HomeMy Public PortalAbout4918 BALDWIN AVE_Plumbing__ (2) 76A607 CE617 10 60 ��� � �
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APPLICATION FOR PLI_JIM PERMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUMDING AND SAFETY DIVISION BUILDING
JOHN A LAMBIE COUNTY ENGINEER ADDRESS
WILLIAM A JENSEN SUP T OF BUILDING
LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST
NUMBER FIXTURE OR ITEM OWNER
WATER CLOSET buLIL
ADDRESS
BATH TUB
CITY TEL NO
SHOWER
l cONTRAcTORAlert Plbg & Htg.
LAvaroaY
ADDUM 13933 So. Crenshaw Blvd.
sura
DISHWASHERCITY Hawthorne TEL NO OS 9-3691
CONTRAATE
LAUNDRY TUB REGI ATION No 193617 C-36 COUNNTYY
f CLOTHES WASHER DIST R O GROUP ZONE PRO E88ED BY
1 WATER HEATER I
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL }
INSPECTION RECORD d
O
a
z
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f
SI 00 PER ITEM �/}/�V� '
OR rMUSE $ / & APPROVALS DATE INSPECTOR S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK 6 /0''lolI
TOTAL FEE47 iy�l ROUGH PLUMBING �/ +
VV GAS PIPING
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION /f
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT A .I J7
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER 1 Al)--.
PLUMBING
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES ).J�7,I D �yrf'✓ �` '�
LICENSED AS REQUIRED BY LOS ANGELES COUNTY ANDSTATE OF GAS TEST
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL PROPERTY UTILITY CO NOTIFIED i F�
SIGNATURE
OF PERMITTWW
FINAL t�/�3A's
r` ALIDATION ROBERT A WOOD
CK _ M o CASH SUPERVISING MECHANICAL ENG R
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