HomeMy Public PortalAbout9617 LAS TUNAS DR_Plumbing__ 76A667-CE8II 12/59
II
APPLICATION F R PLUM�VING PERMIT.
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGR EER
BUILDING AN�E,SAFETY DIVISION 7BUIRINOJOHNA. LAM i COUNTY NGINEER WILLIAM A. JENSEN, SUPT OF BUILDING
OSS
FOR APPLICANT TO FILL IN ROSS '.z i =c
NUMBER FIXTURE OR ITEM OWNER y
WATER CLOSET
MAIL
BATH TUB ADDRESS
CITY TEL. NO.
SHOWER
LAVATORY CONTRACTOR
r
SINS ADDRESS i'
DISHWASHER CITY y'. '._:e. .. �,, TEL NO. ,.'r ? , 3
CONTRACTOR'S STATE ❑
LAUNDRY TUB REGISTRATION NO. COUNTY ❑
CLOTHES WASHER DISTRICTNO. GROUP I ZONE P CESSED BY
WATER HEATER =� - 'y' �!
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
a
O
U
0
O
f-
u U
w
a
m
z
G• PER ITEM
OR
OH FIXTURE J APPROVALS DATE/ INSPEC R'S SIGNATURE
PERMIT § Z 00 UNDER SLAB WORK
TOTAL FEE ROUGH PLUMBING
GAS PIPING L � R
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 HOT WATER HEATER
PLUMBING.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED
SIGNATURE
OF PERMITTE FINAL
®r VALIDATION ROBERT A. WOOD,
C�.
U.0. CASH
SUPERVISING MECHANICAL ENG'R