HomeMy Public PortalAbout5029 DOREEN AVE_Plumbing__ "'.17 It�sa , .APPLICATION FOR PLUMBIING- PERMIT
DMSION OF BUILDING AND SAFETY
Deportment of County Engineer '
CoLFOX.
of-
Los. Angeles '
WM.J. COUNTY ENGINEER BULDING
AODRECASSATT DFFIN. SUPT OF BUILDING
LOCALITY
FOR APPLICANT TO FIL N NEAREST
CROSS ST,
OWNER ldl F /T DISTRICT NO. I ,GROP hZONE I READY FOR INSPECTION
MAIL S
ADDRESS
INDUSTRIAL
CITY TEL. NO. WASTE APPROVAL '
PLUMBER rl p. - INSPECTION RECORD.
ADDRESS �' '3 F S j P
CITY /� c'Y�.: ! TELA.(NO. FJ"'/ / Sf1�Y ./ /l7/.1..,..ir� ,t f /
LICENSE NO. / 7 /
NUMBER TYPE OF FIXTURE OR ITEM FEE r . 14
2_ WATER CLOSET (TOILET)
BATH TUB
•_� SHOWER
LAVATORY (WASH BASIN) - re)
AC / q
KITCHEN SINK v fhi v h"P - /�Y✓�"l� 7.
DISHWASHER T/
f
LAUNDRY TUB OR TRAY �n
f
.CLOTHES WASHER •
TOTAL NO. ® 0.80APPROVALS
OO - DATE INSPEYTOR�S SIGNATURE
GAS SYSTEM OUTLETS ® 1.00 / _
/ .
WATER HEATER @ 1.00 O UNDER SLABWORK
ROUGH PLUMBING �� .L/�
PERMIT _ S 1
� 00 GAS PIPING
TOTAL FEE 7 ya GAS VENT
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER 6..
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLYWITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES
PLUMBING. I
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF UTILITY CO. NOTIFIED
CALIFORNIA OR THAT .I AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL PROPERTY. -
O s r
SIGNATURE
OF PERMITTEE N FINAL
WILLIAM J. FO%, COUNTY VIGINESR - VALIDATION -
_: 1:78 MAR21 s 9A b
BY
7 DEPUTYi