HomeMy Public PortalAbout8849 ELM AVE_Plumbing__ 76A607-CE817 10-60
APPLHCAT�Q'N FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES.
DEPARTMENT OF COUNTY ENGINEER 3 :.
BUILDING AND SAFETY DIVISION BUILDING
JOHN A.A. LAMBIE, COUNTY ENGINEER ADDRESS
WILLIAM A. JENSEN, SUPT OF BUILDING
LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER- FIXTURE OR ITEMOWNER
WATER CLOSET MAIL
BATH TUB ADDRESS t
SHOWER CITY TEL.NO.
CONTRACTOR
LAVATORY —
ADDRESS l-z .
SINK
DISHWASHER CI 7C
CONTRA OR STATE
❑
LAUNDRY TUB REGISTRATION NO: Z,151 COUNTY ❑ ,
CLOTHES WASHER DISTRICT NO. RO ZONE PRQCESSED BY
42
WATER HEATER
GAS SYSTEM INDUSTHL4L
WASTE APPROVAL }
4 INSPECTION RECORD �-
O
' oC
ILU
4
$1.00 PER ITEM
OR FIXTURE $ () APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK
TOTAL FEE ROUGH PLUMBING
GAS PIPING -
1 HEREBY ACKNOWLEDGE THAT I 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
HOT WATER HEATER -3 fp�
PLUMBING. rp -
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR it PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT I AM THE LEGALe.WN : OF THE ABOVE C '
DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO. NOTIFIED
SIGNATURE
n
OF PERMITTEE ),-3
FINAL /} � no�
VALIDATION ROBERT A. WOOD
CK.
M.O. CASH SUPERVISING MECHANICAL ENG'R
�k. 707Q>' . i",AR A 3 .50 r