HomeMy Public PortalAbout6517 OAK AVE_Plumbing__ 7�_O0 CEf31710-60 "
APPL:ICA`I'ION OR' OL,UMBING ERMIT - �-
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY-ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS
WILLIAM A. JENSEN, SUPT OF RumoING LOCALITY
FOR APPLICANT TO FILL IN NEST
CROSSST.
NUMBER FIXTURE'OR ITEM OWNER „
WATER CLOSED MAIL
BATH TIB ADDRESS .
CITY ..TSL.NO.
•S80WSRVA
LAVATORY CONMCTO
Box ADDRESS
I)MMASHER CITY ' .NO.
NTRACTW-LAUNDRY MR REGISTRATION NO. �r CODNT�Y ❑
CLOTHES WASBER DISTRICT y0:_ GROUP ZONE CESSED BY
WATER BEATER g OY
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL _ }
INSPECTION.RECORD, D-
M 0
O
A.B O80 M
APPROVALS oD TE• INsPgcrolt•s SIGNATURE
PERMIT $ 2100 UNDER.SLAB WORK
'TOTAL FEE R ROUGH :PLUMBING Y I. tyr
(J GAS PIPING. ftil L!
I HEREBY ACKNOWLEDGE THAT I HAVE READ-THiS AIPPLICATION
Y AND STATE THAT-THE ABOVE IS CORRECT AND AGREE.TO'COMPLY GAS VENT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEALER
PLUMBING. -
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OIt PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE of GAS TEST
CALIFORNIA OR THAT I AM THE LEGAL OWNER .OF THE ABOVE
DESCRIBED BESIDE PROPERTY. _ . UTILITY CO.NOTIFIE )
SIGNATURE
OF PERMITTE 1 FINAL
ATI ON R ERT A. WOOD
cK. M:o. CASH S PERVISING MECHANICAL ENG'R
LACo-1 6 6 7Z8 Iluv 17 . 5 D 12 .0 0tD