HomeMy Public PortalAbout6239 OAK AVE_Plumbing__ 78AB67-CE817-11-57 . dR l(g'`.44 L (37T �/Y
APPLICATION FORPLUMBING PERMIT
COUNTY OF LOS ANGELES ! '
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION r BUILDING
JOHN A. LAMBIE, Count Engineer ADDRESS
CASSATT D. GRIFFIN,Supt of Building LOCALITY
1
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
{; NUMBER FIXTURE OR ITEM
WATER CLOSET OWNER
HATH TUB ADDRESS > `
i CITY TEL. O.
SHOWER
/ LAVATORY CONTRACTOR
1 SINK ADDRESS
DISHWASHER CITY
CONT O '3 STATE
LAUNDRY TUB REGISTRATION NO. • —4OUNTY ❑
CLOTHES WASHER DISTRICT NO.' GROUP ZONE 'READY FOR INSPECTION
WATER HEATER i
GAS SYSTEM WASTE
' WASTE APPROVAL
INSPECTION RECORD
A
APPROVALS
0 $1.00 PER ITEM � DATE INSPECTOR'S SIGNATURE
OR FZSTURE $ I UNDER SLAB WORK
PERMIT $ 00 ROUGH PLUMBINGV,
TOTAL FEE a GAS PIPING;
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT A
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER I
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. PLUMBING FIXTURES
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR GAS TEST ff C3
F
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE L OWNER OF THE ABOVE UTILITY CO.NOTIFIED (1 11
DESCRIBED RESIDENTIAL PROPERTY.
SIGNATURE FINAL
n
OF PERM EE
ROBERTA.WOOD.
OF VALIDATION SUPERVISING MECHANICAL ENG'RS --
N.O. CASH q
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