HomeMy Public PortalAbout5001 1/2 ARDEN DR_Plumbing__ 76A667-CE817 3-59
APPLICATION FOR PLUMBING PERMIT,
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE, County Engineer
CASSATT D. GRIFFIN, Sup t of Building LOCALITY �d
FOR APPLICANT TO FILL IN NEAREST ` y�
V
NUMBER FIXTURE OR ITEM CROSS ST. V V
OWNER
WATER CLOSET MAIL
BATH TUB ADDRESS
SHOWER CITY TEL, NO.
LAVATORY CONTRACTO C
SINK ADDRESS 410 SO GARFIELD - Al 2-2604
DISHWASHER CITY O
CONTRACTOR'S STATE
COUNTY El
TUB REGISTRATION NO. w
r
CLOTHES WASHER DISTRICT NO. GROUP ZONE PaQCESSED BY
WATER HEATER
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
5 '
via
@ $1.00 PER ITEM
+� OR FIXTURE $ l APPROVALS DATE INSPECT R'S SIGNATURE
PERMIT Q QO i; UNDER SLAB WORK
TOTAL FEE -tr ROUGH PLUMBING
GAS PIPING A b
3f I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION °
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENTWITH ALL _
PLUMBING. COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES p1<
LICENSED AS REQUIRED BY OS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE 6
DESCRIBED RESIDENTIAL PR ERTY. r UTILITY CO.NOTIFIED
SIGNATURE
OF PERMITTE
FINAL
Or ALIDATION ROBERT A. WOOD,
CK. M.o. CASH SUPERVISING MECHANICAL ENG'R
..is03854 JUL2 5 0 Q. 13