HomeMy Public PortalAbout9084 ACASO DR_Plumbing_4/14/1959_ 7sA667-CE817-a-ss(
APPLICATION FOR PLUMBING PERMIT r
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION ADDRESS b 8 �,
JOHN A LAMBIE, County Eng�near
T!D GRIFFIN,Sup-t of Ruilehng LOCALITY l' P I
FOR APPLICANT TO FILL IN CROSS
NUMBER FIXTURE OR ITEM A MAIL c ��`�
OWNER
WATER CLOSET
BATH TUB ADDRESS !�Z
SHOWER CITY A r*CDjPl TEL NO
LAVATORY CONTRACTOR L I
SINK ADDRESS 3`Z S dTj y
DISHWASHER CITY -�, W 4TL TEL NO �I 3 7
LCONTRACTOR S
LAUNDRY TUB
REGISTRATION NO COUNTY El
CLOTHES WASHER DISTRIC O GROUP ZONE P OCESSED Y
WATER HEATER .r — 1
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
APPROVALS
` OR FnER ITEM
rf R8 a
` � DATE INSPECTOR S SIGNATURE
UNDER SLAB WORK
PERMIT S 2100 ROUGH PLUMBING
TOTAL FEE 3,� GAS PIPING
I HEREBY ACKNOWLEDGE THAT 1 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
PLUMBING PLUMBING FIXTURES
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE UTILITY CO NOTIFIED
DESCRIBED RESIDENTIAL PROPERTY
SIGNATURE
OF PERMITTEE C111 FINAL
ROBERT A WOCID
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®p ALIDATION SUPERVISING MECHANICAL ENG R
CIC H 0 CASH 1 +
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t,'1, 4 9 8 8 0 APR 14 5'�'A 3.0 0 `en'