HomeMy Public PortalAbout5005 DOREEN AVE_Plumbing__ 76A667-CE817 3-59 �""'�J ! -
APPLICATION AOR .PLUMBING PERMIT:
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER _ .(
BUILDING AND SAFETY DIVISION BU ae s JOHN A.A. LAMBIE, County. Engineer
CASSATT D. GRIFFIN, Sup 1 o1 Building LOCALITY
FOR APPLICANT TO FDS IN - [ADDRESS
EAREST
ROSS ST
NUMBER FIXTURE ORITEM
WNER
WATER CLOSET AIL
HATH 7ITBITY TEL NO.
SHOWER ONTRACTOR -
LAVATOAYSINE DDRESS/D
DISHWASHER CITY NO.�� _O 2,1,7
CONTRACTOR'S STATE
LAUNDRY TUB REGISTRATION NO. COUNTY
CLOTHES WASHER Of}j5�'R[CTN G Z�IQ/N� P OGESSED 6Y
WATER HEATER b� O O ;r
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
v
O NATO PER ITEM .
OR FIXTURE S _ APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2100 UNDER SLAB WORK i /1
TOTALFEE /V7 ROUGH PLUMBING
r/ Vim/ GAS PIPING -/'q
N(l�Ys/ECA+�
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. HOT WATER HEATER
1HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
CE - /-
LINSED AS REQUIRED BY LOS ANGELES COUNTY AND .STATE OF GAS TEST
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENUJAL PROP TY. UTILITY CO. NOTIFIED T
SIGNATURE
OF PERMIT TE FINAL 1 l;. W
®. AMDATIOROBERT A. WOOD.
CK. M.o. cASx SUPERVISING MECHANICAL ENG'R
7 1 8 S JUW 3 5 D 1 0.0 0