HomeMy Public PortalAbout6158 HART AVE_Plumbing__ 76A667 CE#x817 5-61 �v
7- V
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING / .S� 1,77
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS b
WILLIAM A. JENSEN, SUPT OF BUILDING
LOCALI
FOR APPLICANT TO FILL IN CRO ESSL LL
NUMBER FIXTURE OR ITEM OWNER
WATER CLOSET
_ 5
BATH TUB ADDRESS
CITY ,
SHOWER TEL NO e
LAVATORY CONTRACTOR n
f SINK ADDRESS 13933 S O. 111 1 V
DISHWASHER CITY Ha:vthorn�• NO- OS 93691
TE
LAUNDRY TUB
CONTRACTOR'S
NO. 193617 C-36 COUNTY—1H
CLOTHES WASHER DISTRICT NO. GROUP ZONE PROCESSED BY
WATER HEATER (t �" >
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD O
` u
II Lu
v
N
Z
li
I
a $1.00 PER ITEM n
OR FIXTURE $ APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2 �00 UNDER SLAB WORK
TOTAL FEE ROUGH PLUMBING
GAS PIPING
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ TY14 APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. HOT WATER HEATER
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT 1 AM THE L AL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL PROPERTY UTILITY CO. NOTIFIED
SIGNATURE
OF PERMITTEE
FINAL
,,VALIDATION ROBERT A. WOOD
CK.
M.0. CASH
SUPERVISING MECHANICAL ENG'R
U4• R
0880"N "28 5D 11.25-