HomeMy Public PortalAbout5430 ARDEN DR_Plumbing__ 76A667-CE317 3-59
APPLICATION. FOR •PLUMBING PERMIT
COUNTY OF•LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER 'p "�
BUILDING AND SAFETY DIVISION BUILDING -57
y.
JOHN A. LAMBIE. County Engineer, ADDRESS 3�e .0-4,
CASSATT Do,GRIFFIN, Sup't of Building
a LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM as f
OWNER
WATER CLOSET MAIL
p SATH.,TUB ADDRESS
CITY TEL. NO.
SHOWER
LAVATORY CONTRACTORc
/. SINS ADDRESS
DISHWASHER CITY TEL. NO. `7
CONTRACTOR'S STATE
LAUNDRY;TUB, U REGISTRATION NO. :� V,J�-1 COUNTY ❑
/ CLOTHES WASHER DISTRICT NO. GROUP ZONE PROCESSEDZY
"-WATER HEATER': I r
INDUS AL
-GAS SYSTEM WASTE APPROVAL
INSPECTION RECORD
cs?w.-
@- $1.00 PER ITEM' .OR FIXTURE $
APPROVALS DATE INSPECTOR'S SIGNATURE
._ PERMIT $ 21-00 UNDER SLAB WORK' - -'
TOTAL'FEE �A �� ROUGH PLUMBING 6y, 0
LLQ` GAS PIPING.. {
I .HEREBY ACKNOWLEDGE THAT 1 HAVE. READ THIS APPLICATION ) ..
AND STATE THAT THE ABOVE AS CORRECT'AND AGREE TO COMPLY .GAS.VENT
WITH ALL COUNTY' ORDINANCES AND•STATE LAWS REGULATING HOT WATER HEATER i
PLUMBING'. - - /. -n
-1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES �:,t�p- tow•--.•..
LICENSED AS .REQUIRED BY LOS ANGELES COUNTY AND STATE OF - v ..0
CALIFORNIA OR THAT I AM, THE LEGAL OW ER THE ABOVE GAS TEST'
DESCRIBED RESIDENTIAL,PR&P T UTILITY CO. NOTIFIED.
SIGNATURE �OF PERMITTE
FINAL
Of, LIDATION ROBERT A. WOOD, 1
CH: M.C. CASH SUPERVISING MECHANICAL ENG'R _
P '1