HomeMy Public PortalAbout5715 OAK AVE_Plumbing_3/20/1967_7BA=67-CE#817 6-65
APPLICATION FOR PLUMBING PERMI LIILIIII
COUNTY OF LOS ANGELES _
DEPARTMENT OF COUNTY ENGINEERBUIL
OHNDING AND A. L MBIIES COUNTY EAFETYN( NOEER ADDRESS ,3 �7
COLEMAN W. JENKINS. Supr. OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN
NUMBER FIXTURE OR ITEM EACH
WATER CLOSET 31.25
BATH TUB
SHOWER
LAVATORY
SINK
DISHWASHER
LAUNDRY TUB
CLOTHES WASHER
WATER HEATER
CAS SYSTEM OUTLETQ_
OUTLETS OVER 5 PER SYSTEM
Fol f _h 4
1.25
1.25
1.25
1.25
1.25
1.25
1.25
1.50
1.50
.30
NEAREST
CROSS ST. C • �//
FEE OWNER �D�JO h/j /
{T �/t�U 2/: TMAIL
/1
ADDRESS .5 -TI s /V
j clrytz) . (gyp t/ r/v/� TEL. NO.,/)%
COXTRACTOIII-jrFF/2I/ �A�vST. �/UG
jj ADDRESS 11 &
��Q�� �y �f-/✓ 5T.
I CITY 40'. &0 (/ TEL. NO.STATE
LIC
LICENSE NO,. -
;21 fl�l S 7 CLA55
1 Di 1CT N . OU Z�QO/NE I VAP\R/�4`.e INDUSTRIAL
B O
- WASTE APPROVAL O
y INSPECTION RECORD lJ
/ So
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a
z
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LAAO 7 6 8 1 MAR 2 0
DATE INSPECTORS SIGNATURE
5 0 3.50-1
I
APPROVALS
UNDER SLAB WORK
PERMIT S 21
00
TOTAL FEE
ROUGH PLUMBING
,�O
GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
GAS VENT
ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
HOT WATER HEATER
PLUMBING.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
-GAS TEST
. All INTEND TO
CALIFORNIA OR T T 1 AM THE&OMEOCAE5
RESIDE IN. THE PERTY.
UTILITY CO. NOTIFIED
SIGNAEOF
P
FINAL
�LIDATION
<K. M.
O. CASH
LAAO 7 6 8 1 MAR 2 0
DATE INSPECTORS SIGNATURE
5 0 3.50-1