HomeMy Public PortalAbout5320 FRATUS DR_Plumbing__OF 7
76A667-CE817 6-60
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APPLICATION FO PLUMBIIQG PERMIT 1
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION FADDRESS
DING
JOHN A. LAMBIE, COUNTY ENGINEER -
WILLIAM A. JENSEN. SUPT OF BUILDING
ALITYFOR APPLICANT TO FILL IN REST
SS ST.
NUMBER FIXTURE OR ITEM
OWNER !` I
WATER CLOSET MAIL
ADDRESS
BATH TUB
CITY L.
SHOWER
CONTRACTOR
LAVATORY `
SINK ADDRESS
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DISHWASHER CITY
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CONTE4 o
TO 'S STA E [
LAUNDRY TUB REGISTRATION NO. Y COUNTY
CLOTHES WASHER DISTRICT NO. RG OU I ZONE P CESSED BY
WATER HEATER f i �f
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
P4
O
U
O E
V
W
P,
@ $1.00 PER ITEM
OR FIXTURE $ �� e` APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK
TOTAL FEE 1/ V ROUGH PLUMBING
GAS PIPING
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
PLUMBING.
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 I AM T LEGAL 0 ER OF THE ABOVE
DESCRIBED RESIDENTIAL PROP T UTILITY CO. NOTIFIED
SIGNATURE jo
OF PERMITTE
FINAL
OF / VALIDATION ROBERT A. WOOD,
j CK. y,O. CASH SUPERVISING MECHANICAL ENG'R