HomeMy Public PortalAbout4946 ARDSLEY DR_Plumbing__ 76A667-CE817-.8-58 �
APPLICATION FOR PLUMBING PERMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE, Count Engineer ADDRESS '
CASSATT D. GRIFFIN,Sup)rt of Building LOCALITY T�%"
FOR APPLICANT TO FILL IN NEAREST
EEA 3 ST.
NUMBER FIXTURE OR ITEM OWNER
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WATER CLOSET MAILf
BATH TUB ADDRESS
SHOWER
LAVATORY CONTRACTOR
SINS ADDRESS
DISHWASHER CIT7C ; / r EL. NO. r
CONTRACTOR'S , - ��// STATE
LAUNDRY TUB
REGISTRATION NO. "`63(::7 COUNTY ❑
CLOTHES WASHER DISTRICT NO. GROUP ZONE P QCESSED BY
j WATER HEATER
GAS SYSTEM INDUSTRIAL o
WASTE APPROVAL
INSPECTION RECORD
I
APPROVALS
EM
OR FIXTURE
$ I DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK
PERMIT $ 2100 ROUGH PLUMBING
TOTAL FEE 0 GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT /
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER —
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING �',' i �• =
PLUMBING. PLUMBING FIXTURES �H y
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED B OS ANGEL OI_NTY AND STATE OF
CALIFORNIA OR THAT I THE LEG NER OF THE ABOVE UTILITY CO.NOTIFIED
DESCRIBED RESIDENTIA OPERTY)
SOF PER TTE FINAL
ROBERT A.WOOD.
®F VALIDATION SUPERVISING MECHANICAL ENG'R
CK M.0. CASH