HomeMy Public PortalAbout6237 3/4 OAK AVE_Plumbing__ 76 l,' 667—CE 817 8/68
•, APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
` . DEPARTMENT OF COUNTY ENGINEER
f BUILDING AND SAFETY DIVISION BUILDINGADDRESS Aj ,1�4
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY
s
FOR APPLICANT TO FILL IN PR Ni' OR TYPE) NEAREST
•�
NUMBER FIXTURE OR ITEM EACH FEE CROSS ST.
40 A-1
WATER CLOSET 1.50 OWNER C
MAIL
BATH TUB 1.50 S70ADDRESS ip
SHOWER 1.50 CITYTEL. NO.
LAVATORY 1.50 CONTRACTOR
SINK 1.50 ADDRESS
DISHWASHER 1.50 CITY 1 TEL.NO.57 •a fog'
CLOTHES WASHER 1.50 J 9' STATE q/ LIC
LICENSE NO. Ar/(9� CLASS
SWIMMING POOL RECEPTOR 1.50 DISTRICT NO. GROUP ZONE PROCESSED BY
LAWN SPRINKLER SYSTEM 2.00 �,
c
WATER HEATER 1.50 J' INDUSTRIAL
WASTE APPROVAL o
GAS SYSTEM OUTLETS 1.50 INSPECTION RECORD 2
OUTLETS OVER v
5 PER SYSTEM .30 CL.
y
Z
Plan check fee 25% of above. See reverse.
PLUMBING PERMIT ISSUING FEE S 2 00
TOTAL FEE D
APPROVALS 1 DA-FE fI6kCTOR'fLSIqqATURE
Plan check applicant UNDER SLAB WORK
Name. ROUGH PLUMBING
Address GAS PIPING
GAS VENT
city Tel. No. HOT WATER HEATER
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST • �P �, •'�
PLUMBING.
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO.NOTIFIED ' r
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF,AND INTEND TO
RESIDE IN,THE ABOVE DESCRIBED RF.SIDENTIAL P,4RtOPERTY. FINAL
SIGNATURE JACK R. ALLEN, SUPERVISIN. HANICAL EN'G'R.
OF PERMITTEE
PERMIT VALIDATION CK. M.O. CASH
PLAN.CHECTY60DATION. CK. M.O. CASH