HomeMy Public PortalAbout5225 DOREEN AVE_Plumbing__ 76A667-CE817-8-58
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
1
DEPARTMENT OF COUNTY ENGINEER. -
BUILDING AND SAFETY DIVISION BUILDING < �s- •o i•
ERN A. LAMBIE, County Eng+''nneer ADDRESS )
C BATT D. GRAFIN. Sup I of Build in8 LOCALTfY
FNUMBER
OR APPLICANT TO FILL IN cfl ssSBT. i
FIXTURE OR ITEM r
OWNER y
WATER CLOSES MAIL
BATH TUSADDRESS
CITY TEL. NO.
SHOWERLAVATORY -/ CONTRACTOR O SINK (DISHWASHER - - CITY 6 y TEL. NO. ,/ VJAION /J STATELAUNDRY SUB REGISTRATION NO. Q•l�aCOUNTY CLOTHES WASHER V DISTRICT NO. GROUP� I P Ege(:
WATER HEATER �
- GAS SYSTEM S
INDUSTRIAL
WASTE APPROVAL
/ INSPECTION RECORD
q APPROVALS
Ce $1.00 PER
ITEM B ��' _ DATE INSPECTOR'S SIGNATURE
OR UNDER SLAB WORK
PERMIT $ 2100 - ROUGH PLUMBING
TOTAL FEE GAS PIPING
1 HEREBY ACKNOWLEDGE THAT IHAVE READ THIS APPLICATION GAS VENT V
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER �/
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. PLUMBING FIXTURES
LA,
CERTIFY THAT 1 AM PROPERLY REGI RED AND/OR., GAS TEST
REQUIRED BY 5 ANGELES COUNT D STATE OF
OR THAT I HE
LEGAL ZF ;THE�ABOVE UTILITY CO.NOTIFIED
ESIDENTIAL ERTY.
FINAL
TTE
®. - - ROBERTA.WOOD.
VALIDATION SUPERVISING MECHANICAL ENG'R
CK.
M.0. CASH
AroEI 6 7 1,n DEC 5 A 1 1 .0 0 e