HomeMy Public PortalAbout5111 DOREEN AVE_Plumbing__ TBABET.DE#BITBBAPPLICATION FOR PLUMBIN PRMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENG24M
BUILDING AND SAFETY DIVISION RDDDHaa
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS
WILLIAM A. JENSEN, SUPT OF BUILDING
LOCALITY
FOR APPLICANT TO FHS IN CEEABEOSS ST.
.
NUMBER FIXTURE OR ITEM OWNER } M
LV �
WATER CLOSET MAR.
ADDRESS
BATH TOE
CITY TEL NO.
SHOWER
CONTRACTOR
LAVATORY
/ Emir � ADDAE34 � A `
611U AVE
DISHWASHER CITY W. C1 DV)1 t4A, TEL. NO.jEp ZTZ473
CONTRACTOR'SA
LAUNDRY TDB RMISTRATION NO. '� COUNTY RL
' CLOTHES WASHER DI lcrT o. G'R7P ZONE PR S9 BY
WATER HEATER d C) {J y d
GAS SYSTEM INDUSTRIAL V
WASTE APPEOV.AL
/ INSPECTION BECORD . // 0
x/12 r'G tLfZ SAX
z
0 $1.00 PER ITEM
OR FIXTURE $ pppROVALt I2 DATE INBPEGT/O�,
' ' 7 v R e
/•S BIGNATUR
PERMIT $ 2 00 UNDER SLA9 WORKp i
TOTAL FEE ROUGH PLUMBING 11 110
GA$ PIPING 111 ' �� TY ✓v
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ TH18 APPLICATION I
AND STATE THAT THE ABOVE 18 CORRECT AND AGREE TO COMPLY GAS VENT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING.
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES ,a Q
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT 1 AM THE L AL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO. NOTIFIED
e/
SIGNATURE I
OF
PERMITTEE-FINAL
VALIDATION ROBERT A. WOOD
tK. M.o. CASH SUPERVISING MECHANICAL ENG'R
Lr LQ O 0 4 2 SEP 11 5 D 15.00-
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