HomeMy Public PortalAbout4831 FIESTA AVE_Plumbing__ 76A66'7 CE;1817 6 65 T
APPLICATION FOR P UMBING 4ERMIT
COUNTY OF LOS ANGELES
DEPARTMENT CJF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING 42
JOHN A LAMBIE COUNTY ENGINEER ADDRESS
COLEMAN W JENKINS SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST �Jwt772 J5
NUMBER FIXTURE OR ITEM EACH FEE
OWNER E
WATER CLOSET 31 25 MAIL
:HOWER
ATH TUB 125 ADDRESS I CITY T.C TEL NO 25
LAVATORY 125 CONTRACTOR Oc-,"'.1
SINK 1 ADDRESS
DISHWASHER 125 CITY TEL NO
STATE LIC
LAUNDRY TUB 1 25 LICENSE NO CLASS
CLOTHES WASHER 125 oCrS DISTRICT NO GROUP ZON OC S D BY
WATER HEATER1 50 6 ,1 Q
GAS SYSTEM J!/OUTLETS I so INDUSTRIAL a
WASTE APPROVAL
OUTLETS OVER 5 PER SYSTEM 30 INSPECTION RECORD G�
V
W
IL
N
Z
APPROVALS DATE INSPECT SSIGNATURE_
PERMIT $ 2 00 UNDER SLAB WORK �J/����/' _
ROUGH PLUMBING ////D��'I�
TOTAL FEE GAS PIPING' w
I 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
PLUMBING
I 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 AM THE LEGAL OWNER OF AND INTEND TO
RESIDE IN THE ABOVE DE RIBED RESIDENTI PROPERTY UTILITY CO NOTIFIED '
SIGNATURE
OF PERMITTEE
FINAL
UU VALIDATIiO
CK M O llrr✓✓ASH JJ
LA,07 2 9 7-0 FEB23 5 D 1 125-