HomeMy Public PortalAbout4840AGNES AVE_Plumbing (5) mwaw 8N
APPLICATION FOR PLUMBING PERMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DMSION BUILDING ol
JOHN A LAMBIE Count Enmeer ADDRESS NES L.
CASSATT D GSTFPRQ Sup't of Budding LOCALITY �Jy7A ,E e7/7Y
FOR APPLICANT TO FILL IN CRNEARES Ylea
/E� c/
NUMBER FIXTURE OR ITEM _
WATER CLOSET OWNER r
BATH TUB ADDRESS
SHOWER CITY TEL NO
LAVATORY CONTRACTOR
sm ADDRESS
DISHWASHER CITY TEL NO
TUB CONTRACTOR S STATE ❑
LAUNDRY REGISTRATION NO COUNTY ❑
CLOYHFS WASHROU
ES D13TR1 O GP ZONE ROCESSED Y
WATER HEATER
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
IAPPROVALS
as 1R0gm o I /00 DATE INSPECTOR S SIGNATURE
UNDER SLAB WORK
PERMIT $ 2100 ROUGH PLUMBING
TOTAL FEE D GAS PIPING
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER
LDESCRIBED
L COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING FIXTURES
BY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR GAS TEST I--'Z
AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
IA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE UTILITY CO NOTIFIED
RESID PROPER Y
R FINAL t'1--►-ja^�
MI E
ROBERT A WOOD
®p OVALIDATION SUPERVISING MECHANICAL ENG R
CK H O CASH
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