HomeMy Public PortalAbout5903 IVAR AVE_Plumbing__ 76A607-CE817 10-60
A"I'LO CATO ON FOR* PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY'ENGINEER
BUILDING AND SAFETY DIVISION BIIILDING a orf
JOHN A. LAMBIE, COUNTY*ENGINEER ADDRESS (�
WILLIAM A. JENSEN, SUPT OF BUILDING - -
_ LOCALITY
FOR APPLICANT TO FILL IN `~ NEARESST. � &/t/ $' 4
NUMBER FIXTURE OR ITEM .
OWNER
`s WATER CLOSET MAIL
BATH TUB ADDRESS
CITY TEL NO.
' SHOWER
LAVATORY CONTRACTOR sa P484!5�
SINS ADDRESS 'Z
DISHWASHER CITY (��/� TEL. NC
CONTRACTOR'S � STAT-
LAUNDRY TUB REGISTRATION NO. ! COUNTY p
CLOTHES WASHER DISTRICT NO. GROUP ZONE I PR ESSED BY
WATER HEATER'
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD a
ro O
U
r
O
Lu
N
Z
$1.00 PER ITEM. c'
OR FIXTURE $ _ APPROVALS <''"�D_' ATC') _INSPECTOR'S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK'tl
TOTAL FEE y' ROUGH PLUMe•iNG'� �-
GAS PIPING
dI HEREBY ACKNOWLEDGE THAT I HAVE READ THIS.APPLICATION '
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT a.`�.! r'C;� 1'• _
WITH ALL COUNTY ORDINANCES AND STATE LAWS REG LATING `� -
,y PLUMBING. -, HOT WATER HEATER
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTE _ AND/OR R PLUMBING FIXTURES - -
LICENSED AS REQUIRED B G OUNTY STATE OF
' CALIFORNIA OR THAT A T L NER HE ABOVE p GAS TEST c�
DESCRIBED RESIDENTI OP ° UTILITY CO. NOTIFIED\
SIGNATURE
OF PERMITTE
INAL '
ALIDATION ROBERT A. WOOD
CK.
M.0. CASH SUPERVISING MECHANICALENG'R