HomeMy Public PortalAbout5423 MCCULLOCH AVE_Plumbing__ DEPARTMENT OF OOIINTY ENGINEER
PLUMBING 1
DIVISION OF BUILDING AND SAFETY 9��� PERMIT APPLICATION
COIIN'1'Y OF LOS ANGELES BUILDING
WILLIAM J. FOX, COUNTY ENGINEER ADDRESS ,r a 3 �I'�� ��!���✓�LJ
FOR APPLICANT TO FILL IN LOCALITY `T
BUILDING /J�� •'� NEAREST
ADDRESS 'e� ��� �- �i �/ CR088 ST.
DISTRICT NO. GROUP I Z NE PERMIT NO.
LOCALITY � ��po u ��
NEAREST
CROSS ST. ' s_/ )RECEIV D BY Randy for Inspection DATE ISSUED_
OWNER l `.%, )A A NOW
MAIL 'INDUSTRIAL
ADDRESS Salve WASTE APPROVAL
CITY TEL.NO. INSPECTION RECORD
PLUMBER GENERAL INSTALLATION CO.
ADDRESS 311 E.80th Street
CITY L.A.3 TEL NO. PLeasant 3-2541
State Contractor's
License No. 123470 Class C-36 J
L.A.County Contraotor's Q
Registration No. 787 Z
PERMIT FEES E
NUMBER TYPE OF FIXTURE OR ITEM FEE D;
13
WATER CLOSET(TOILET) 0 0.80 $ _
BATH TUB G 0.80
SHOWER 0 0.80
LAVATORY(WASH BASIN) @ 0.80
KITCHEN SINK @ 0.80
LAUNDRY TUB OR TRAY 0 0.80
SLOP SINK 0 0.80
FLOOR SINK 0 0.00
FLOOR DRAIN @ 0.80
DISHWASHER a 0.80
DRINKING FOUNTAIN @ 0.80 -
URINAL 0 0.80
GAS SYSTEM...—._..._OUTLETS 0 IAO
WATER HEATER @ 1.00
MISCELLANEOUS APPROVALS
1 WATER SOFTENER 1 00 DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK
PERMIT $ 1 00 ROUGH PLUMBING
TOTAL FEE 2
GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLI- GAS VENT
CATION AND STATE THAT THE ABOVE 18 CORRECT AND AGREE HOT WATER HEATER
TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS
REGULATING PLUMBING. PLUMBING FIXTURES
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED
AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY GAS TEST
AND STATE OF CALIFORNIA OR THAT I T so OWN-
ER OF THE ABOVE DESCRIBED T L Y. UTILITY CO.NOTIFIED
SIGNATURE
OF PERMITTEE.--.._.r........ FINAL
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