HomeMy Public PortalAbout10629 BOGUE ST_Plumbing__ 17- 712/59 �y
APPLICATION FOR PLUM ING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SP FETY RIVISION BUILDING
JOHN A. LAMBIE. ouNTY NGINEER ADDRESS
WILLIAM A. JENSEN, SUPT OF BUILDING
LOCAL
FOR APPLICANT TO FILL IN NEAREST
CROSS ST. .
NUMBER FIXTURE OR ITEM OWNER
WATER CLOSET MAIL C
BATH TUB ADDRESS
CITY TEL. NO.
SHOWER
LAVATORY CONTRACTOR
SING: ADDRESS 13933 A.)O. Crenshaw Blvd .
DISHWASHER CITY Haw TEL. NO.
CONTRACTOR'S -STATE
LAUNDRY TUB REGISTRATION NO. 168 C- 6 COUNTY 0
CLOTHES WASHER DIS�TIRI T NO. GR=�P ZONE P OCESSED BY
WATER HEATER ll V a I •-A
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD y
I
�e a
U
t. /,/ /•' rn
r /
.O1.00 ER R FIXTURE $ I / �0" '
APPROVALS DATE INSPECTOR'S SIGNATUREq
PERMIT $ 00 UNDER SLAB WORK
TOTAL FEE ROUGH PLUMBING
GAS PIPING +
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS A PLICATION GAS VENT
AND STATE THAT THE ABOVE.IS CORRECT AND AGREE TO COMPLY _
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. HOT WATER HEATER
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES �y4
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST `i'
CALIFORNIA OR THAT I AM THE EG OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL PROPE UTILITY CO.NOTIFIED
SIGNATURE .��7�Jm.i
OF PERMITTEEFINAL �� Z
t AA---
®P ROBERT A. WOOD.
�7ALIDATION
M.0. CASH SUPERVISING MECHANICAL ENG'R
�Co
o2 . 2 0 16 5 D
r