HomeMy Public PortalAbout5936 OAK AVE_Plumbing__ DEPARTMENT OF COUNTY ENGINEER PLUMBING 1
DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION
COUNTY OF LOS ANGELES BUILDING /_4
WILLIAM J FOX, COUNTY ENOINEEIi ADDRESSZyf
FOR APPLICANT O FI L IN LOCALITY
BUILDING NEAREST 1 1
ADDRESS CROSS ST
• DISTRICT NO GROUPZONE PERMIT NO
LOCALITY 5 G I A/J/ 4 05,9��
NEAREST !�
CROSS ST R EIV D BY Ready for Inspection DATEISSUED
OWNER 16 -1,3—
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MAIL INDUSTRIAL
ADDRE8 WASTE APPROVAL
CITxz TEL N INSPECTION RECORD
PLUMBER
ADDRESS
CITY TEL Nls�
ATE
LICENSE COUNTY
J
PERMIT FEES Q
_z
4UMBER TYPE OF FIXTURE OR ITEM FEE 2
WATER CLOSET(TOILET) Q 080 i lz
O
BATHTUB Q 080
SHOWER @ 080
LAVATORY(WASH BASIN) 01 080
KITCHEN SINK a 080
LAUNDRY TUB OR TRAY a 080
SLOP SINK @ 080
FLOOR SINK Oa ego
FLOOR DRAIN 0 080
DISHWASHER 0 080
DRINKING FOUNTAIN Q ego
URINAL 0 080
GAS SYSTEM OUTLETS ! 100
WATER HEATER 0 100
MISCIILLANEOUS
lk APPROVALS
DATE INSPECTOR S SIGNATURE
UNDER SLAB WORK
PERMIT 1 00 ROUGH PLUMBING s�
TOTAL FEE m GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLI GAS VENT
CATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE HOT WATER HEATER
TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS
REGULATING PLUMBING PLUMBING FIXTURES
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED
AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY GAS TES
AND STATE OF CALIF NIA THAT 1 AM THE LEGAL OWN
ER OF THE ABOVE _V CR D RESI ENTIAL ROP TY Uj#dTY CO NOTIFIED
SIGNATURE t
OF PERMITTE _ _
FINAL S
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