HomeMy Public PortalAbout5628 HELEO AVE_Plumbing__ 76A667-CE817-B-58
APPLAARON FOR PLUMBINAPIRMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION >IDiD�RES.SG F
OHN A. LAMBIE, Coua Eng�nuer
-7
C AIT D. GRIFFIN.Sup't of Building LOCALITY
C�
FOR APPLICANT TO FILL IN NEAREST r
CROSS ST.
NUMBER FIXTURE OR ITEM �,
OWNER C Q
WATER CLOSET MAN.
BATH TUB ADDRESS
CITY TEL. NO.
SHOWER
LAVATORY CONTRACTOR alley Plumbi
SINK ADDRESS 442W. Fleetwooci PI
DISHWASHER
CRY endora TEL. NO. cl
CONTRACTOR'S 160847 TA
LAUNDRY TUB REGISTRATION NO. COUNTY
CLOTHES WASHER DISTRICT NO. GROUP ZONE I PR Cg ESSED 6Y
WATER HEATER YY I VVVVVV / y�/J/V✓c�.I-�
GAS SYSTEM INDUSTRIAL.
WASTE APPROVAL
INSPECTION RECORD
_ n
APPROVALS _
/O OR PER
$ /f'-TS-rI DATE INSPE R'S SIGNATURE
" �' UNDER SLAB WORK
PERMIT $ 2100 ROUGH PLUMBING
TOTAL FEE 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
PLUMBINPLUMBING FIXTURES
1 HEREBY G. CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR GAS TEST PL '
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I M THE LEGAL OWNER OF THE ABOVE UTILITY CO.NOTIFIED
DESCRIBED RESIDENTIAL OPER
/n nA.n
SIGNATURE G INAL "�
OF PERMITTE
ROSERTA.WOOD.
®. VALIDATION SUPERVISING MECHANICAL ENG'R
CK. Y.0. CASH
1 �6086—� FEB 4 5 A 12.00