HomeMy Public PortalAbout4840 ARDEN DR_Plumbing__ 76A667 CE817 11 57
4
APPLICATION FOR PLUMBING PERMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A LAMBIE County, En weer ADDRESS /
CASSATT D GRIFFIN Sup t of Building LOCALITY L
FOR APPLICANT TO FILL IN NEAREST
CROSS ST
NUMBER FIXTURE OR ITEM
Q
WATER CLOSET OWNER
MAIL
/ BATH TUB ADDRESS
SHOWER CITY TEL NO
LAVATORY CONTRACTOR &-g 7Z o /I,
SINS ADDRESS
DISHWASHER CITY Al;';TEL NO
LAUNDRY TUB CONTRACTOR S / a STATE
REGISTRATION NO ! GJ COUNTY ❑
CLOTHES WASHER GRO ZONE READY FOR INSPECTION
DISTRICT NO
WATER HEATER ,_�
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
f INSPECTION RECORD
0)
Z114,
cry PRO S
7 oH°FI> z a d O DATE SPECTOR S SIGNATURE
UNDER SLAB WORK
PERMIT $ :2100 ROUGH PLUMBING �S
TOTALFEEQ(, GAS PI PING
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP LICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING PLUMBING FIXTURES
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST /1 �n
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE UTILITY CO NOTIFIED
DESCRIBED RESIDE TI PFOPERTY
SIGNATURE
OFPERMITT �'! a--/�{�- FINAL 'h �
ROBERTA WOOD
®P VALIDATION/ +�UPERVISING MECHANICAL ENG R
CK M 0 (/�C/ASH /)
c
L ACO 5 7 1 8 u° OST 14 5 A 900
ri