HomeMy Public PortalAbout5335 FRATUS DR_Plumbing__ 76A607-CE817 10-60
APPLICATION FOR PLUMBING PERM T
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS ) .3.3 7
WILLIAM A. JENSEN, SUPT OF BUILDING �-�
LOCALITY
F7APPLICANT TO FILL IN CROSSRESIT.
NUMBERFIXTURE OR ITEM -
c OWNER Qi/�✓P�/
Z. SETMAIL
ADDRESS
SHOWER CITY! vc.C_ TEL. NO.
LAVATORY
CONTRACTOR
ADDRESS J �_
SINK
DISHWASHER CITY TEL. NO. 4E2_p$b
CONTRACTOR'S STATE
LAUNDRY TUB REGISTRATION NO. �� l COUNTY
CLOTHES WASHER DISTRICT NO. GR ,ZJONE
R ES BY
WATER HEATER � , o_ T /� i CR
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD °-
O
' V
ac
�0
I�
a
N
Z
/ @ $1.00 PER ITEM I /O
OR FIXTURE APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK "y /
TOTAL FEE iy�I ROUGH PLUMBING r /V/011-///I afU w
ov GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLI]ABOVE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO CGAS VENT -
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGU
PLUMBING HOT WATER HEATER,
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED APLUMBING FIXTURES '�//11
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STAGAS TEST Iljl
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ,yDESCRIBED RE9IDENTIA PROPERTY. UTILITY CO NOTIFI n�I/SIGNATURE l /l
OF PERMITTE "?Jr
IN FINAL
VALIDATION OBERT A. WOOD y
CK M O. cASH SUPERVISING MECHANICAL ENG'R