HomeMy Public PortalAbout5018 BALDWIN AVE_Plumbing__ I
76A667 CE#'B17 5 61
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUII.DING
JOHN A LAMBIE COUNTY ENGINEER ADDRESS O/
WILLIAM A JENSEN SUP T OF BUILDING A LOCALITY rn�f
vv FOR APPLICANT TO FILL IN NEST
CROSS Si L ac) 1;
NUMBER FIXTURE OR ITEM OWNER
I WATER CLOSET SIL
ADDRESS
BATH TUB
CITY TEL NO
SHOWER
LAVATORY CONTRACTOR Ale1 t Plumbing & Heating
SINK
ADDRESS 13933 So. Ci enshaw Blvd
DISHWASHER
CITY Hawthorne TEL NOOS 93691
CONTRACTOR R 19361,21 C-36STATE
LAUNDRY TUB BEGMMTION NO COUNTY ][01
I CLOTHES WASHER DISTRICT NO G74-
ROUP ZONE I PRSED BY
WATER HEATER / Lr O0.
GAS SYSTEM INDUSTRIAL 0
WASTE APPROVAL
INSPECTION/RECORDIL
n'
Lu
Vl
a $1FPER
OR IRTUREJC�_9 LJA�4`
APPROVALS TTE INSPECTaR 8 E1 URE
PERMIT 2 OO UNDER SLAB WORK
/TOTAL FEE ROUGH PLUMBING
L GAS PIPING
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT i �.
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER �, �+Iy✓
PLUMBING
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES 13y -7_777;
`N 'Y
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT I AM T GAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL PROP TY UTILITY CO NOTIFIED
SIGNATURE
OF PERMITTEE FINAL 3
_ , ALIDATION ROBERT A WOOD
CK 1 M O CASH SUPERVISING MECHANICAL ENG R
4jL0 17, 57- ,nM17 5D 11.25- q