HomeMy Public PortalAbout6160 OAK AVE_Plumbing__ .7 6A667•-'CE#8172-62 .�• TEMPLE -CITY
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APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING J
JOHN A. LAMBIE. COUNTY ENGINEER ADDRE
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 $1.25 MAIL
BATH TUB 1.25 !%'ESS Al.
SHOWER 1.25 CITY TEL. NO.
LAVATORY 1.2510 CONTRACTOR s 5
SINK 1.25 ADDRESS
DISHWASHER 1.25 CITY :TEL. NOCONTRA RIB . L�
LAUNDRY TUB 1.25 REGISTRATION NO. j �j COUNTY ❑
CLOTHES WASHER 1.25 DIST.RICT)W. GROUP ZONE PR CE B
WATER HEATER 1.50 J (� I Q _.
GAS SYSTEM 96 1.50 INDUSTRIAL
WASTE APPROVAL
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD d
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APPROVALS DATE IN CT -S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORKi�jA -
ROUGH PLUMBING /4-
TOTAL FEE [
GAS PIPING
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT ,
WITH ALL COUNTY ORDINANCES AND. STATE LAWS REGULATING
PLUMBING. HOT WATER HEATER J
1 D HEREBY CERTIFY THAT 1 AM PROPERLY REGISTEREAND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST J
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF,AND INTEND TO 7/�n
RESIDE IN.THE ABOVE DESCRIBED RESIDE NTI L:PROPERTY. UTILITY CO.NOTIFIED Flo Aw
_ st.
SIGNATURE
OF PERMITTEE FINAL s�,/g'r,�" ✓ ,/�/
LIDATION ROBERT i4. WOOD
CK.
M.0. CASH SUPERVISING MECHANICAL ENG'R
'CO3 5 8 2-- DEC 17 5 D 1 5.3 0