HomeMy Public PortalAbout5428 BALDWIN AVE_Plumbing__ 76A667 12EB17 3-59 .�
APPLICATION F'O PI.,UMBIN PERMIT"
� COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DMSION BUILDING ¢
JOHN A LAMBIE County Engmeer ADDRESS
CASSATT D GRIFFIN Sup t of Building LOCALTfY
FOR APPLICANT TO FILL IN CROSS TT
NUMBER FIXTURE OR ITEM OWNER ✓S
WATER CLOSET MAIL p
BATH TUB ADDRESS
/ SHOWER CITY TEL NO
3 LAVATORY CONTRACTORFontana Plumbing Contr.
SINS
kADDRESStor
DISHWASHER Y C 1 of Ind TEL NO Ed. 7-7226
NTRACTO S STATE ❑LAUNDRY TUB GISTRATION NO COUNTY
/ CLOTHES WASHER DISTRICTZ GROUP ZONE PRqCE.SSED BY
/ WATER HEATER 6
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
$1 >
l T OR F XTQi� / >4
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$ APP ppVALS DATTE! INSPECTOR S_SIGNATURE
PERMIT $ 2 00 UNDER SM'WORK—H
TOTAL FEE ROUGH PLUMBING
Q GAS PIPING ,I
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT J
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING HOT WATER HEATER
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND' STATE OF GAS TEST
CALIFORNIA OR THAT AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTI PROP RTY _ UTILITY CO NOTIFIED
SIGNATURE -
OF PERM ITTE �
FINAL f r
®" ATION ROBERT A WOOD
CK too CASK SUPERVISING MECHANICAL ENG R
UICO 4 3 9 6 11 PUG 5 D 1400 "