HomeMy Public PortalAbout5947 OAK AVE_Plumbing__ 9sW=17 SM
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGIdEM
B=ING AND SAFETY DMSION BUILDING
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JOHN A LANDIM County es ADDRESS
TT D GRIFFIN Sup t of mld..w LOCAL17T ?
FOR APPLICANT TO FM IN NEAREST T
NUMBER FIXTURE OR ITEM CROSS
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WATER CLOSET OWNER MAIL
RATE TUB ADDRESS
CITY TEL NO
SHOWER
LAVATORY CONTRACTOR22 S
SRS ADDRESS
DISHWASHER CITY TEN. NO Jh 4A
CONTRACTOR S STA
LAUNDRY TUB REGISTRATION NO Flo.3 cyCOUNYY
CLOTHES WASIIERR DISTRICT NO GROUP ZONE I P ED BY
WATER HEATER S
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
-40 e'd!7w
0 11 DOPER ITENI
OR FEffm
APPROVALS DATE INSPECTOR S SIGNATURE
PERMIT $ 00 UNDER SLAB WORK
TOTAL FEE ROUGH PLUMBING
GAS PIPING
AHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
STATE THAT THE ABOVE 18 CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING HOT WATER HEATER
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES y
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST /t Z '�
CALIFORNIA OR THAT I AN THE LEGAL ER OF THE ABOVE
DESCRIBED RESIDEN IAL PROPERTY UTILITY CO NOTIFIED iY eag
SIGNATUREZj-wTS y'
OF PERMITTE FINAL Q j3 6b (�kkadAfifl J
OF �YALIDATION ROBERT A WOOD
c[ ■ 0 cum SUPERVISING MECHANICAL EVIG R
9618 APR21 5 A 1900
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APPLICATION FOR PLUMBING PERMIT
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WILLIAM A JENSEN SUPT OF BUILDING LOCALITY •
FOR AM= TO FILL II•I NEARS r
NUMBER FIXTURE OR ITEM CRST
OSS
WATER CLOSE!
ADHD
BATH TUB
SHOWER CITY TEL.NO
LAVATORY Comm 8
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DISHWASHER CTPY TEL
CO OR S �1 STATE
LAUNDRY TUR REGIS OR
NO 1/ COUNTY ❑
CLOTHES WASHER DISTRICT NO GROUP ZONE CR41QESSED BY
WATER HEATER �� O
GAS SYSTEM DMUSTRIAL
WASTE APPROVAL
RPECTXON RECORD
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w
o
W OHU $ I
APPROVALS DATE INSPECTOR S SIGNATURE
PERMIT S2 OO UNDER SLAB WORK
TOTAL,FEE ROUGH PLUMBING
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
I HEREBY CERTIFY THAT 1 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 THK ABOVE
DESCRIBED RESIDENTIALAR!PFIRTY UTILITY CO NOTIFIED
SIGNATURE / f /l/1�
OF PERMITTER FINAL
®r VA Ill a �OBERT A WOOD
CK N O OIISH UPERV181NG MECHANICAL ENG R
ut`�0 2 4 3 0 (UlR 3 Q 5 D 400 `In
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