HomeMy Public PortalAbout6002 ENCINITA AVE_Plumbing__ 76A667-CE817 12/59
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTDUNT OF COUNTY ENGINEER
BUILDING ANDOAFETY DEIVISION BUILDING b e
JOHN A. LAMB/ COUNTY NGINEER ADDRESS _
WILLIAM A. JENSEN, SUPT OF BUILOING
LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM OWNER
WATER CLOSET .. MAIL
BATE TUB ADDRESS
CITY TEL. NO.
SHOWER
CONTRACTOR a f—
LAVATORY
SINE ADDRESS *2214
DISHWASHER CITY TEL. NO. �^S�r),I
CO CT 'S > STATE
LAUNDRY TUB REGISTRATION NO. 7 COUNTY ❑
CLOTHES WASHER DISTRICT NO. I GRQIUE ZONE I ESSED BY
J
WATER HEATER J: D-
A GAS 5 TEM INDURTRIAL
WASTE APPROVAL
INSPECTIO RECORD w
U
i V
w
N
Z
SLOG PER ITEM
OR FIXTURE $ ' APPROVALS DATE / I�NS[PECCTTO�R'S�SIGNATURE
PERMIT $ 1 2100 UNDER SLAB WORK �/ AVC
TOTAL FEE Y ROUGH PLUMBING I LL
GAS PIPING U ^
1 HEREBY ACKNOWLEDGE THAT 1 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 i
PLUMBING.
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AB REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT 1 AM THE LEGA OW ER OF THE ABOVE
DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED
SIGNATURE
OF PERMITTE `
_ FINALO
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