HomeMy Public PortalAbout5302 ZADELL AVE_Plumbing_12/15/1964_ 7GA667-CE#817 10-62 _ �' /�'��
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
DREN �—
JOHN A. LAMBIE. COUNTY ENGINEER
WILLIAM A.JENSEN,SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST r,
CROSS ST. f
NUMBER FIXTURE OR ITEM q8I.25
FEE
OWNER
WATER CLOSET MAIL
BATH TUB ADDRESS C
SHOWER 1.25 j 2 CITY r TEL. NO.
21 LAVATORY 1.25 Z CONTRACTOR
SINK 1.25 ADDRESS r✓Sq An/ Rep
DISHWASHER 1.25 CITY �.� TEL. NO _
CONTRACTOR'S /� STATE
LAUNDRY TUB 1.25
REGISTRATION NO. '7 -3 COUNTY ❑
CLOTHES WASHER 1.25 DISTRICT NO. GP ZONE PgOCESSED BY
WATER HEATER 1.50 Q
GAS SYSTEM OUTLETS
1.50 INDUSTRIAL
WASTE APPROVAL
OUTLETS OVER 5 PER SYSTEM 30 INSPECTION RECORD V
09
m �RC�Di. o
ut
o zr L.&�
U •
APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT S 2 00 UNDER SLAB WORK
ROUGH PLUMBING �L'�
TOTAL FEE ® GAS.PIPING
1
HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT
ANO STATE THAT THE ABOVE I8 CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING.
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF,AND INTEND TO
RESIDE IN,THE ABO�IE DE R ED RE DENT PROPEIITY. UTILITY CO.NOTIFIED
SIGNATURE J
OF PERMITTEE �R
FINAL
/'_%'l'ALIDATION ROBERT A I`lVOOD
CK.
M.0. CASH SUPERVISING MECHANICAL ENG'R
too 6 8 4 3:� DEC 15 5 D 7.00-