HomeMy Public PortalAbout5745 GOLDEN WEST AVE_Plumbing__ 76A667-CE817 12/59
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDINGS ,SAFETY DEMSION BUILDING
JOHN A. M 1 COUNTY NGINEER ADDRESS
WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM
OWNER
WATER CLOSE! MAII.
t BATH TUB ADDRESS
CITY TEL. NO.
SHOWER �
CONTRACTOR Alert Plb & Ht
LAVATORY
SINK ADDRESS 1 S d. Crenshaw haw Blvd
DISHWASHER CITY Hawthorne TEL. No. Os 9-"5691
CONTRACTOR'S �7 STATE
LAUNDRY TUB REGISTRATION NO. 1 F 1 1 Ci- 6 COUNTY ❑
CLOTHES WASHER !DISTRICT NO. Z-ON EI It E BY
WATER HEATER "v i l
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD a.
P.
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@ $LOO PER ITEM I Q 0 -TILFE, /_mT T Of fE
OR FIXTURE $ 7 APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK {
TOTAL FEE ROUGH PLUMBING �4
�,.
GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS A7PLI C;TION /
AN — O�p
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. HOT WATER HEATER
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AHD/OR PLUMBING FIXTURES
CEO'lo/ s
LINSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT I AM Tiff LEGAL OWNER,OF THE ABOVE
DESCRIBED RESIDENTIAL PR E Y. UTILITY CO.NOTIFIED
SIGNATURE
OF PERMIiTE FINAL
OF ALIDATION ROBERT A. WOOD,
CS. Y.0. CASH SUPERVISING MECHANICAL ENG'R
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