HomeMy Public PortalAbout5001 ARDEN DR_Plumbing__ 76A667-CE817 3-59
i
APPLICATION FOR PLUM ING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION fl)DRESS
UILDING ,�
JOHN A. LAMBIE. County Engineer
CASSATT D. GRIFFIN. Sup't of Building
OCALITYFOR APPLICANT TO FILL IN EARESTROSS ST. Rs
NUMBER FIXTURE OR ITEM
OWNER
WATER CLOSET MAIL /
BATH TUB ADDRESS
CITY TEL. NO.
SHOWER 1 1 f'[V
LAVATORY
CONTRACTO1;Td1C�!'�T,. ,z;., PARK PLUMBING CO. INC.
SIN$ ADDRESS 410 S0. U RFIELD - AT 2-2604
DISHWASHER
CITY 71, T . KCAL NI
CONTRACTOR'S t STATE
LAUNDRY TUB REGISTRATION NO. / COUNTY ❑
CLOTHES WASHER DISTRICT NO. GROO-U—P- I ZONE P5Ie59SSED BY
WATER HEATER I a.�,L_ l✓L
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
@ $1.00 PER ITEM I a
y- OR FIXTURE $ APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2100 UNDER SLAB WORK
TOTAL FEE ROUGH PLUMBING
GAS PIPING
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP LI CATION
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
1HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT I IM
THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL ROPERTY. UTILITY CO.NOTIFIED
SIGNATURE
OF PERMITTE
FINAL
®F VALIDATION ROBERT A. WOOD.
cK. % Y.o. CASH SUPERVISING MECHANICAL ENG'R