HomeMy Public PortalAbout5333 FRATUS DR_Plumbing__ 76A607-CE817 10-60
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING A. AND
SAFETY DIVISION
ENNG NEEERi ADDRESS J` 3 3_S
.
WILLIAM A JENSEN, SUPT OF BUILDING
LOCALITY
FOR APPLICANT TO FILL IN NEST
CROSS ST. I
NUMBER FIXTURE OR ITEM OWNER '
WATER CLOSET MAIL _ p
/ ADDRESS
BATH TUB
CITY TEL. NO.
SHOWER ` I
CONTRACTOR (1t1,d�1l�Cd
Z LAVATORY
SINS ADDRESS /2
DISHWASHER CITY &J,• jyL,,l� TEL. NO.
CONTRACTOR'S G STATE
LAUNDRY TUB REGISTRATION NO. S COUNTY ❑
CLOTHES WASHER DISTRICT NO. GR Z / PROCESSED BY
WATER HEATER
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
41 INSPECTION RECORD / a
0
W
N
z
0 $1 00 PER ITEM/0 ^ f )S OR FIXTURE • $ /0, 0-0 APPROVALS E,AT/E.� Q IN_SjFEES_TO�rR S SIGNATURE
__LPERMIT $ 2 00 UNDER SLAB WORK I//�V 11
TOTAL FEE ROUGH PLUMBING I I!
GAS PIPING
I 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 jl
PLUMBING HOT WATER HEATERS 1 //
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES / J///^ ,
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENT17 PROPERTY UTILITY CO NOTIF D _ �//' !� I \Y//{
!
SIGNATURE
OF PERMITTEE
FINAL
0ALMATION ROBERT A. WOOD v
M O. CASH SUPERVISING)MECHANICAL.ENG'R
1 r7 6 5 0" JA's 31 5 n 12.0 0 I