HomeMy Public PortalAbout10642 DANBURY ST_Plumbing__ 76A667-CES17-11-57
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES 1
DEPARTMENT OF COUNTY ENGINEER - -
BUILDING AND SAFETY DIVISION r BUILDING . /
IOHN A. LAMBIE, County, Engia..r _ ADDRESS /� G Ya ANL'(//L G. Ste'
CASSATT D. GRIFFIN, Sup t of Building . q
. . .. - _ .. _ _. .. LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST. S Zr'
NUMBER FIXTURE OR ITEM
.Y WATER CLOSET OWNER
MAIL
BATH TIIS ADDRESS
SHOWER CITY TEL. NO.
LAVATORY CONTAACTOR '� SSS G C
SIN% ADDRESS .¢2p ( ;✓,c ' T-•.
DISHWASHER CITY W (gyp V ,J TEL. NO. �'� ,}. -J,
LAUNDRY TUB CONTRACTOR'S / y %/7 STATE
REGISTRATION NO. J COUNTY CI
MA ;
pISTRICT.NO: GROUP ZONE HEADY FOR INSPECTION
/l
INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
�-
1
3 '
_ APPROVALS
ca $1.00 PER ITEM/ DATE, INSPECTOR'S SIGNATURE Q OR FI%TOAE $ /p O GP ' UNDER SLAB WORK . Iq/5_? .,LpYjJ O-0-- _.
PERMIT $ 00 y ROUGH PLUMBING
TOTALFEE O 0 GASPIPING y
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 1.
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
5 CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE - UTI L(TY CO.NOTE FEED
DESCRIBED RESIDEN PROPERTY,
SIGNATURE FINAL
OF PERMI N
ROBERTA.WOOD.
®F VALIDATION SUPERVISING MECHANICAL ENG'R
��7 2 3 4 v- DEC 5 5 A 12.0 0 '