HomeMy Public PortalAbout4946AGNES AVE_Plumbing (2) 76A66817 12/59
APPLICATION FOR PLUIMI ING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BU KRG AAND ESAFETY DEIVlSION BUILDING �f l iJ E,S
JOHN A MBI COUNTY NG►NEER
WILLIAM A JENSEN SUP T OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST
NUMB R FIXTURE OR ITEM OWNER
WATER CLOSET, MAIL JC
BATH TUB ADDRESS
CITY TEL NO
SHOWER
LAVATORY CONTRACTOR Alert P
f sn�
ADDRESS 1 0 50, Crensbaw Bl
DISHWASHER CITY Hawtn r e TEL No op 9-7
CONTRACTORS STAVE
LAUNDRY TUB REGISTRATION NO 61 7 c-AUNTY ❑
CLOTHES WASIiEH DISTRICT GRO P Z NE BY
WATER HEATER
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INNSSP-E-CATION RECORD w
a
U
W
+ � y
v -
0 $1 00 PER ITEM
OR FIXTURE $ APPROVALS QATE, INSPECTOR S SIGNATURE
PERMIT $ 00 UNDER SLAB WORK A att.
TOTAL FEE ROUGH PLUMBING-H 6
GAS PIPING � t
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING HOT WATER HEATER
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING F_IX URES
CEtJ
LINSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT I AM THEy�/LEGAL., OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL PROPERT UTILITY CO OTIFIED
SIGNATURE ���/
OF PERMITTEP FINAL
®! VALIDATION ROBERT A WOOD
cH m 0 CASH SUPERVISING MECHANICAL ENG R
8 = Q X01 D 9C';0 M
� w