HomeMy Public PortalAbout9818 LA ROSA DR_Plumbing__ 76A667-CES17 a-59
APPLICATION FOR PLUMB[ G�PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER _
BUILDING AND SAFETY DIVISION ADDRESSI JOHN A. LAdTBIE, County EngweerREM
CASSATT D. GRIFFIN, Sup t of Swldivg LOCALITYFOR APPLICANT TO FILL IN NEARESTCROSS ST.NUMBER FIXTURE OR ITEM
OWNERWATER CLOSET MAIL
BATH TUB ADDRESS
CITY TEL. NO.
SHOWER
LAVATORY CONTRACTOR eSim ADDRESSDISHWASHER - CIT Hawthorne TEL. NO. _CONTRACTOR'SSTATLAUNDRY TUB REGISTRATION NO. 168479 C— 6 COUNT
CLOTHES WASHER, DISTRICT NO. GROIUP j Z/ONNE/ PROCESSEDBY
WATER HEATER ,_1/ /t"�/If t'
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
1 ® SIM PER ITEM LU
l DR FDC7UHE $ APPROVALS DATe INSPECTOR'S SI G NA RE
PERMIT $
2100 UNDER SLAB WORK.
TOTAL FEE ROUGH PLUMBING
GAS PIPING
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. HOT WATER HEATER
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT 1 AM THE LE AL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL PROPE UTILITY CO. NOTIFIED
SIGNATURE
OF PERMITTE FINAL I
A. ._
OF " VALIDATION ROBERT A. WOOD,
Oc.
M.0. GASB SUPERVISING MECHANICAL ENG'R
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