HomeMy Public PortalAbout9022 LONGDEN AVE_Plumbing__ 76A667-CE817 12/59 TEE R-A LE CRT IT
APPUCATION FOR PLUMBNG PERMT
COUNTY OF LOS ANGELES T
DEPARTMENT OF COUNTY ENGINEER
"".-
BUILDING SAFETY RIVISION BUILDING
io LAMBIE. CNTY
NGINEER ADDRESS
WILLIAM A. JENSEN, SUP'TOF.BUILDING LOCALITY
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FOR APPLICANT TO FILL IN RONEAREST
CSS ST.
NUMBER FIXTURE OR ITEM OWNER
WATER CLOSET MAIL
BATH TUB ADDRESS
CITY TEL. N
SHOWER
CONTROORI�
LAVATORY
SINK ADDRESS k
CITY TEL. NO.
DISHWASHER
CONTRACTOR'S STATE [9-
LAUNDRY TUB REGISTRATION NO. COUNTY [I
CLOTHES WASHER DIST ICT NO. GROUP ZONE I P SSED BY
WATER HEATER
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
0
0
ITEM
OR FIXTURE APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT 2 oo UNDER SLAB WORK,
TOTAL FEE ROUGH PLUMBING
GAS PIPING
IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS Co RRECT AND AGREE TO COMPLY GAS VENT
—
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATINGyy
PLUMBING. I HOT WATER HEATER
IHEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/ORPLUMBING FIXTURES
LICENSED AS REQUIRED ��Tl ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THATI M THE LEGAL—PWNER OF THE ABOVE
DESCRIBED RESIDENTIAL RO
��TY. UTILITY CO.NOTIFIED
SIGNATUR I "/- b
OF PERMIiTE FINAL
(bF VALIDATION ROBERT A. WOOD,
CK. M.0. SUPERVISING MECHANICAL ENG'R
A"L 5 0621c'o-I OCT 2 5 D
L;o 3.50N