HomeMy Public PortalAbout5348 MCCULLOCH AVE_Plumbing__ 76A667-CE#617 5-6t• ,
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPART1vlENT OF COUNTY ENGII�iEER
BUILDING AND SAFETY DIVLSION BUILDING �'3 c CG SIG
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS
WILLIAM A. JENSEN, SUP'T OF BUILDING
FOR APPLICANT TO FILL IIsi NEAREST . .,toe v
NUMBER FIXTURE OR ITEM OWNEB
WATER CLOSET X y a MAIL
ADDRESS
RATH TOB t z.sem clrx TEL No.
SHOWER
CONTRACTOR as
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AD
SINS s: DRESS /. /1/• U' LOG_[
DISHWASHER CITYr���du�i r�Padf=NO. 15=0 71OG
CONTRALAUNDRY TUB H 111TRA�TION NO. Z•71 S C COUNTY
CLOTRES WASHER 2 s pwmar N GRQw ZONE PC BY
WATER HEATER
INDUSTRIAL C
GAS SYST�Q WASTE APPROVAL L,7
1 /
INSPECTION RECORD/ .. 0
O
N
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6 $1.00 PER ITEM /
OR FIRTURE' $ I 1! 7 APPROVALS I)ATEf INSPEC,7OR'9§I NATUR[S
/ (0/el p- _ _ ..
PERMIT $ j.100 UNDER SLAB WORK _ ✓_ Ls R ' , r
C ROUGH PLUMBING rh
TOTAL REE
7S GAS PIPING
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION 4
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS.VENT J
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. HOT WATER HEATER �� u
�-
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES /
LICENSED AS REQUIRED BY LOS•ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED
SIGNATURE d!
OF PERMITTE FINAL
VALIDATION' ROBERT A.WOOD
M.0. CASH SUPERVISING MECHANICAL ENG'R
,.� Lo.6 7.7% JM25 5 Q 13.75- 0