HomeMy Public PortalAbout6038 MUSCATEL AVE_Plumbing__ (2) 76A887-CE#817 4-67
APPLICATION FOR PLUMB NG PEF
COUNTY OF LOS ANGELES
DF f fflT ONT OF COUNTY ENGINEER
NG AND SAFETY DIVISION BUILDING J O U
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS (p 32 M
COLEMAN W. JENKINS. SUPT OF BUILDING LOCALITY T c
FOR APPLICANT TO FILL IN NEAREST io 1
CROSS ST. l�
NUMBER FIXTURE OR ITEM EACH FEE
OWNEP 1 w w
WATER CLOSET / 5L) MAIL
BATH TUB 1.25 ADDRESS
1 SHOWER / 5 U CITY TEL. NO.
LAVATORY 50 CONTRACTOR hE a
SINE 1.25 ADDRESS I.-L 1
DISHWASHER 1.25 CITY ATE `` TEL. NO.qc.;o
LAUNDRY TUB 1.25 tt LICENSE NO. b5 q CLASCLOTHES WASHER JV TR�C�12GROUP E WATER HEATER 1.50 (%sa
GAS SYSTEM A— OUTLETS 1.50 ^� INDUSTRIASTE PPAOVAL
OUTLETS OVER 5 PER SYSTEM •90 INSPECTION RECORD g w
�J �J� O
7 `- yVj
!/ co)
J.
APPROVALS DATE INS CTOR'S PIGMATURE
PERMIT S 2 00 UNDER SLAB WORK ZD
ROUGH PLUMBING
TOTAL FEE GAS PIPING 1
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ TH18 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.
I 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 DESCRIBE ESIDENTIAL;ROPERTY. UTILITY CO.NOTIFIED
SIGNATURE - I '�
OF PERMITTEE + /
FINAL �) `
DATION JACK R. ALLEN
CK.
M.0. CASH SUPERVISING MECHANICAL ENG'R.
3780 +;rR26 5 D 9,5�"