HomeMy Public PortalAbout5125 DOREEN AVE_Plumbing__ 76A6071:E61710-60
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE. COUNTY ENGINEER - ADDRESS
WILLIAM A. JENSEN, SUPT OF BUILDING
LOCALITY
FOR APPLICANT TO FL IN NEARESTCloss T .
NUMBER FIXTURE OR ITEM OWNER _
WATER CLOSET MAIL
ADDRESS
BATH TOB
CITY TEL. NO.
SHOWER
CONTRACTOR /
LAVATORY
ADDRESS
SINK
DISHWASHER CITY ! TEL NO _ OZS—,,.
ATE
LAUNDRY TUB REGISTRATION NO. !9�� COUNTY
CLOTHES WASHER DISSTTgICT`NO. GROUP ZONE PRO SED BAY ,
WATER HEATER J' y E /�J'I �,.J��L-�`.
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL r
e INSPECTION RECORD / O
D.
N
Z
B $1.00 PER ITEM
/O OR FIXTURE $ / APPROVALS DATE INSPECTOR'S SI NATURE
0 yrs
PERMIT S 2 •00 UNDER SLAB WORK d hT�G.7-
TOTAL FEE ROUGH PLUMBING F 7/, '
O GAS PIPING I
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE 19 CORRECT AND AGREE TO COMPLY GAS VENT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. HOT WATER HEATER /A-/l-('L
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AHD/OR - PLUMBING FIXTURES /?-,/J_i-
LICENSED AS REQUIREDBY LOS ANGELES COUNTY AND STATE OF GAS TEST /)�h_GZ i-AA.IN✓IIJ.
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL PROPER UTILITY CO. NOTIFIED / ./Z' L
l
SIGNATURE
OF PERMITTE FINAL
OVALIDATION ROBERT A. WOOD ,V /
crc.
M.0. CASH SUPERVISING MECHANICAL ENG'R
Lp5 7 0 5% OCT18 5 D 1 .5.0 0-