HomeMy Public PortalAbout9113 HERMOSA DR_Plumbing__ )6A66]-CE?617 6-65
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2494 APPLICATION * FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING 9323 r
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS
COLEMAN W. JENKINS. SUPT. OF BUILDING
LOCALTfY
FIDISHWALSHER
R APPLICANT TO FILL IN NEAREST
CROSS ST.
FIXTURE OR ITEM EACH _ FEE
-OWNER Sutherland
CLOSET $1.25 MAIL
TUB 1,25 ADDRESS .9111 9, Hermosa
ER 1.25 2 CITY T TEL. NO.
ORY 1,25 -CONTRACTOR -T T Go.1,25 -ADDRESS 52oo V. 'ganhingt= wtASHER 1.25 CITY - SEL. NO.RY TUB 1.25 STATE LIC -'LICENSE NO: CLA55
ES WASHER 1.25 DISTRICT NO. P . ;ONE HEATER 1.50 -YSTEM OUTLETS ip
1'50 INDUSTRIALWASTE APPROVAL 0
TS OVER 5 PER SYSTEM .00 INSPECTION RECORD V
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APPROVALS DATE Ir P TORS SIGNATURE
PERMIT S dAND/.�
UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE ,
GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS A ' GAS VENT
1) lie
AN STATE THAT THE ABOVE IS CORRECT AND AGREE
WITH ALL COUNTY ORDINANCES AND STATE LAWS HOT WATER HEATER
PLUMBING.
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERPLUMBING FIXTURESLICENSED AS REQUIRED BY LOS ANGELES COUNTY ANGAS TEST
CALIFORNIA Ofl TXAT 1 AM THE LEGAL OWNER OF,ANOwrRESIDE IN.THE ABOVE DESCRIBED RESIDENTIAL PROPERTYUTILITY CO. NOTIFIED JJ
SIGNATURE 9 ,
OF PERMITTEE I
FINAL
VALIDATION
CK. M.O. CASH
6 0 6 6- „uG14 5 0 3.25-