HomeMy Public PortalAbout6152 OAK AVE_Plumbing__ 76A887-CE#817 2-82 - EMP[} E CITY
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS /0717 dodge
WILLIAM A.JENSEN,SUPT OF BUILDING LOCALITY ,
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FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE
OWNER
WATER CLOSET $1.2544
BATH TUB 1,25 ADDRESS 4;14kZ- J/_,
SHOWER 1.25 S •CITY �- .� 1 �' TEL. NO.
LAVATORY 1,25 CONTRACTOR o
SINS 1.25 2 ADDRESS d �y�.
DISHWASHER 1.25 CITY --f!/Yd TEL. NO�_. a /�
ATE
LAUNDRY TUB' 1.25 EGISTTRRATION NO. �( ATE
COUNTY ❑
CLOTHES WASHER 1.25 DISTRICT NO. GROUP ZON� P E P BY
WATER HEATER_ 1.50 A D1
GAS SYSTEM IC OUTLETS 1.50 INDUSTRIAL
WASTE APPROVAL
OUTLETS OVER S PER SYSTEM 30 INSPECTION RECORD
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# APPROVALS DATE I.PIE'.TDIA SIGNATURE
PERMIT S 2 00 UNDER SLAB WORK /
_ ROUGH PLUMBING
TOTAL FEE GAS PIPING
LRESIDE
EBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATIONGAS VBNTATE THAT THE ABOVE IS CORRECT AND AGREE TOCOMPLYALL COUNTY ORDINANCES AND STATE LAWS REGULATING NG. HOT WATER HEATERREBY CERTIFY THAT I AM PROPERLY REGISTERED ANWOR PLUMBING FIXTURES V :/��`ED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TESTRNIA OR THAT I AM THE LEGAL OWNER OF,AND INTEND TIO IN,THE ABOVE DESCRIBED RESIDENTI L PROPERTY. UTILITY CO.NOTIFIEDTUREERMITTEE ` ( Jl�-
FINAL y�
, LIDATION ROBERT/Vt001)'
CK. M.O. CASH SUPERVISING MECHANICAL ENG'R
LACO 3 58 1 G DEC 17 5 D 1 5.3 0