HomeMy Public PortalAbout9019 RANCHO REAL RD_Plumbing_2/3/1959_bathroom fixtures 1 '
76AB67-CE917-8-57 ;
APPLICATION FOR PLUMBING PERMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION' FBDG
S G /"�[. /eD
JOHN A. LAMBIE, COUNTY ENGINEER
GASSATT D. GRIFFIN, SUP'T of BUILDING Y ���.JpL
FOR APPLICANT TO FILL IN T
T.
NUMBER FIXTURE OR ITEM
WATER CLOSET BATH TUB S
SHOWER S TEL.NO.
LAVATORY CTO ,mss 6
SINK ADDRESS7- L1/.�'H 67w
DISHWASHER CITY t+q /Co - TEL.NO.11V,9�- Mf&3
LAUNDRY TUB CONTRACTOR'S STATE LJ
REGISTRATION NO. Z O of"?- COUNTY ❑
CLOTHES WASHER
DISTRICT NO. ZONE READY FOR INSPECTION
WATER HEATER
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
APPROVALS
C& $1.00 PER ITEM DATE INSPECTOR'S SIGNATURE
OR FIXTURE $ UNDER SLAB WORK
ROUGH PLUMBING
PERMIT S
GAS PIPING C-1 Zip
TOTAL FEE GAS VENT '
1 HEREBY ACKNOWLEDGE TI4AT 1 HAVE READ THIS APPLICATION HOT WATER HEATER
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES
PLUMBING.
IHEREBY CERTIFY THAT .1 AM PROPERLY REGISTERED AND/ GAS TEST
LICENSED AS REOUIRED BY LOS ANG LES COUNTY AND STATE
CALIFORNIA OR THAT AL OWNE OF THE A V UTILITY CO. NOTIFIED
DESCRIBED RE L RO
SIGNATUREFINAL
OFPERMITTEE
ROBERT A. WOO
ATION SUPERVISING MECHANICAL ENG'R
CASH
U ,'o 2 1;-6 i3 - :; 3 5 A 4.00