HomeMy Public PortalAbout6347 OAK AVE_Plumbing__ OBS-17 f0-SS APPLICATION FOR PLUMBING PERMIT .1
OBS-17
DIVISION OF BUILDING AND SAFETY
Dep-I ent of County Engineer p
County of Los Angeles BUILDING
JOHN A.L.AMBIE. COUNTY ENGINEER ADDRESS •4+ �� �{� Gz//(
CASSATT D.GRIFFIN.SUPT OF BUILDING
LOCALITY
FOR APPLICANT TO FILL IN NEAREST'
CROSS ST. —
OWNER /!/L f /t/A.4,
.L/ DISTRICT NO. GROUP ZONE READY FOR INSPECTION
MAIL
ADDRESS G f U_ ✓� I I
INDUSTRIAL
CITY TEL.NO WASTE APPROVAL
PLUMBER t N �J
INSPECTION RECORD
ADDRESS � d�� ,I
CITY �/(r -�(�LZ/(/ L TEL.NO. J
LICENSE NO. 7 I v,3 7
NUMBER - TYPE OF FIXTURE OR ITEM FEE
Y WATER CLOSET (TOILET). . @ $1.00
BATH TUB @ $1.00
SHOWER @ $1.00
LAVATORY (WASH BASIN) @ $1.00 Y
KITCHEN SINK @ $1.00
DISHWASHER' @ $1.00
LAUNDRY TUB OR TRAY @ '$1.00
CLOTHES WASHER @ $1.00
WATER HEATER @ $1.00
GAS SYSTEM @ $1.00
APPROVALS
DATE INSPECTOR'S SIG`N'ATURE
N
UDER S WORK g l�•
PERMIT $ 7 00 ROUGH PLUMBING
GAS PIPING.
TOTAL FEE 00 GAS VENT ail
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY . HOT WATER HEATER
WITH ALL COUNTY ORDINANCES* AND STATE LAWS REGULATING
PLUMBING. PLUMBING FIXTURES x
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF _ !
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE UTILITY CO.NOTIFIED
DESCRIBED RESIDENTIAL PROPERTY. I
SIGNATURE
OF PERMITTEE FINAL
IOHN A.L.AMBIE.COUNTY ENGINEER ATION ROBERT A..)AOD,CHIEF PLBG. INSPECTOR
x. 7an -.2
0. CASH
p ' 02 8 APR 17 3 A 1 0.0 0 M