HomeMy Public PortalAbout4527 CLOVERLY AVE_Plumbing__ 76AGGT-CI#817 t-a1
APPLICATION FOR PLU ING PIER T
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGIIIEER
B ' c �s' sr�r Dry oN
JO I
OUT
EidGINEFR
WIW A- JEMI$i, SIJP'T OF WUILDIHG
FOR APPLICANT TO FII.L IN CB-07M rSl'. .
NU#1EER. FIXYURk OR rr[M TACH FE[
OWAEL
WATEII CLOSET 11im
HAM
aAtH Tup im DREft 9
SHOWER 1s5 cm TEL NO.
LAVATORT im COIT$ACTOR
SINK lm ADDIIF31IF
DMHWAAd l'u C17T TEL NO.
LAII1fDYY TIID 145 I E61frRACTOBT STATE
REaffTRATION NO. COmiTT
CLOTHES WASHER I.=5 DI CtN d [ D eY
WATER ESATER l w
4A8 SYSTFIIT_OIITIETS 1150 �DSTEIAL
WASTE APPIOVAL
OUTLETS QVZR 5 M SYSTEM .30
I1MPZCn N RECORD oo
_ 1
c�
oe
O
G
W
a
Z
APPftOVJ\LB- DATE lN✓r ECTOR•• 1"ATORK
PERMIT # jffYATTK
0 UryDP-R SLAB WORK
ROUGH PLUMBING
TOTAL EEEGAB PIPING
I H[Rar wcJCNov►LmO1t THAT I HwVt RSAD THI0'. GAS VE
AND STAT[ THAT THE AMOVC It CO RRLLT Ar1O AORCPLY
WrtH ALL COUNTY ORDINANCXS AND STATIC LAWING HOT W,A'FER HEATER
rLyrblrya.
I HIRZ♦Y cz*rIFY Tit,-.T I IUI PROrSRLr RZOIST /OR PLUMBING FIXTURES
UCKJ 233 AS RMQUIRIM WY LOS ANG KLCS C,`OUMTY OF GAS 7EBT
CALJfORN 14 OR THAT 1 AM TH[ L[&AL OWNIR OF,& TORi/IDI Irl.TH[AIOVi D[lCRIS[D �IID[NT1AL SRO 1
UTILITY CO. NOTIFIED
SIGNATURE
OF r[RMJTT[I
lc
VALID TI . OOD
c . M.o.. lfc�.S+1 SUPERVISING
TT A
UPERVIPERVISING MECHANICAL EIJG'R
LC►3 6 s-3 t "28 5 D 3.5 0-
r