HomeMy Public PortalAbout9068 ACASO DR_Plumbing_9/24/2014_PL 0508 03130018 (8) 76A607-CEe17 10-60 r
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION DUUMING Vti
JOHN A LAMBIE, COUNTY ENGINEER ADDRESS
WILLIAM A JENSEN, SUP T OF BUILDING
LOC'L �^L Nf P& �= C I T-
NE
FOR APPLICANT TO FILL IN NECROAREST /- G 1'14 1 T A
NUMBER FIXTURE OR ITEM OWNER /✓( v
WATER,CLOSE! 't �^
BATH TOB ADDRESS D b g✓ A G Ai SO ' J %®'
SHOWER CrYT '/�Po f Cl T L NO e
LAVATORY
CONTRACTOR C j, 'p F o R p L W H i T l:
SIIIK ADDRESS (k, S% /S' I 1 W D-
DISHWASHER CITY P Aj M TEL. NO.A . . ,-sem
I STA
LAUNDRY TOB BCEGB3T8ATION No.19- �� �j COUNTY
CLOTHES WASHER / DISTRICT NO. I GROUP ZONE I rjWESSED BY
WATER HEATER �I
GAS SYSTEM!" INDUSTRIAL
WASTE APPROVAL }.
/ J INSPECTION RECORD O
/ r 0
_ R � O
•
All
0 5100 PER r=
OR FDCfURE $ APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2100 UNDER SLAB WORK
TOTAL FEE ROUGH PLUMBING
GAS PIPING I I I
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION 1
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING HOT WATER HEATER '
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES ,1
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE GAS TEST
DESCRIBED RE IDENTIAL PROPEfiTY. UTILITY CO NOTIFIED
SIGNATURE 4
OF PERMITTE FINAL
VALIDATION ROBERT A-WOOD
cK -M o CASH SUPERVISING MECHANICAL ENG R
1�,,j 0 1 4 8 o I t R?9 5 U 5.00
��