HomeMy Public PortalAbout6003 LOMA AVE_Plumbing__ 76A667-CE817-11-57
APPLICATION FOR PLUMBING PERMIT_ 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE, County Engineer ADDRESS 600 3 N. Loma. Ave® 9
CASSATT D. GRIFFIN, Sup't of Building
LOCALITY
- =j J
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM
OWNER We J Robert
WATER CLOSET MAIL
BATH TUB ADDRESS 600 3 N Loma, Aver
SHOWER
CITY T-,eMj2le CjtX TEL. NO.
LAVATORY CONTRACTOR Anthonyos • I
SIN% ADDRESS 5871 Firestone Bivd* ,
DISHWASHER CITY South Gate TEL. NO. LU-36371
CONTRACTOR'S STATE
LAUNDRY TUB 117013 SC ]
REGISTRATION NO. d 53 COUNTY ❑
CLOTHES WASHER DISTRICT NO. jyGGROUP ZONE READY FOR INSPECTION
WATER HEATER �Js_ !a__ 49 D
GAS SYSTEM INDUSTRIAL
WASTE.APPROVAL
" INSPECTION RECORD
'Fresh water piping to
swim pool
APPROVALS
@ $1,00 PER ITEM DATE INSPECTOR'S SIGNATURE
OR FIXTURE $
UNDER SLAB WORK
PERMIT-H 00 ROUGH PLUMBING
TOTAL FEE 2 00 GAS PIPING
$ 1
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. PLUMBING FIXTURES
I HEREBY CERTIFY THAT I AM PROPERLY I TERED AND/OR GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES CO T AND STATE OF
CALIFORNIA OR THA - 1 AM THE LEGAL NE OF THE ABOVE UTILITY CO.NOTIFIED
DESCRIBED RESIDEN ROPER
SIGNATURE A;
OFPERMITTE q FINAL ,�' '/`I '�,}� � L ,A'rilevA
ROBERT A.WOOD.
OF (VALIDATION SUPERVISING MECHANICAL ENG'It
N.0. CASH
r 3064m JUL l 5 A 2.00