HomeMy Public PortalAbout5836-5838 OAK AVE_Plumbing__ 1 �
78A887 CE0817 2 68 - / 1I�/_� c�
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDINGS
JOHN A LAMBIE COUNTY ENGINEER ADDRESS J
COLEMAN W JENKINS SUP T OF BUILDING LOCALITY
FOR APPLICANT TO FILL W NEAREST
T me.694
NUMBER FIXTURE OR ITEM EACH FEE
OWNER
WATER CLOSET BI 2s MAIL
� y
BATH TUB 125 ADDRESS
SHOWER 125 CITY TEL NO
LAVATORY 125 CONTBAC ti ,6iA* r�-e ,
SINK lis ADDRESS tf 7.4 n ,
DISHWASHER 125 CITY TEL NO
LAUNDRY TUB 125 STATE LIC
LICENSE O v CLASS
CLOTHES WASHES 125 D DISTRICT NO RO� ZONE I PROCESSED BY
WATER HEATER ISO
GAS SYSTEM OUTLETS 1SO
WASTEAPPROVALp
OUTLETS OVER S PER SYSTEM 90 INSPECTION RECORD v
'elf- GG _ CD
V d
rn
r Z
APPROVALS DATE INSPECTOR S SIGNATURE
PERMIT S 2 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE GAS PIPING
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IB CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING
ISCERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED LOS ELE8 COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT 1 THE GAL OWNER OF AND INT ND TO
RESIDE IN THE ABOVE CRI RESIDE NTI ROP Y ILITY CO NOTIFIED
SIGNATURE
OF PERMITTE
FINAL
VALIDATl0N---1 JACK R ALLEN
CK M O l/.C_ASH/J SUPERVISING MECHANICAL ENG R
LfLo4 9 2 7-03 SEP 23 5 D 3 50 " 4
&aorr/