HomeMy Public PortalAbout5715 OAK AVE_Plumbing_10/16/1956_7SAE6T
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D69.IT-tO.9K ION FOR PLUMBING PERMIT
DIVISION OF BUILDING AND SAFETY
Department of CountyEngineer euiL,el.ua,lH..n ,1 ...1, n.1, 11-1911111-1 116, 1 gal. ,, a.e lml 6a
Count of Los Angeles LDINc r L^ [T
JOHN A. LAMBIE, COUNTY pppEttttttNGIN}E1�ETR ADDRESS ,�7 Da�
LOCALI
i OWNER �)OR APPLICANT�T FILL IN n.,ldlnlla.'`RSS TM. �/I �IuJNll,l l61 bu1� READY FOR
LASS T N, SUPT OF I I. 11. LII
G /o C IIAL ..1,11 .1, it III, W, �n al Lh. ema,l imli haul e
DISTRICT NO. GROUP, N INSPECTION
MAIL
ADDRESS
CITY Te) Acv/
SA W
6
MA r ti Z A!
TEL. NO.
PLUMBER '_] _ 6 JI' &,,
Al
ADDRESS Ja4l
CITY (sMZTEL
NO.
LICENSE NO. -
NUMBER I TYPE OF FIXTURE OR ITEM
/- I WATER CLOSET (TOILET) @
BATH TUB @
SHOWER @
311 LAVATORY (WASH BASIN) @
KITCHEN SINK @
DISHWASHER @
I LAUNDRY TUB OR TRAY @
I CLOTHES WASHER @
J WATER HEATER @
I GAS SYSTEM @
PERMIT
TOTAL FEE
'- INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION 9
FEE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER
S 1.00
h i
00
{ -
I HECERTIFY THAT 1 AM PROPERLY REGISTERED ANDI = GAS TEST
$1.00
100
4 11 --
SIGNATURE n^ ' - ��
S1.00
"00IS
,
JNlull IIII.IIIIIIi.Il I,111 611111111. 11.1. 11011111 1 I II D. I i I II. Ii I I II 11 II I1. 6 .1 11,1 A 10.111
OHN A. LAMBIE. COUNTY ENGINEER VALIDATION ROBERT
A. WOOD. CHIEF PLBG. INSPECTOR
CK. Y. 0. CASH
$1.00
1 3 7 IN, OCT 16 3
G
51.00
�
BOIy
_—
S1.00
-
--
S1.00
/I��-•
$1.00
SI.00
IIB&'
51.00
II90
I
I
APPROVALS
I
=
DATE
INSPECTOR'S SIGNATURE-
UNDER SLAB WORK
I
I
PLUMBING
1pll•�lss..
ila._�____
$ i
00 ±ROUGH
GAS PIPING
a GAS VENT
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION 9
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING';
1 {
PLUMBING. PLUMBING FIXTURES
{ -
I HECERTIFY THAT 1 AM PROPERLY REGISTERED ANDI = GAS TEST
U 4
LICENSED AS REQUIRED BY LOS ANGELES OUNTY AND STATE OF
CALIFORNIA OR THAT I AM TH LEGAL WNER OF THE ABOVE ±UTILITY CO. NOTIFIED
DESCRIBED RESIDENTIA PROPE w
4 11 --
SIGNATURE n^ ' - ��
I -
OFPERMITTEE _!!• _ /[� FINAL
JNlull IIII.IIIIIIi.Il I,111 611111111. 11.1. 11011111 1 I II D. I i I II. Ii I I II 11 II I1. 6 .1 11,1 A 10.111
OHN A. LAMBIE. COUNTY ENGINEER VALIDATION ROBERT
A. WOOD. CHIEF PLBG. INSPECTOR
CK. Y. 0. CASH
1 3 7 IN, OCT 16 3
1 2.0 O In