HomeMy Public PortalAbout5015 GLICKMAN AVE_Plumbing__ 76A667-CES 1.7-6-57
APPLICATION FOR PLUMBING PERMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER FNEAREST
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BUILDING AND SAFETY DIVISION �504.5
JOHN A. LAMBIE. COUNTY ENGINEER
CASSATT D. GRIFFIN, SUPT OF BUILDING T�is�/�,c�" GJ,
FOR APPLICANT TO FILL IN
NUMBER FIXTURE OR ITEM
OWNER
l WATER CLOSET MAIL
/ BATH TUB ADDRESS
SHOWER CITY TEL.NO.
LAVATORY CONTRACTOR/1290/- 4p iCrut+> „2'�i1 e—
/ SINK ADDRESS,;�J-36 /,/,'SA�f ,2f�G
DISHWASHER CITY" TEL.NO.
LAUNDRY TUB CONTRACTOR'S / STATE
95� COUNTY ❑
REGISTRATION NO. ��
CLOTHES WASHER
DISTRI T NCI. GROUP ZONE READY FOR INSPECTION
WATER HEATER
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
APPROVALS
@ $1.00 PER ITEM DATE INSPECTOR'S SIGNATURE
OR FIXTURE $ �> UNDER SLAB WORK G� W
PERMIT s 1100 ROUGH PLUMBING /
GAS PIPING
TOTAL FEE ® GAS VENT
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER �t� ,.Ziyyti(fir .
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES
PLUMBING.
IHEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY GELES COUNTY AN STATE OF
CALIFORNIA OR THAT 1 THE toWN ROF ABOVE UTILITY C O. NOTIFIED '
DESCRIBLD RESIDENTIAL R P
SIGNATURE FINAL
OF PERMITTEE
ROBERT A. WOOD,
o> VALIDATION SUPERVISING MECHANICAL ENG'R
M.O. CASH
L3 3 4 6°° JUl 3 p 5 A 8.00 M
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