HomeMy Public PortalAbout9950 LA ROSA DR_Plumbing__ 7BA667-CES17 6-60
APPLICATION FOR PLUM�ING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER Lj %
BUILDING AND SAFETY DIVISION TADDRESS
JOHN A. LAMBIE, COUNTY ENGINEER
WILLIAM A. JENSEN. SUPT OF BUILDING �"'LOCALITY i/p� �I' ! / L
FOR APPLICANT TO FILL IN c E Sr. —t�k��-✓
NUMBER FIXTURE OR ITEM OWNER
WATER CLOSES NAIL
ADDRESS
BATH TUB
crrr TEL No.
SHOWER
coNraxcroa -
LAVATORY
RINE
ADDRESS GY
DISHWASHER CISY f� NO, �ii r
CORTRACTOR'S �/ i-7 _ coTATE
LAUNDRY TUB REGISTRATION NO. (o J(C'
CLOTHES WASHER
DISTRICT O. GROUP ZONE �P90CESSED BY
WATER HEATER ��-/ IF � A
GAS SYSTEMINDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
O
U
O
N
V
41
0.
O $1.00 PER ITEM
OR FIXTURE $ APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT UNDER SLAB WORK
TOTAL FEEROUGH PLUMBING
GAS PIPING
IHEREBY ACKNOWLEDGE THAT 1 HAVE READ TNAND STATE THAT THE ABOVE 15 CORRECT AND AY GAS VENT
WITH ALL COUNTY ORDINANCES AND STATE LAG HOT WATER HEATER
PLUMBING.1 HEREBY CERTIFY THAT I AM PROPERLY REGR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGEL UNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT I AM THE LE 0 NEN OF-THE ABOVE
DESCRIBED RESIDENTIA NOPj{AT .i - UTI LITV CO. NOTIFIED
SIGNATURE
OF PERMITTIEFINAL
®rAUDATIROBERT A. WOOD,
N.O. GAyB SUPERVISING MECHANICAL ENG'R