HomeMy Public PortalAbout6016 IVAR AVE_Plumbing__ 76A667 CE817-8-57
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES -
DEPARTMENT
NGELES ' -DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
BU
ILDING
JOHN A. LAMBIE. COUNTY ENGINEER
CASSATT D. GRIFFIN, SUPT OF BUILDING CALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER. FIXTURE OR ITEM
.-OWNER jo
WATER CLOSET MAIL ,/
BATH TUB ADDRESS I✓
SHOWER CITY re,7r Ple C/ij TEL.NO.
LAVATORY CONTRACTOR ®(,S -n(g--) John / 6/9 Ie
SINK ADDRESS 40/6 ANIS V4 k /
DISHWASHER CITY re w7 No L,./([,�'EL.NO. A t 7 1(�
LAUNDRY TUB CONTRACTOR'S STATE Ll
REGISTRATION NO. COUNTY ❑
CLOTHES WASHER
DISTRIC GROUP I READY FOR INSPECTION
WATER HEATER S
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
APPROVALS
@ $1.00 PER ITEM onrE INSPECTOR'S SIGNATURE
OR FIXTURE $ 1 3 UNDER SLAB WORK
x
ROUGH PLUMBING �.,j s,cc((""'�%�'
PERMIT 1 00
GAS PIPING
TOTAL FEE 00
GAS VENT
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING I PLUMBING FIXTURES , -, �
PLUMBING. -
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REDUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE UTILITY CO. NOTIFIED
DESCRIB'D RESIDENTIAL PROPERTY. -
SIGNATURE
OF PERMITTEE I • • - FINAL �/,3 '�O �/• �(j�y `
A. WOOD,
VALIDATIO}�' ROBERT
SUPERVISING MECHANICAL ENG'R
CK. M..Ot IL�._._'^J
LCI 2,8 9 ltcn'R' MAY 2 P7 3 A 4.0 0