HomeMy Public PortalAbout5725 OAK AVE_Plumbing_10/9/1962_]6A86]1.£ii 81]
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
B RDDVG AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS
WILLIAM A. JENSEN, SUPT DF BUILDING LOCALITY00Q
NEAREST .�!
FOR APPLICANT TO FILL IN CROSS ST. Via_ L��O ( /1' Oi 'Z) J / Li /)LS
NUMBER FIXTURE OR ITEM EACH FE' yl
OWNER n//,f ,f Z Rc, h An i)iI1v
WATER CLOSES $1.25_ I MAIL '
BATH TUB 1,25 I ADDRESS
SHOWER 1.25 CITY TEL. NO.
LAVATORY 1.25 I CONTRACTOR e/If/ )r
SINE 1.25 ADDRESS �` .Z S �2 %�UUT
DISHWASHER 1.25 CITYP.('l;Pl�/�
LAUNDRY TUB 125 CONTRACTOR'S1r� STATE ❑
REGISTRATION NO. COUNTY
CLOTHES WASHER 125 DISTRICT NO. GR I ZONE I PgpOESSEp BY /
WATER HEATER 1.50 _ C l�lj
CAS SYSTEM OUTLETS 1.50 INDUSTRIAL
WASTE APPROVAL
OUTLETS OVER 5 PER SYSTEM .00 INSPECTION RECORD }
d
p o
SIGNATURE QA
OF
APPROVALS
UNDER SLAB WORK
PERMIT S 2 00
TOTAL FEE
ROUGH PLUMBING
GAS PIPING
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THISGRE APPLICATION
ANO STATE THAT THE ABOVE IS CORRECT AND AGREE
ABV COMPLY
GAS VENT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
E
HOP WATER HEATER
PLUMBING.
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED ANO/OR
PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO
GAS'TEST
RESIDE IN, THE ABOVE DESCRI 'O RESIDENTIAL
,,P OPERrY.
UTILITY CO. NOTIFIED
SIGNATURE
TE )/ �I_
FINAL
II '
VALIDATION
CK. M. D. CASH
DATE INSPECTOR'S SIGNATURE
ROBERT A. WOOD
SUPERVISING MECHANICAL ENG'R
LA;O 5 3 1 5 0 OCT 9 5 D 4.00- 4
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