HomeMy Public PortalAbout4857 FIESTA AVE_Plumbing__ 76A667 M17 8 58
APPLICATION FOR PLUMBING PERMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DMSION BUILDIN4 _ _
JOHN A LAMBIE County Engmeer ADDRESS
CASSATT D GRIFFIN Sup t of Buildmg LOCALITY Adt_ 7l — C r v
FOR APPLICANT TO FILL IN CAST -��-i--
NUMBER FIXTURE OR ITEM
WATER CLOSET OWNER
MAIL
BATH TUB ADDRESS
Sn1�
SHOWER CITY C TEL NO
LAVATORY CONTRACTOR
SINS ADDAE , 1 _
DISHWASHER CITY 0UfjEL NO _
LAUNDRY TUB RECONTRACTOR S
TE
REGISTRATION NO � �� COIINTY
CLOTHES WASHER DISTRICT NO GROUP O P CESSED BY
WATER HEATER L I —"z
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
APPROVALS
PER ITEM
OR FIXTURE $ DATE INSPECTOR S SIGNATURE
UNDER SLAB WORK
PERMIT-H $ 2 00 ROUGH PLUMBING
TOTAL FEE AC�) GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING PLUMBING FIXTURES
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE UTILITY CO NOTIFIED II i
DESCRIBED RESTNTIAL 7PEITY
r%l/l�/jj_ n
S GNATU ITiE FINAL
Or ATION SUPERVISING VI
MEECCHTA DANICAL ENG R
CK N 0 CASH
i_ACO 9 1 1 1 JUL 8 5 A 400ko
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76A667 CE817 8 58
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DMSION BUILDING `
JOHN A LAMBIE Count? Engmeer ADDRESS A
CAssATT D GRIFFIN Supt of Building LOCALITY m rp e T
FOR APPLICANT TO FILL IN ROSSNEAREST
C
CROSS ST
NUMBER FIXTURE OR ITEM v
OWNER
WATER CLOSET MAIL
BATH TUB ADDRESS
SHOWER CITY TEL NO A 7 (rJ 3J !�
LAVATORY CONTRACTOR
SINS ADDRESS
DISHWASHER CITY �.__ TEL NO
CONTRACTOR S STATE ❑
LAUNDRY TDB REGISTRATION NO UNTY
CLOTHES WASHER DISTRICT NO OU/P Z NE O SS BY
WATER HEATER bG -I
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
APPROVALS
@ $1 PER
FIXTUBE $
OR /� DATE INSPECTOR S SIGNATURE
UNDER SLAB WORK
PERMIT $ 2100 ROUGH PLUMBING
TOTAL FEE d GAS PIPING
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING PLUMBING FIXTURES
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE UTILITYCO NOTIFIED f
llfl
DESCRIBED RESIDENTIAL PRO ERTY
SIGNATURE -)^(/�(� �
OF PERMITTEE—V . /' " FINAL
®F ROBERT A WOOD
VALIDATION SUPERVISItECHAN[CAL ENG R
CK 61 O ASH
LAC0 2 2 7 7 - SEP 4 5 A 3 0 0 M