HomeMy Public PortalAbout6127 AVON AVE_Plumbing__ 76A667 CE817 8 58
APPLICATION FOR PLUMBING PERMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DMSION BUILDING
]rOHN A LAMBIE Co— Eng�aeer ADDRESS .0
CASSATT D GRIFFIN Sup t of Suild�ng LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST
NUMBER FIXTURE OR ITEM
OWNER
WATER CLOSET MAIL
/ BATH TUB ADDRESS
SHOWER CITY TEL NO
LAVATORY CONTRACTOR d
1 SmK ADDRESS //3
DISHWASHER CITY �j./Z—ivl��p- TEL NO yo fO J�lo�
CONTRACTOR S STATE
LAUNDRY TUB REGISTRATION NO ` 3 G- to-d COUNTY
CLOTHES WASHER DISTRICT NO G�RqUP E P SSED BY
/ WATER HEATER � r >�
GAS SYSTEM WASTE WASTE APPROVAL
INSPECTION RECORD
T o n5 F_ /D /a D.D L
7Ws ,c 4140 0A1 AI G<-o
L
6/ ,"A-
APPROVALS
@ $1RF�E00 PER
OS I �Da DATE INSPECTOR S SIGNATURE
UNDER SLAB WORK
PERMIT $ 2100 ROUGH PLUMBING J
TOTAL FEE I 9P d�:%- GAS PIPING ,.- I ow
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT 4/
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING �1
PLUMBING PLUMBING FIXTURES
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE UTILITY CO NOTIFIED /0-4;%15i
DESCRIBED RESIDENTIAL PROPERTY
SIGNATURE
OFPERMITTE N FINAL 6-� ��/'
ROBERT A WOOD
OF
VALIDATION SUPERVISING MECHANICAL ENG R
cK m 0 CASH
p�CO 8 8 5 8 jYL 2 5 A 9 0 ('
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