HomeMy Public PortalAbout10614 LIVE OAK AVE_Plumbing__ 76A667-CE817-8-58 ��,,
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BU UDMING L
JOHN A. LAMBIE, County Engineer
CASSATT D. GRIFFIN,Supt of Building LOCALITY C
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM
OWNER� I
WATER CLOSET MAIL
I, BATH TUB ADDRESS'
SHOWER CITY TEL. NO.
LAVATORY CONTRACTOR (
SINK ADDRESS U
DISHWASHER CITYTEL. NO.
CONTRACTOR'S STATE
LAUNDRY TUB I REGISTRATION NO./(4'2-AZf 0 COUNTY
' CLOTHES WASHER DISTRI GRO�U-P'' ZONE ROCESSEDyBY
WATER HEATER �/ / `
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
l 1 r A 1 G�
APPROVALS
Q PER
OR R ITEM
I �
OR FIXTURE $ `4 41;1PATE/ INS_P.ECTOR'Sq§IGNATURE
UNDER SLAB WORK
PERMIT 31 2100 ROUGH PLUMBING — ^y
TOTAL FEE I tj QU GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER —�C
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. PLUMBING FIXTURES l '
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST 7 ,� "
LICENSED AS REQUIRED iz
LOS ANGELES CO TY AND STATE OF
CALIFORNIA OR T AT THE LEGAL W ER OF THE ABOVE UTILITY CO.NOTIFIED L .�
DESCRIBED RESIDE TI OPERTY.
SIGNATURE r�1Vn7✓
OFPERMITTE FINAL
ROBERT A.WOOD.
OF ALIDATION SUPERVISING MECHANICAL ENG'R
CK. U.O. CASH
LAGo 6 4 5 7 F"A 15 5 A 11 .0 0 M