HomeMy Public PortalAbout5618 MCCULLOCH AVE_Plumbing__ 76A6D7-CE81710-60
APPLICATION FOR PLUMBING• PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND
OUEG ER A. COUNTY NNEBUILDINGDDRE
WILLIAM A. JENSEN, SUPT OF BUILDING
LOCALITY
FOR APPLICANT.TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM OWNER
WATER CLOSET _ !
N01IL _ -
A BATH TUB ADDRESS
SHOWER CITY .N .
LAVATORY CONTRACTOR
SINS ADDRESS
DISHWASHER CITY • TE�l-NO- r
LAUNDRY TUB CONTRACTOON R' NO, r COUNTY
CLOTHES WASHER DISTRICT,NO. GROUP ZONE SED BY
WATER HEATER o �
GAS SYSTEM INDUSTRM '
WASTE APPROVAL }
INSPECTION RECORD a
O
40
09
siG4nly i. tf� rlC O
0 OB F PDI II 8= I � -�+
_ $ APPROVALS PATE INSPEC'fOR'8 SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK
TOTAL FEE ROUGH PLUMBING-H
GAS PIPING � -
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE 19 CORRECT AND AGREE TO COMPLY GAS VENT ! fr
LS'O'F
COUNTY ORDINANCES AND STATE LAWS REGULATING
HOT WATER HEATER
CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST �� n/J��� UM f-4/
A OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE t�}} 11
RESIDENTIAL PRO RTY UTILITY CO.NOTIFIED ��(p�� yc'
SIGNATURE
MITTE �' LL FINAL
VALIDATION ROBERT A. WOOD'
cK.
M.0. CASH SUPERVISING MECHANICAL ENWR