HomeMy Public PortalAbout5230 DALEVIEW AVE_Plumbing__ 76A667-CESI73S9
APPLICATION FOR PLUMBING RMI '
- COUNTY OF LOS'ANGELES L`
DEPARTMENT OF COUNTY ENGINEER -
BUILDING-AND SAFETY DIVISION ]BUILDING -
'IOMB
HN A. LAIE, CountT'Eagineer ADDRESS
CASSATT D: GRIFFIN, Sup t of Building -
LOCALITY
FOR APPLICANT TO FILL IN CROSSSST. l
NUMBER FIXTURE OR,ITEM - -
WATER CLOSET OWNER �L� .� 5- 6k-l.
MAIL
BATH TUB. - - ADDRESS
SHOWER CITY TEL. NO. _
LAVATORY CONTRALTO
. I SINE .ADDRESS - O,OPA A - ,
DISHWASHER CITY - A'S , NO.
CON CTOSTATE ,
LAUNDRY TUB- _ REGISTRATION NO. y COUNTY ❑
/ CLOTHES WASHER 'DISTRICT NO. GROW[ ^^ZONE PR ESSED'BY'
`. WATER HEATER
GAS'SYSTEM' INDUSTRIAL -
WASTE APPROVAL
INSPECTION RECORD
6
f
"'J a $1.0c) PER ITEM -
OR FIXTURE S 7 OJ APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK
TOTAL FEE ROUGH.PLUM BING
GAS PIPING .
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT I ) f ,i iV a
AND STATE THAT THE ABOVE E CORRECT,AND AGREE TO COMPLY
PLUMBING.
ALL COUNTY ORDINANCES N STATE LAWS REGULATING HOT WATER HEATER
PLUMBING. '
I HEREBY CERTIFY AT. OPERLY REGISTERED ANO/OR PLUMBING FIXTURES
LICENSED AS. REOUI BY A ELES COU iY AND STATE OF GAS TEST f� -3Y—1,u rti ry
CALIFORNIA OR. TH H EGAL 0 R OF THE' ABOVE
DESCRIBED RESIDE I R UTILITY CO. NOTIFIED ��ti'6u r""-f
SIGNATURE
OFPERM ITTE _
_ FINAL � •.. - - �y� CC+U ♦' ...a^.-.
®. ALIDATION ROBERT A. WOOD.
8,-p, .CASH. SUPERVISING MECHANICALENG'R
5`587CE JAN 27 S A 9.00 M
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