HomeMy Public PortalAbout5548 HARKER AVE_Plumbing__ 76A667-CE#817 5-61, 1I.11� 1� PLUMBING
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/-1 PPLICATOO 1 FOR L. L-�3'llVuBING L `L�RLVLLII LL .
COUNTY OF LOS ANGELES
'DEPARTMENT OF COUNTY ENGRIEER
BUILDING AND SAFETY DIMION BUILDING
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS .�
WILLIAM A. JENSEN, SUPT OF BUILDING
LOCALITY
FOR APPLICANT TO FILL IN CROSS ST.
o NUMBER FIXTURE OR ITEM OWNER p
WATER CLOSET MAIL
ADDRESS
BATH TUB
CITY TEL. NO.
SHOWER CONTRACTOR valley Plumbing Ccs
�i LAVATORY
SINS ADDRESS 442 W. Fleetwood Pi -
DISHWASHER
CITY eUdota, TEL. NO. Eck `iy7 71
LAUNDRY TIB REGII.S�TPIION NO. 209431 COUNTY
Y .
CLOTHES WASHER DISTRICT NO. GROUP ZONE PROCESSED BY
WATER HEATER
GAS SYSTEM INDUSTRIALYyAgTE APPROVAL �
INSPECTION RECORD ®"
6m
ILI
IL
N
0 S1.00 ER ITEM
OR FIXTURE'
APPROVALS // JDATE� g� INSPECTOR B SIGNATURE
PERMIT $ 2100 UNDER SLAB-WORK >;r1 J ".''�'
TOTAL FEE ROUGH PLUMBING
'
GAS PIPING i
1 HEREBY ACKNOWLEDGE THAT I 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 .HOT WATER HEATER
PLUMBING.
1 HEREBY CERTIFY THAT -I,AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF 57
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE. GAS TEST - ))/�yp..li
DESCRIBED RESIDENTIAL FROPE TY. UTILITY CO. NOTIFIED 0 1 4YS 1
SIGNATURE
OF PERMITTE FINAL
VALIDATION. ROBERT A. WOOD
CK
M.0. .CASH SUPERVISING MECHANICAL ENG'R
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T� nY i 5 1 5�° cs