HomeMy Public PortalAbout10132 LA ROSA DR_Plumbing__ 76A60ZCE617 10-E0 -
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUoILDING AA MBIE SAFETY DIVISION nnnness /1
OUNTY ENGINEER
WILLIAM A. JENSEN, SUPT OF BUILDING
LOCALITY
FOR APPLICANT TO FILL IN NEAREST e
CROSS ST.
NUMBER FIXTURE OR ITEM OWNER
WATER CLOSET
MAIL
/ BATH TOB ADDRESS L
CITY TENO.
SHOWER
LAVATORY
CONTRACTOR
BINE ADDRESS qco�
DLSHWASHERCITYCONTRACTOR'LAUNDRY TOB REGISTRATION NO. / 1
CLOTHES WASHER DISTRICT N�Oj. GROUP Z NE P C SEEDBY
WATER HEATER b
GAS SYSTEM 32MUSTBNSL
WASTE APPROVAL }
I / INSPECTION RECORD
/D ® $1.00 PER ITEM
OR FIXTURE $ /D• i1A APPROVALS /DATE, INSPECTOR'S SIGNATURE
PERMIT $ 2 00 UNDER`SCRB WORK /�.hft,/
TOTAL FEE QO ROUGH PLUMBING IlAfl/.2 ✓. :a
GAS PIPING
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. HOT WATER HEATER n/.W
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED ANO/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST ��(��R y rA
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO. NOTIFIED 3�M g�G�C1AiZ..IT� Y
SIGNATURE /
OF PERM ITTE
FINAL 1342A/�� ;yf+'
Y
VALIDATIONGAB. ROBERT A. WOOD
✓✓cK M.O. SUPERVISING MECHANICAL ENG'R
(J�620:5z9 DEC 18 5 D 12.0.0