HomeMy Public PortalAbout4923 ARDEN DR_Plumbing__ 76 6A 67-CE817 12/59
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING pp /
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS
WILLIAM A. JENSEN, SUPT OF BUILDING
' LOCALITY
FOR APPLICANT TO FILL IN CRO s$ST . �Z t
NUMBER FIXTURE OR ITEM
OWNER
WATER CLOSET MAIL
BATH TUB ADDRESS
CITY TEL. NO.
SHOWER
LAVATORY CONTRACTO L
SINS ADDRES.
DISHWASHER CI L. NO.
CONTRACTOR'S STATE
LAUNDRY TUB REGISTRATION NO. COUNTY ❑
CLOTHES WASHER DISTRICT( GROUP ZONE P OCESSED BY
WATER HEATER . C./ G� _L )e, I
GAS SYSTEM �L' INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
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a
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F
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W
P.
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4�N 1'16
0 $1.00 PER ITEM
OR FIXTURE $ I APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2100 UNDER SLAB WORK
TOTAL FEE Cj ROUGH PLUMBING
GAS PIPING
1 HEREBY ACKNOWLEDGE THAT I HAVE READ 7HI3 PLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
LDESCRIBED
BING.
EREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
SED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
ORNIA OR THAT ! AM THE LEGAL OWNER OF THE ABOVE
REST gNTIAL PROPERTY. UTILITY CO.NOTIFIED
ATURE �y�Aa t:.
PERMITTE
— FINAL
®F VALIDATION ROBERT A. WOOD,
Y
CK. .0. /CASH �SUPERVISING MECHANICAL ENG'R
j u J ,
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767E8I7 3-59
APPLICATION FOR PLUMBING PERMIT �
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION ADDRESS
P JOHN A. LAMBIE, County Engineer
CASSATT D. GRIFFIN, Supt of Building=��j LOCALITY
FOR APPLICANT TO FILL IN NEAREST f/
CROSS ST. 4e"
NUMBER FIXTURE OR ITEM
OWNER n
to
WATER CLOSET MAIL
tBATH TUB ADDRESS
CITY TEL. NO.
SHOWER
LAVATORY
CONTRACTOR Alert P1bg & Ht
SINK ADDRESSSo— Crenshaw
DISHWASHER CITY Hawthorne TEL NO. Qg 9-3691
CONTRACTOR'Sp 1, STATE $J
LAUNDRY TUB REGISTRATION NO. 168479 C- 6COUNTY ❑
�. CLOTHES WASHER DIST T NO. GROUP I ZONE PRCESSED BY
WATER HEATER
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTIIOON RECORD L
l OL
Dv GIPS aw-4e
$1.00 PER ITEM
OR FIXTURE $ I APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ ZI 00 UNDER SLAB WORK �/� - ! ',-r,�.•+�%n_.c_'�v
y
ROUGH PLUMBING
TOTAL FEE lD ,p:i<' �,.•. �'+ .
GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT '
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. HOT WATER HEATER
IHEREBY CERTIFY THAT I AM PROPERLY ISTERED AND/OR - PLUMBING FIXTURES / �� A
LICENSED AS REQUIRED BY LOS ANGELES CO Y AND STATE OF GAS TEST
CALIFORNIA OR THAT I AM THE LEGAL 0 ER OF THE ABOVE _
DESCRIBED �.,RESIDENTIAL $OPERTY - UTILITY CO. NOTIFIED�
SIGNATURE ��/�• �/
OF PERMITTEE -
FINAL tA R
OF ALIDATION ROBERT A. WOOD,
CK. M.0. CASH SUPERVISING MECHANICAL ENG'R
0 1 5 5
26.5 h ��. 0f