HomeMy Public PortalAbout5620 MCCULLOCH AVE_Plumbing__ 75AS67-CE*617 12-54p y/�
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APPLICATION FOR PLUMBIN LPERMI
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A.LAMBIE, COUNTY ENGINEER ADDRESS .)(d Z 0U L_).-O CH
COLEMAN W. JENKINS,SUPIT OF BUILDING- LOCALITY
FOR APPLICANT TO FILL IN NEAREST 9 n J
CROSS ST. f— `'
NUMBER FIXTURE OR ITEM EACH FEEOWNER r+
WATER CLOSET $1.25 JJ
BATH TUB 1.25 ADDRESS ?-C-Q U �---�-O
SHOWER 1.25 CITY'r'�z PUF TEL. NO.
LAVATORY 1-.25CONTRACTOR Pp o I r!0 _T pj< `2
SINK 1.25 ADDRESS ✓ZQZ.A kic" I
DISHWASHER 1.25 CYTCP' TEL. NO.
LAUNDRY TUB 1.28 CONTRACTOR'S STATE
REGISTRATION NO. ZI I COUNTY ❑
CLOTHES WASHER 1.25 DISTRICT NO. GROUP ZONE P ESSED SY
WATER HEATER 1.50 I 0 1 ,4-11
GAS SYSTEMOUTLETS 1.50 INDUSTRIAL
WASTE APPROVAL L1L
OUTLETS OVER 5 PER SYSTEM .90 INSPECTION RECORD O
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APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK
�d ROUGH PLUMBING
TOTAL FEE GAS PIPING
1 HEREBY ACKNOWLEDGE THAT I 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 /
PLUMBING.
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF,AND INTEND TO
RESIDE IN,THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED
SIGNATURE ase j
OF PERM ITTEEH
FINAL
LIDATION ROBERT A.WOOD 1
CK. M.O. CASH SUPERVISING MECHANICAL ENG'R
LCO.8 3 6 3- OEC 2 8 5 D 3.50- 4