INSPECTOR'S 819"JLTURR
PERMIT . $ 2 00 UNDER SLAB WORK
TOTAL FEE S ROUGH PLUMBING
GAS PIPING
.I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE 18 CORRECT AND AGREE TO COMPLY GAS VENT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING'
PLUMBING. HOT.WATER HEATER I G rD
I HEREBY CERTIFY THAT 1 AM PROPERLYREGISTERED AND/OR PLUMBING FIXTURES / 19_*4111A,
LICENSED AS REQUIRED BY LOS,ANGELES COUNTY AND STATE OF GAS TEST ��j ^•�J,it� -
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL PROPERTYUTILITY CO'.NOTIFIED
SIGNATURE
OF PERMITTEE FINAL
VALIDATION ROBERT A.wo D r
CK.
14.0. CASH SUPERVISING MECHANICAL ENG'R'
LA60417 5.0 JW25 5 -D 1 3..?.5