HomeMy Public PortalAbout4946 ENCINITA AVE_Plumbing__ 76A8871.
APPLICATION FOR PLUMBING PERMIT
DBS 17 12 54 I�
V DFnSION OF BUILDING AND SAFETY - 1
Department of County Engineer
County of Los Angeles r
WM J FOX. COUNTY ENGINEER BUILDING
ADDRESS /'�
CASSATT D GRIFFIN. SUP T OF BUILDING LOCALITY _
77
FOR APPLICANT TO FILL IN NEAREST
L �L 1
I CROSS ST
OWNER /► �.ry1 �r'L! J< DISTRICT NO GROUP �Z2yO'�NE READY FOR INSPECTION
ADDRESSMAIL8Dq / 4-4.5,4 �/ I F_ • 1 I
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//rye. �fINDUSTRIAL
CITY' 6 /� TEL NO 7/ WASTE APPROVAL
PLUMBER C�- I F eI R D 1.L1 INSPECTION RECORD
ADDRESS1188 •'p c/ jv � +
CITY ,J L C• TEL NO ]/ V-_ 2�^' 7
LICENSE NO
�% / 6
NUMBER TYPE OF FIXTURE.OR ITEM FEE ' � en
e10'.a l
WATER CLOSET (TOILET) $ �,d
BATH TUB
SHOWER
LAVATORY (WASH BASIN)
KITCHEN SINK
DISHWASHER
LAUNDRY TUB OR TRAY
CLOTHES WASHER
TOTAL NO @ 0,80 APPROVALS
�+ t' DATE INSPECTOR S SIGNATURE
GAS SYSTEM _'` _OUTLETS @ 1 00 GO
/ `!r� UNDER SLAB WORK
WATER HEATER @ '100
ROUGH PLUMBING r'1 lit _ Odin
PERMIT S 1 S00 GAS PIPING
TOTAL FEE JL/ GAS VENT
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APP KATION HOT WATER HEATER _
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES
PLUMBING
IHEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST �� �{ i^ -^-��.•
LICENSED AS REOUI BY LOS ANGELES COUNTY AND STATE F
CALIFORNIA OR T T AM THE GAL OWNER OF THE A E UTILITY CO NOTIFIED bt V
DESCRIBED RESID N P2/T
Y
SIGNATURE
OF PERMITTE FINAL
WILLIAM J FOX, CO T ENGINEER VALIDATION l
7 b F 9,-, SET 13 :, i E;
BY
DEPUT
L® OXY .