HomeMy Public PortalAbout5515 CLOVERLY AVE_Plumbing__ 76A667-CE817-11-57
APPLICATION FOR PLUMBING PERMIT 1 '
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER _
BUMDING AND SAFETY DIgVISION meerABUILDING
DDRLl�'
ESS J�
CASSATTADBGRIFFIN Sup IE t of Building LOCALITY
eel
FOR APPLICANT TO FILL IN CBOSSSST _ �CQ-tz
NUMBER FIXTURE OR IT =4
EM
OWNER �� Y
WATER CLOSET
MAIL
BATH TUB ADDRESS (/ fiLi
SHOWER CITY TEL NO J
LAVATORY
CONTRACTOR
SINK ADDRESS C l� /
DISHWASHER CITY
LAUNDRY TUB CONT CTOR S // STATE ❑
REGISTRATION NO COUNTY
CLOTHES WASHER DISTRICT NO GROUP ZONE READY FOR INSPECTION
WATER HEATER
GASi- INDUSTRIAL
WASTE APPROVAL
J INSPECTION RECORD
/ _
APPROVALS
/ @ $1 00 PER ITEM ` -, 'l DATE INSPECTOR S SIGNATURE
OR FIXTURE $ / C� 'V
UNDER SLAB WORK
PERMIT 51 OO ROUGH PLUMBING
TOTAL FEE d GAS PIPING
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING PLUMBING FIXTURES /
1ICHEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST
LENSED AS REQUIRED BY LOS ANGELES COUNTY ND STA OF L
CALIFORNIA OR THAT 1 AM THE LEGAL OW /OF THE ABOVE UTILITY CO NOTIFIED
DESCRIBED RESIDENTIAL PROPERTY
1
SIGNATURE Q FINAL
OF PERM IT. _
ROBERT A WOO
®+ V ATION SUPERVISING MECHANICAL ENG R
' UCKM 0 CASH
�7512 DEC 12 5 A 300