HomeMy Public PortalAbout10685 FREER ST_Plumbing__ 76A6¢7-CE817-11-57
COUNTYo I AG�I,ON FOR PLUMBING PERMIT 1
ES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
A. LAMBIE, County Engineer AEQ o b 13
Pm
CASSATT D: GRIFFIN, Sup't of Building
LOCALITY
FOR APPLICANT TO FILL IN NEAREST
NUMBER FIXTURE OR ITEM CROSS ST.
' WATER CLOSET OWNER
MAIL
BATH TUB ADDRESS. O S
SHOWER CITY nt TEL. NO.
LAVATORY CONTRACTOR
SINK ADDRESS
_ DISHWASHER CITY TEL. NO.
LAUNDRY TUB CONTRACTOR'S STATE El
REGISTRATION NO. COUNTY ❑
CLOTHES WASHER DISTRICT NO. GROUP •ZONE READY FOR INSPECTION
WATER HEATER
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
F
1
1
APPROVALS
2 @ OR$1.00
PERFIXTURE� $ /' DATE INSPECTOR'S SIGNATURE
2 V UNDER SLAB WORK
PERMIT 1100 ROUGH PLUMBING
TOTAL FEE ,3 0O � GAS PIPING
t 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
1ICHEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST
LENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE UTILITY CO.NOTIFIED
DESCRIBED RESIDENTIA PROPERTY.' I
SIGNATURE 9 w U
OF PERMITTEE � �!% FINAL
ROBERT A.WOOD.
OF VALIDATION SUPERVISING MECHANICAL ENG'R
CK. M.0. vs.
�_AC0 4 7 4 &N Sty 1 5' A 3.0 U M