HomeMy Public PortalAbout6622 OAK AVE_Plumbing__ (2) 76X667-CEBI7 8-59
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEERcl. `
BUII.DING AND SAFETY DIVISIONRUILDING
A. 1
JOHN LAURIE,Count T er ADDRESS
_
TT D. GRIFFIN.Sup t of luildinff LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM
OWNER
WATER CLOSET
MAIL
RATS TUB ADDRESS
SHOWER CITY TEL.
LAVATORY CONTRACTOR ��^^
slNs ADDRESS
DISHWASHER CTfY � TEL. NO.47—y5179_
TUB CONTRACTOR'S STATE
LAUNDRY BEGISTRATION NO. 36 COUNTY ❑
CLOTHES WASHER DISTRICT NO. GROUP ZONE PR EBBED BY
WATRA HEATER ��
GAS SYSTEM INDUSTRISL
WASTE APPROVAL _
INSPECTION RECORD
/ 0 08 F11{�ITRE r
$ APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK
TOTAL FEE ROUGH PLUMBING
I HEREBY •ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS PIPING AND STATE THAT THE ABOVE 13 CORRECT AND AGREE TO COMPLY GAS VENT
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 NGELES C NTY AND STATE OF GAS TEST
CALIFORNIA OR THAT I A E LEGAL ER OF H ABOVE
DESCRIBED RESIDENTIAL PERT UTILITY CO.NOTIFIED
SIGNATURE
OF PERMITTE FINAL �F
®■ ATION ROBERT A.WOOD,
ca. a.0. CASE SUPERVISING MECHANICAL,ENG'R
VACO 0 6 5 3 MAY 1. 5 A 3.0 0