HomeMy Public PortalAbout6563 OAK AVE_Plumbing__ .76AB�j'1'�=GE#�;2 62 - '� - ry •S �1 ,��%��- .� f" -. _
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APPEACATION.. FOR_ PLUMPING PERMIT
COUNTY-OF LOS ANGELES _ •" '
DEPARTMENT OF COUNTY'ENGINEER
BUILDING AND"SAFETY DIVISION. . ' BUILDING y .1.'
JOHN-A. LAMBIE, COUNTY ENGINEER ADDRESS 17 �/ .• obk St.,
WILLIAM A.JENSEN, SUPT OF BUILDING LOCALITY
Temle. Cit -
FOR APPLICANT TO FILL IN ' _ NEAREST
erOr -
NUMBER FIXTURE OR ITEM EACH FEE -
;OwmI;p -tt ranoes--A:. Davidson
WATER-CLOSET $1.25 ; '2 Q .MAIL
BATH TUB . I.25 ADDRESS6210 Go I&
West
SHOWER 1.25 CITYTe11I. ?e 'Clt ,' TEL. NO.. -4-4134
2 '
LAVATORY 1;� CONTRACTOR_Van CurEII.=PTtalbng
2 0 .
: •T SINS 145 1 2 ADDRESS 42 ' �. Chestnut St o
•L DISHWASHER' 1.25 1E •2 CITYMon�:ovia- Calf oft. NO.2 o'� -
LAUNDRY TUB .1.25 REGISTRATION NO..- 191651. COUNTY
+'CLOTHES WASHER 1.25 2 DISTRICT NO. GRP P,, I ZONE OCESSED.BY
1 WATER HEATER 1.50 l 50 ,
1.50' IlfD STRIAL
'GAS SYSTEM • OUTLETS �- O WASTE APPROVAL
OUTLETS OVER'5 PER-SYSTEM :30 INgpECTIO1N RECORD41 �{ a
�. 0
�- Lu
APPROVALS DATE .' iNSP C.TOF;jSGNATU RE
PERMIT S 2' 00 :UNDER SLAB WORK
ROUGH PLUMBING' -g-( p•wr+Pl ,,y
TOTAL FEE :Z:
_ GAS PIPING -
I.HEREBY ACKNOWLEDGE THAT.I HAVE READ THIS APPLICATION 'GAS.VENT -
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING '-
PLUMBING. HOT'WATER HEATER
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR _PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE .OF GAS TEST ;� 7+''T'3- �'"�•''''•'r+
CALIFORNIA OR THAT I AM.THE LEGAL OWNER OF,AND INTEND TO
RESIDE IN,THE ABOVE DESCIBED RESIDENTIAL PROPERTY. - UTIL-ITY CO.NOTIFI f -
SIGNATURE
OF PERMITTEE
LIDATION RO ERT A.WOOD ,
CK. M.0.,:, CASH SUPERVISING MECHANICAL'ENG'R
A. - -•
C.0:5: 4 3 0 FEB... �. 5, D :'i X7..5 Or- a
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