HomeMy Public PortalAbout9828 LA ROSA DR_Plumbing__ l
76A607-CE31710-60
LI
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES el
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING p
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS O
WILLIAM A. JENSEN, S.P'T OF BUILDING
LOCALITY
FOR APPLICANT TO FHS IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM OWNER T f�
WATER CLOSET KF1L
/ BATH TOB ADDRESS
CITY TEL. NO.
SHOWER
CONTRACTOR
LAVATORY
SINK ADDRESS 271
DISHWASHER - CITY_eeeTEL NO. 6'
CONTRACTOR'S f STATE
LAUNDRY TUB REGISTRATION NO. J9 COUNTY
CLOTHES WASHER DISTRICT NO. GROUP ZONE PROCESSED BY
WATER HEATER ' Q JZ_ .
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL - >
e ,p-INSPECTION RECORD O
0
a
H
Z
® $1.00 PER ITEM
OR FIXTURE $ /41,4919 APPROVALS DATE IN PECT R'S SIGNATURE
PERMIT $ 2 00 UNDER110M WORK 44-3/Z.
TOTALFEE ROUGH PLUMBING
/ OO GAS PIPING
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT `�1 /J
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER '(�^
PLUMBING.
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED ANO/OR PLUMBING FIXTURES (T(,..�,(h ql�
LICENSED A9 REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE q J
DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO. NOTIFIEO
SIGNATURE n
OF PERMITTE
FINAL lyWAn
VALIDATION ROBERT A. WOOD
cK.
M.0. CASH SUPERVISING MECHANICAL ENG'R
U-34 4 7 7G' GCT j0 5 0 12 .0 0