HomeMy Public PortalAbout4847 BALDWIN AVE_Plumbing__ 76A667 CE817 8 58
APPLICATION FOR PLUMBING PERMIT
COUNTY 1
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DMSION BUILDING zle,J 7 i
JOHN A LAMBIE County Eng�aeer ADDRESS i //
SSATT D GRIFFIN Supt of Building
LOCALITY ,
FOR APPLICANT TO FILL IN NEAREST
CROSS ST —�
NUMBER FIXTURE OR ITEM
OWNER
WATER CLOSET MAIL
BATH TUB ADDRESS
SHOWER CITY TEL NO
LAVATORY / CONTRACTOR �j
SINK / ADDRESS
DISHWASHER CITY TEL NO _/,5V
LAUNDRY TUB CONTRACTOR S STATE
REGISTRATION NO 1"e,72>Z-2,— COUNTY
CLOTHES WASHER DISTRICT NO GROUP ZONE P CESSED Y
WATER HEATER
GAS SYSTEM INDUSTRIAL
lz WASTE APPROVAL
INSPECTION RECORD
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APPROVALS
OBPFIXTURE $ 7
ER ept DATE INSPECTOR S SIGNATURE
UNDER SLAB WORKPERMIT $1 2100 ROUGH PLUMBING
TOTAL FEE GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT c n
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 I AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE UTILITY CO NOTIFIED
DESCRIBED RESIDENTIAL PROPS p
TY --
SIGNATURE �j6v L
OF PERM ITTEP '_ FINAL
ROBERT A WOOD
OF
VALIDATION SUPERVISING MECHANICAL ENG R
CK M 0 CASH
Lp,Co2942�; SEP 21. 5 A 900 M