HomeMy Public PortalAbout9550 LIVE OAK AVE_Plumbing__ 76A667-CES17 3.59
APPL.,ICAT90N FOR PLUMBING PERMIT
COUNTY,OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
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BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE, County Engineer ADDRESS t_pJ
CASSATT D. GRIFFIN, Supt of Building LOCALITY
AN
FOR APPLICT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM '
OWNER _
WATER CLOSET MAIL
l BATH TUB ADDRESS
CITY j TEL NO. �fJ
SHOWER
CONTRACTOR
LAVATORY
1 SINK ADDRESS
DISHWASHER CITY TEL. NO. `
CONTRACTOR'S STATE
LAUNDRY TUB REGISTRATION NO. COUNTY
CLOTHES WASHER DISTRICT NO. GROUP ZONE PR,09ESSE Y
WATER HEATER
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
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4. X.e/ ,e-,/_ xnk4 Apa'�f9
6
-6/0Mn A'ar &Oetwy
. 69 m 729
Q $1.00 PER TEEM[ RipAs
6 OR FIXTURE $ '40 S DATF, INSPECTOR'S SIGNATUf,?
P151
ERMIT $ 2 00 UNDER WORK A
TOTAL FEE ROUGH PLUMBING —7
GAS PIPING
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. HOT WATER HEATER aI�5=9D lJ,4L' �JS�
/1�1
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURESLICENSED A
OF
CALIFORNIASORETHATDI AML OS THE LEGAL OWNER OF THEANGELES COUNTY ANDATE ABOVE GAS TEST FIAL ��19a1JO
DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO NOTIFIED
SIGNATURE
OF PERMITTEE
9*21 FINAL ��- 4 ma /D
®F LMATION ROBERT A. WOOD,
M.0. CASH SUPERVISING MECHANICAL ENG'R
- LACO 4 4 4 9 DEC 17 5 A 1 2.0 0