HomeMy Public PortalAbout6129 AVON AVE_Plumbing__ 76A667 CESI7 S 58
APPLICATION FOR PLUMBING PERMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DMSION BUILDING
JOHN A LAMBIE Count?En eer ADDRESS 2-
CASSATT D GRIFFIN Sup t of Building LOCALITY �a
FOR APPLICANT TO FILL IN LARNE BTT 1
NUMBER FIXTURE OR ITEM
OWNER
WATER CLOSET MAIL
BATH TUB ADDRESS
SHOWER CITY TEL NO
LAVATORY CONTRACTOR VY
SINS ADDRESS
DISHWASHER CTfY TEL NO y
CONTRACTOR S // STATE
LAUNDRY TUB REGISTRATION NO COUNTY ❑
f CLOTHES WASHER D
ISTRICT NO GROUP N P SSED BY
WATER HEATER ? .
1 GAS SYSTEM STRIAL
TE APPROVAL
INSPECTION RECORD
�s�s710, TF__S'T ,9j112
rrEM APPROVALS
OR 00 PPf7C1�[I8 $ i6�
` DATE INSPECTOR S SIGNATURE
UNDER SLAB WORK 7- A/
PERMIT $ 2100 ROUGH PLUMBING
TOTAL FEE GAS PIPING H'
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT �I
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER �D�
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ''
PLUMBING PLUMBING FIXTURES 9-R9-155 �I t
1HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR GAS TEST 9�I 41--,V9 �'jlj
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE UTILITY CO NOTIFIED 10 —J c
DESCRIBED RESIDENTIA PROPER
l
SIGNATURE Jv
OF PERM 177E FINAL
ROBERT A WOOD
®P VALIDATION SUPERVISING MECHANICAL ENG R
CK m O CASH
; 885 52 5 A yQQ N
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