HomeMy Public PortalAbout9721 CRAIGLEE ST_Plumbing__ 76A667--CE817 M9
AMID-UCATION FOR PLUMBING PERM 1C
COUNTY.OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER =z
BUILDING AND SAFETY DIVISION BUILDING z
JOHN A. LAMBIE, County Engineer ADDRESS
CASSATT D. GRIFFIN, Sup t of Building
of LOCALITY
FOR APPLICANT TO FILL IN NEARESTCROSS T. Hyl_
NUMBER FIXTURE OR ITEM OWNER
WATER CLOSET MAIL
BATH TUB ADDRESS a
CITY TEL. NO `� m
SHOWER
CONTR OR COv�
LAVATORY ✓� -'
SINK ADDRESS ,X
DISHWASHER CITY L TEL. NO
CO RAC -S STATE
LAUNDRY TUB BEGISTEAVION NO, L COUNTY ❑
CLOTHES WASHER DISTRIC NO. I GROUP QZONE^ CESSED BY
WATER HEATER O ,
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
r
@ $1.00 PER ITEM J+ Gj
OR FIXTURE. $ / _ APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2100 UNDER SLAB WORK
TOTAL FEE � 0 ROUGH PLUMBING
GAS PIPING '
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING.
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 1 THE GAL OWNER 0 t THE ABOVE
DESCRIBED RESIDENTIAL OPE UTILITY CO.NOTIFIED
SIGNATURE
OF PERMITTE
FINAL
®r VALIDATION.•— ROBERT A. WOOD,
Cs. M.o. CASH SUPERVISING MECHANICAL ENG'R
m -:003;2 JAN �. 5 A