HomeMy Public PortalAbout10049 LA ROSA DR_Plumbing__ 76A667-CE817-8-58
APPLICATION FOR PLUMBING PERMIT
COUNTY 1
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUnDING O JL-
BATH
tOHN A. LAMBIE, County EnAlu.or ADDRESS O D
CasATT D. GRIFFIN, Supt o2 BuildinA e M, c i FOR APPLICANT TO FILL IN UrAR8STT. �-+NUMBER FIXTURE OR ITEMOWNER /�� d//
WATER CLOSET TUB AD HESS O a Y .aCSHOWER 1 CITY _ C, TEL. NO.
LAVATORY CONTRACTOR e/✓
SINE ADDRESS 5p CJ E n/DISHWASHER CITY C!I'AfA-• TEL. NO.CONTRACTOR'S LAUNDRY TUB REGISTRATION NO. 'S �I
CLOTHES WASHER DISTRICTNO. GROUP I ZONE
PROCESSED Y
WATER HEATER �S �>
GAS SYSTEM INDUSTRIAL
T WASTE APPROVAL
INSPECTION RECORD
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a /17,6
tri-r�.e.. / 7�r.. , r-�✓
APPROVALS
8 @ $1.00 PER ITEM /Q 00 DATE INSPECTORS'SIGNATURE
OR FIXTURE S M
UNDER SLAB WORK
PERMIT $ 2100 ROUGH PLUMBING
TOTAL FEE Q(J GAS PIPING
I 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 G
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GASTEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE UTILITYCO.NOTIFIED
DESCRIBED RESIDE IAL PROPERTY.
SIGNATURE - �(_-V iY` �{ FINAL QJ
OF PERMITTE
®r / 7ALIDATION ROBERT A.WOOD.
USUPERVISING MECHANICAL ENG'R
CK. N.O. CASH
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