HomeMy Public PortalAbout10650 DANBURY ST_Plumbing__ 76A667-CE817-11-57
APPLICATION FOR PLUMBING PERMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION FAUDIDLFf,
IxG /�
IOHN A. LAVBIE. County E¢gme.T S$ �t? :nDA /✓1/iJ Yt-•CASSATT D. GRIFFIN. Supt of Building LITY
i
FOR APPLICANT TO FILL IN NEARESr
CROSS Sr.
NUMBER FIXTURE OR ITEM
j/ WATER CLOSET OWNER �� S / S
MAIL
BATH TUB ADDRESS
SHOWER CITY TEL NO.
LAVATORY CONTRACTOR
j SINK ADDRESS � A/�Dl�✓-A ST.
DISHWASHER CITY . n, TEL. NO.
LAUNDRY TUB CONTRAC OR•S STATE
REGISTRATION NO. COUNTY ❑ '
/ CLOTHES WASHER ! DI STRIJNO:, GROUP ZONE I READY FOR INSPECTION
WATER HEATER G J/TAq
-
GAS SYSTEM INDUS' IAL
WASTE APPROVAL
_ tz- A INSPECTION RECORD
3 )o * a --o CL
N y
-
APPROVALS
$1.00 PER ITEM DATE INSPECTOR'S SIGNATURE
.U OR FIXTURE $
UNDER SLAB WORK
PERMIT $ OO ROUGH PLUMBING
TOTALFEE d (7 C GASP]PING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER 1
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING '
PLUMBING. PLUMBING FIXTURES
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR i GAS TEST l2 T
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE UTILITY CO.NOTIFIED �-
DESCRIBED RESIDENTIA PROPERTY.
SIGNATURE
OF PERMITT / Ox.pc FINAL A- Y
ROBERTA.WOOD.
®' IDATION SUPERVISING MECHANICAL ENG'R
iC VALM.0. CASH
AcD 7 2 3 5 DEC 5 5 A 1 2.0 0