HomeMy Public PortalAbout6113 OAK AVE_Plumbing__ 76A667-CE817 9.57
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APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE. COUNTY ENGINEER �,
CASSAT'T D. GRIFFIN, SUPT OF BUILDING LOCALITY e -
FOR APPLICANT TO FILL IN NEAREST �r •
CROSS ST.
NUMBER FIXTURE OR ITEM ;,
NER
WATER CLOSET OWMAIL
BATH TUB ADDRESS
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SHOWER CITY T
LAVATORY CONTRACTOR E r
SINS ADDRESS 0 'Zi lei �
DISHWASHER CITY r(� TEL.NO. Q
LAUNDRY TUB CO R CTOR'S REGISTRATION N.O. C �OS4TAT
CLOTHES WASHERI. DISTRICT 0. GG U ZONE READY FO
WATER HEATER
GAS SYSTEM I{;IDUSTRIAL
WASTE APPROVAL
I INSPECTION RECORD
T
it
'i
II
APPROVALS .
I U6P- DATE INSPECTOR'S SIGNATURE
$1.00 PER ITEM �. ,
OR FIXTURE $ UJNDER AB WORK l '
n
PERMIT 8 1100 ROUGH PLUMBING
GAS PIPING
TOTAL FEE 1 A61-016. GPS VENT _ 7 . �� )•, �
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION Ii OT WATER HEATER
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. PLUMBING FIXTURES
-
1 HEREBY CERTIFY THAT 1 AM. PROPERLY REGISTERED AND/OR GAS TEST f�-
LICENSED AS REQUIRED BY LOS ANGELES NTY AND STATE OF I•
CALIFORNIA OR THAT I AM THE .LEGA W ER THE BOVE UTILITY CO. NOTIFIED
DESCRIBED RESIDENTIAL P R '
SIGNATURE - � ` / FINAL
OF PERMITTEE r
VALIDATION ROBERT A. WOOD,
SUPERVISING MECHANICAL ENG'R
CK M.0. llli CASH
Ali 14 5 A 1 0.0 0
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