HomeMy Public PortalAbout9554 LIVE OAK AVE_Plumbing__ 76A667-CES17 3-59
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION FN
ING J
JOHN A. LAMBIE. County En ineer ESS
CASSATT D. GRIFFIN, Supt of Building
LITY
FOR APPLICANT TO FILL IN STS ST.
NUMBER FIXTURE OR ITEM
OWNER
�- WATER CLOSET MAIL /
l BATH TUB ADDRESS `
CITY TEL. NO.
SHOWER
CONTRACTOR
LAVATORY
SINS ADDRESS l
DISHWASHER CITY / TEL. NO.
CONTRACTOR'S / ! STATE
LAUNDRY TUB REGISTRATION NO. ` 7 -7 COUNTY
f CLOTHES WASHER DISTRICT NO. GROUP Z E Paz E Y
/ WATER HEATER s- L
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
$1.00 PER ITEM
` OR FIXTURE $ `C� 69 O AP22VAL,S, DATE INSPECTOR'S SIGNATURE
PERMIT $ 1 2100 UNDERWORKj
TOTAL FEE ROUGH PLUMB ,/ING " 1 01
GAS PIPING
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION ?!
AND STATE THAT THE ABOVE 13 CORRECT AND AGREE TO COMPLY cJ GAS VENT I,,�lFJIP.Y 4
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. HOT WATER HEATER " OTS YIl4f/.Y�O
1HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
CEp F�Y-� I C' H,v/l1YLhuJ, �L�G�
LINSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO NOTIFIED
SIGNATURE J
OF PERMITTEE FINAL
®PJ&tALMATION ROBERT A WOOD, /� EC�rVNY
a. Y.O. CASH SUPERVISING MECHANICAL.`-NCB'R
4 4 5 1 U-1 DEC 17 5 A 12.00 M