HomeMy Public PortalAbout5744 OAK AVE_Plumbing__ ..7US%f-=CIMI7 5/70
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGIIVEER ;7TA62f0Az—X'.-
FOR
BUILDING AND SAFETY DMSION LilyJOHN A LAMBIE COUNTY ENGINEERCOLEMANNI JLrNKINS SUP T OF BUILDING APPLICANT TO FILL IN PRNT OR TYPEST
NUMBER FIXTURE OR ITEM EACH FEE
WATER CLOSET S Owmm'Zzoe J'./-.
Sri ri ,V I a ,.
MAZL
BATH TUB 1 5 ADDRESS
SHOWER 1 0 , CITY �+ eI ry TSL NO
LAVATORY vs0 CONTRACTOR
SINK 50 ADDREN
DISHWASHER 50 CTl'Y TEL NO
CLOTHES WASHER IN 0 STATE LIC
LICENSE NO CLASS
SWIMMING POOL RECEPTOR 1 0 DISTRICT NO GROUP Z PR ES ED BY
LAWN SPRINKLER SYSTEM 00
WATER HEATER 50 WAM Ovu
GAS SYSTEM OUTLETS INSPECTION RECORD
OUTLETS OVER 30 _ O
5 PER SYSTEM
Vl
Z
Plan check fee 25% of above See reverse
PLUMBING PERMIT ISSUING FEE 8 00 I
TOTAL FEE v APPROVALS QATE 90PECT9#JPIGNATURE
Plan check applicant UNDER SLAB WORK L
Name ROUGH PLUMBING ;�72
Address GAS PIPING
GAS VENT
City Tel No
HOT WATER HEATER
1 HERESY ACKNOWLEDGE TNA* 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE 18 CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE LAWS REOULATING GAS TEST r
LIHERCEY
CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR UTILITY CO NOTIFIED
ASREQUIRED BY LOS ANGELES COUNTY AND STATE OF
A OR THAT 1 AM THE LEGAL OWNER OF AND INTEND TO
TH6 ABOVE DESCRI E6IDENTIAL PIIOPER7Y FINAL
REMITTEE JACK R ALLEN, SUPE ISI ` HANICAL ENG'R
PERMIT VALIDA CK O CASH
PLAN CHECK VALIDATION CK M o CASH
� Go5727N APR 28 D 135 ON W