HomeMy Public PortalAbout6168 ENCINITA AVE_Plumbing__ 7BA667_CE817 359 /1 // 3✓/
APPLICATION FOR PLUMBING PERMIT �
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER - -_-
BUILDING AND SAFETY DIVISION ADDRESS .r /�/7 / R
IOHN A. LAMBIE, Count Engineer
CA$SATT D. GRIFFIN, Sup t of Building
- . . J LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST. Coh i
NUMBER FIXTURE OR ITEM l OWNER WATER CLOSET S
MAIL
If BATH TUB ADDRESS
s
SHOWER CITY TEL. NO.
LAVATORY CONTRACTOR Alert Plbg & Htg
SING ADDRESS 13933 S, Crenshaw Blvd .
DISHWASHER CITT_Hawthorne Ta'• NO• Os9-3602
CONN
LAUNDRY TUB REGISTRAC70NSNO. 16H47g C-36 COUNTY
CLOTHES WASHER DISTRICT NO. GROUP ZONE P CESSED BY
J WATER HEATER - I
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
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414TEGll7TV Th/S /hPi'L/C._)
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I�f_ _n h/ / IJ 19,M,
•�/J P $1.00 PER ITEM
/ OR FIXTURE $ / APPROVALS DATE INSPECTOR SSSII,GNATURE mon
PERMIT $ 2100 UNDER SLAB WORK n 2�26'�0/��/gA�AI�M/�AP.Xr,O�//P/O //✓'/ `
TOTAL FEE � J ROUGH PLUMBING .Q 3-L[6.d iflArr,t�llp//(/
I GAS PIPING
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION /
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY 2' GAS VENTWITH J
PLUMBING.
COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER -I-14 D
1 HEREBY CERTIFY THAT 1 AM PROPERLY ISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES CO N AND STATE OF GAS TEST //'/�-L (L�/ p
CALIFORNIA OR THAT I AM THE LEGAL 0 OF THE ABOVE
DESCRIBED RESIDENTIAL OPERTY. / UTILITY CO. NOTIFIE '-a2L� N.pSfiww,yo/lo
SIGNATURE
OF PERMITTE FINAL
®r /� VALIDATION ROBERT A. WOOD.
' CK. M.0. CA5H SUPERVISING MECHANICAL ENG'R
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76A667-CE3I7 Mg
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER -
BUILDING AND SAFETY DIVISION BUILDING J / / "�,✓ ,
IOHN A. LAMBIE, County E neer ADDRESS
ag.
. ,. 1 of Building i
CASSATT D. GRIFFIN, Sup LOCALITY
FOR APPLICANT TO FDS IN NEAREST �f
CROSS ST. _./✓LG'Tl�
NUMBER FIXTURE OR ITEM y� v
OWNER
WATER.CLOSET MAIL >
BATH TUB ADDRESS
SHOWER CITY N TEL. NO.
LAVATORY CONTRAC R ��
SINN
ADDRESS
�
DISHWASHER CITY E7 ` TEL.
CONTRACT 'S STATE
LAUNDRY TUB REGISTRATION NO. COUNTY ❑
CLOTHES WASHER DISTRICT NO. GROUP _ZONE OCESSED BY
WATER HEATER
GAS SYST INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
r
i
0 S1.00 PER ITEM I
OR FIXTURE IS
APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2100 UNDER SLAB WORK
TOTAL FEE 3 Iw ROUGH PLUMBING
UUU GAS PIPING /YKD -ai- u7 l
I HEREBY THAT
THEA ACKNOWLEDGETHAT1 HAVE READ THIS APPLICATION
AND STATE THAT Y ORDINANCES
IS CORRECT AND AGREE E COMPLY GAS VENT
_ WITH ALL COUNTY OROINAN CES ANO STATE LAWS REGULATING
PLUMBING. .HOT WATER HEATER
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT 1 Aft THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL P OPE RTYI �j UTILITY CO. NOTIFIED
SIGNATURE �/
OF PERMITTEE /. L - Q
FINAL
®. VAUDATIODJ:7� ROBERT A.WOOD,
Os. N.O. CASH SUPERVISING MECHANICAL ENG'R
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