HomeMy Public PortalAbout5715 OAK AVE_Plumbing_5/3/1967_76A667-CEN817 2-66
APPLICATION FOR PLUMBING PERMIT -11
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS. SUPT. OF BUILDING
FOR APPLICANT TO FILL IN
NUMBER FIXTURE OR ITEM .EACH FE
WATER CLOSET 31.25
BATH TUB 1.25
SHOWER 1.25
LAVATORY 1.25
SINK 1.25
DISHWASHER 1.25
LAUNDRY TUB 1.25
CLOTHES WASHER 1.25
WATER HEATER 1.50
GAS SYSTEM -3 OUTLETS "So �SLT
OUTLETS OVER 5 PER SYSTEM .30
BUILDING
t /�
ADDRESS
STATE
LOCALITYNEAR
S7�rALO/aK AVL`
CROSSSST.
E• L/VF Oitlf
OWNER �11A) 1? �9>✓n�tFi7>✓
MAIL
ADDRESS
G1
j CITY
TEL. NO.
' CONTRACTOR Cl-6e-IL7LP
ADDRESS
- INDUSTRIAL
CITY
APPROVALS DATE INSPECTOR5 SIGNATURE
TEL. NO.
STATE
PERMIT $ 2 00
LIC
LICENSE NO.
ROUGH PLUMBING
CLASS
y DISTRICTI
G1
I/ZiE I PROCESSED 6Y
ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
GAS VENT
��('_�
- INDUSTRIAL
PLUMBING.
�
WASTE APPROVAL
PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
-
INSPECTION RECORD
L&o8352m MAY 3
5 D 5.00" 15
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APPROVALS DATE INSPECTOR5 SIGNATURE
UNDER SLAB WORK
PERMIT $ 2 00
.{—
TOTAL FEE
ROUGH PLUMBING
GAS PIPING
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
GAS VENT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
HOT WATER HE
HEATER
PLUMBING.
IHEREBY CERTIFY THAT I AM PROPERLY REGISTERED ANO/OR
PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
-
CALIFORNIA OR THAT A THE LEGAL OWNER OF, NTENO TO
GAS TEST
RESIDE IN. THE AB DEi RIBED RESIDE TIALP
_
UTILITY CO. NOTIFIED
SIGNATURE A[�
IG ATUREPERMITTE
i I
t FINAL
VALIDATION JACK R. ALLEN
CK. M. 0. CASH SUPERVISING MECHANICAL ENG'R.
L&o8352m MAY 3
5 D 5.00" 15
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