HomeMy Public PortalAbout8828 HERMOSA DR_Plumbing__ 76A667-CE817-8-58
APPLICATION FOR PLUMBING PERMIT
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DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE, CountF Eag�aoor ADDRESS _ -
CASSATT D. GRIFFIN.Sup t of Building LOCALITY a
FOR APPLICANT TO FILL IN CROSS NEAREST
NUMBER FIXTURE OR IT
WATER CLOSET MAIL
BATH TUB ADDRESS
SHOWER CITY /'-/ TEL. NO.
LAVATORY CONTRACTOR
SINK ADDRESS
DISHWASHER CITY _ ^�( TEL. NO. /?7,
CONTRACTOR'S STATE [9-
LAUNDRY TUB REGISTRATION NO. D COUNTY ❑
CLOTHES WASHER DISTRICT NO. G I ZONE PROCESSED BY
WATER HEATER
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
APPROVALS
/ @ OR FIXTURE
S1 S / OC2 DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK
PERMIT $ Z OU ROUGH PLUMBING
TOTAL FEE _y0 GAS PIPING
1 HEREBY ACKNOWLEDGE THAT 1 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 n.4-9 97. -1 ;.
IHEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY LOS/ T'GELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM TH LEGAL OWNER OF THE ABOVE UTILITY CO.NOTIFIED
DESCRIBED RESIDENTIA ROPE Y.
SIGNATURE
E �Lt!��� FINAL
OF PERMITT
ROBERT A.WOOD.
®> VALIDATION SUPERVISING MECHANICAL ENG'R
CIL. Id.0. CASH
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