HomeMy Public PortalAbout5943 BARTLETT AVE_Plumbing__ 78A8Bj-CF817-1157
APPLICATION FOR PLUMBING PERMIT 1
COUNTY OF LOS ANG 3, +
DEPARTKM OF COUNTY ENGUMM
HIIII.DI]!fG A11D SAFETY Drvmiox s>rffn�a T.AJOM Q, 594$ Bartlett St,
c�Tr D. �, t5v-n � rocaraTT San .Gabriel,
FOR APPLICANT TO FILL IN NEAHEkHermosa Ave
NUI�EER FIXTU-RKOR ITEM
�� R ar
1 wATsa Q.oet�
1 DATE TM � � 0/0 9130 86Ilance
KROWER ciTT Los Angelegy L m. No.
LSVAT03T owTucroE Robbix.s & Wann Plb .& H
etla ADDME
' D7tSWA»H cn r TEL NO.
d5lrrBA=WfI 9= El
LAulm117 YOD HECUWM77019 HO. couxlrr Fl
1 C 07EM WAR= DISfR1 NO. GROUP ZONE If ADT FOR u„F[C'TIOa
WATP.B HLAT£H �—
GM ffrunu umuenUAL
AM APftOVAL
UOPEqnOX RD
2
APPROVALS
7,D0 0 �PETL MEN DATA INSPI R'aIIIQIIAN>K
7.00 u'NDE:R BLAB WORK 2 5'
PER-MIT : 00 ROUGH PLUb BIND
TOTAL FEE I 9 00 GAG PII-INU
I HST ACLU GE THAT 1 HAVE MD THIS APFUCATION �e VENT
AND STl�ATIK THAT 1H$ AABSO0VE IB COWCT AND AGgEE TO COED T HOT WATER HRATER
I<I IHkL COI N_" ORDIMAAUS AND STATE LAWS REGULATING
!( PLUMBING FUCTURL'H
I CMUrly THAT I AE PROPERLT REGUS-MM AHD/OR GB.�.T
U AH It$gUI1tEED HT LOS AXGELE�8 COUNTT AAD STATE OF
CIIL�RORl1IA OR THAT I AN THE LEGAL OIME1 OF THE ABOVE UTILITY CO.NOT}FIQD
D HED REKDE]fTIAL
SIGNATURE
OIr PE2�Y FINAL '��,.-,�r ..
ROBERT A.WOOD,
ALIDATIOx SUPlaWISINO M]KCHANICAL,ENo•K
CAM
2 1 a_Q� fm 2 5 , A 9.00 -N