HomeMy Public PortalAbout5608 HELEO AVE_Plumbing__ 76A667-CE817-8.58 •• ••
APPLAWN FOR PLUMBING*PERMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION >wD�s �r-�p y�L G O
JOHN A. LAMBIE, County Enggi�nneer
CASSATT D. GRIFFIN, Sup t of Ruildfng LOCALITY c—
FOR APPLICANT TO FILL IN xEARE3T
CROSS ST
NUMBER FIXTURE OR ITEM
OWNER d G Q
WATER CLOSES MAI.
BATH TUB ADDRESS
CITY TEL. NO.
� SHOWER
LAVATORY CONTRACTOR Vaittsy ID ing Q.
ti ee woo P1 .
SINE ADDRESS
DISHWASHER CITY TEL. NO.
Ed 5-12
CONTRACTOR'S O STATE ❑
LAUNDRY TUB REGISTRATION NO. COUNTY
CLOTHES WASHER DISTRIOT NO. GROUP ZONE P OCEy SSED BY
WATER HEATER c
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
APPROVALS
/G S1.00 PER ITEM 3 /O ' DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK ill
PERMIT $ 2100 ROUGH PLUMBING - T/
TOTAL FEE I/7/ GAS PIPING
1 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
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR GAS TEST 9L -
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE UTILITY CO.NOTIFIED A r
DESCRIBED RESIOENTIA ROPERT . ✓
® r.I nRv
SIGNATURE (�yfG/T.�L FINAL r•v�
OFPERMITTEE
ROBERTA.WOOD.
®e OVALIDATION SUPERVISING MECHANICAL ENG'R
CK. m.O. CASH
LL6081S FEB A ' 5 A 12.00 tL3
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