HomeMy Public PortalAbout10939 DANBURY ST_Plumbing__ 7OA667-CE817 359
APPLICATION FOR PLUMBING PERMIT,
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER - -- -
BUILDING AND SAFETY DIVISION evltDINc 1!-L
CAIO IN A. LAMBIE. County En msec ADDRESS ]_09 9 E. Danbury t+
S' D. GRIFFIN. Sup t of Buildivg
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM OWNER
2 WATER CLOSET MAIL d I)S't
1 EATH TUB ADDRESS
]. SHOWER CITY TEL. NO.
2 LAVATORY CONTRACTOR Richard Cavanaugh Plumb..
1 SINE ADDRESS
1 ';'154 CpntrM Ave-
DISHWASHER CITY no TEL. NO. NA 84721
CONTRACTOR'S STATE ❑ >
LAUNDRY TOB REGISTRATION NO. - (,A (-_jr, COUNTY
1 CLOTHES WASHER DISTRICTNO. GROUP ZONE I PROCESSED BY
1 WATER HEATER � J— /6�
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
1 INSPECTION
/RECORD
G'Ti f /o D Gi�dwr.��/� />•TTL, aws� /�rrr,.
i
t
® $1.00 PER ITEM
10 OR FIXTURE S 10.00 1 APPROVALS DATE INSPECTOR'S SIGNATURE
PERMITS 00 UNDER SLAB WORK �/U 'G✓ ��A"/—�--
—I TOTALFEE 12] OO ROUGH
2 PLUMBING D
GAS PIPING 4-3v r b mb"J'.�
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION 1
GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. HOT WATER HEATER
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS nCG ES COUNTY AND STATE OF GAS TEST
' CALIFORNIA OR THAT 1 AM T E/LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL P Y R Y. UTILITY CO. NOTIFIED If
SIGNATURE
OF PERMITTE
FINAL
®r
oVALIDATION ROBERT A. WOOD,
M.0. CASH SUPERVISING MECHANICAL ENG'R
UIC078392 wit 16 5 A 12.00_