HomeMy Public PortalAbout9704 LIVE OAK AVE_Plumbing__ 76+A667-CE817,3-59
APPLICATION FOR PL MERNC PERMIT '
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE, Count. Engineer ADDRESS
CASSATT.D. GRIFFIN, Supt of Building LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM
OWNER
WATER CLOSET MAIL
BATH TUB ADDRESS Z '
CITY , TEL. NO.
SHOWER
LAVATORY CONTRACTOR
f SINS ADDRESS
DISHWASHER CITY TEL. NO.
CONTR OR' STATE Ve
LAUNDRY TUB REGISTRATION NO. COUNTY ❑
CLOTHES WASHER DISTRICT NO. GROUP ZONE ESSED BY
WATER HEATER p —Z--
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
$1.00 PER ITEM I
OR FIXTURE APPR0 vAxsDATE INSPECTOR'S SIGNATURE
/PERMIT $ 2-100 UNDER S WORK I' J 0J /pzf1tL 0vo
TOTAL FEE ���j ROUGH PLUMBING
a GAS PIPING
I 'HEREBY ACKNOWLEDGE THAT I 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 f5 PLUMBING: U HOT WATER HEATER
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I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTUREnnS'' -/V- 1,
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF #� GAS TEST '/v _ -''l„✓e�-J f11v-,a��'. f���,) ,
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL PROPERTY. / UTILITY CO.NOTIFIED
SIGNATURE OF PERM 7TE
FINAL
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4,7ALIDATION ROBERT A. WOOD,
Cs. M.0. CASH SUPERVISING MECHANICAL ENG'R